Da Vinci Single-Port robot-assisted transanal mesorectal excision: a promising preclinical experience.
Surg Endosc
; 34(7): 3232-3235, 2020 07.
Article
em En
| MEDLINE
| ID: mdl-32394173
ABSTRACT
INTRODUCTION:
Robotic single-port platforms represent a viable option for advanced surgical procedures. This preclinical study investigated the dual-field, single-port, robot-assisted transanal total mesorectal excision (taTME). TECHNIQUE In a male human cadaver, we employed the novel da Vinci® SP™ Surgical System, sequentially, to realize the transanal and abdominal parts of the taTME procedure. We evaluated the feasibility of the one-team approach.RESULTS:
We showed that single-port access for the taTME was technically feasible with the current da Vinci® SP™ Surgical System in both surgical fields. The total console times were 189 min for the juxta-anal purse-string suture placement, partial intersphincteric resection, and bottom-up mesorectal dissection to where it meets the peritoneal reflection and 43 min for the abdominal procedure. A good quality specimen was achieved. The surgeon comfort was high during simulated surgery. The task load was highly acceptable (NASA-TLX global score 35), even though it was the surgeon's first use of this platform.CONCLUSION:
This preclinical study demonstrated that the robotic, single-port taTME was feasible and could be performed with the da Vinci® SP™ Surgical System, beginning at the level of the dentate line. Further simulations are necessary to confirm this promising approach.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Canal Anal
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Reto
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Procedimentos Cirúrgicos Robóticos
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Cirurgia Endoscópica Transanal
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Protectomia
Tipo de estudo:
Evaluation_studies
Limite:
Humans
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Male
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article