Single-incision robotic colorectal surgery with the da Vinci SP® surgical system: initial results of 50 cases
Purpose The da Vinci SP® (dVSP) surgical system (Intuitive Surgical, Sunnyvale, CA, USA), a robotic platform designed for single-incision surgery, overcame the need for multiple ports in traditional robotic surgery and issues including triangulation and retraction in single-incision laparoscopic sur...
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| Veröffentlicht in: | Techniques in coloproctology 2023-07, Vol.27 (7), p.589-599 |
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| creator | Kim, H. S. Oh, B.-Y. Cheong, C. Park, M. H. Chung, S. S. Lee, R.-A. Kim, K. H. Noh, G. T. |
| description | Purpose
The da Vinci SP® (dVSP) surgical system (Intuitive Surgical, Sunnyvale, CA, USA), a robotic platform designed for single-incision surgery, overcame the need for multiple ports in traditional robotic surgery and issues including triangulation and retraction in single-incision laparoscopic surgery. However, previous studies only included case reports or series with small sample sizes. The aim of this study was to assess the safety and performance of the dVSP surgical system and its instruments and accessories for colorectal procedures.
Methods
The medical records of patients who had surgery with the dVSP from March 2019 to September 2021 at Ewha Womans University Seoul Hospital were investigated. The pathologic and follow-up data of patients who had malignant tumors were analyzed separately to evaluate oncological safety.
Results
Fifty patients (26 male and 24 female) with a median age of 59 years (interquartile range 52.5–63.0 years) were enrolled. The procedures included low anterior resection with total mesorectal excision (
n
= 16), sigmoid colectomy with complete mesocolic excision and central vessel ligation (CME + CVL) (
n
= 14), right colectomy with CME + CVL (
n
= 9), left colectomy with CME + CVL (
n
= 4), right colectomy (
n
= 6), and sigmoid colectomy (
n
= 1). Operative time significantly decreased after 25 cases (early phase vs. late phase; operative time 295.0 min vs. 250.0 min,
p
= 0.015; docking time 16.0 min vs. 12.0 min,
p
= 0.001; console time 212.0 min vs. 190.0 min,
p
= 0.019). Planned procedures were successfully completed in all patients. Postoperative outcomes were acceptable with only six cases of mild adverse events through a 3-month follow-up. No local recurrence and only one case of systemic recurrence occurred within 1 year postoperatively.
Conclusions
This study demonstrated the surgical and oncological safety and feasibility of dVSP, which may be a novel surgical platform for colorectal surgery. |
| doi_str_mv | 10.1007/s10151-023-02791-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2791705148</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2822781138</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-ea849d38e064840f7b7c53e23147a78c08fb19c5bb7e9e3baa93f6a91ed513e3</originalsourceid><addsrcrecordid>eNp9kd9KHTEQxkOpqLW-QC9KoDe92Taz2ZxkvRPpPxAqKNK7kM2Z1ciejWaylPM2fYI-hE_W7DlawQsvQhLmN98M38fYOxCfQAj9mUCAgkrUshzdQqVesX2A2lSiUb9eb96yWkip99gbohshQGsFu2xPLloNpmn3WTwP49WAVRh9oBBHnmIXc_DcxyEm9NkNnKZ0hWnNf4d8zfM18qW7_3M5d_Dzs_u_m3rwM7imjKsjHsaQQ_knpGnIxGPPleDeEdJbttO7gfDw4T5gF1-_XJx8r05_fvtxcnxaealVrtCV7ZbSoFg0phG97rRXEmsJjXbaeGH6Dlqvuk5ji7JzrpX9wrWASwUS5QH7uJW9TfFuQsp2FcjjMLgR40R2tksLBY0p6Idn6E2c0liWs7Wpa20A5EzVW8qnSJSwt7cprFxaWxB2TsNu07AlDbtJw6rS9P5BeupWuPzf8mh_AeQWoFIai8lPs1-Q_Qdy05b9</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2822781138</pqid></control><display><type>article</type><title>Single-incision robotic colorectal surgery with the da Vinci SP® surgical system: initial results of 50 cases</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Kim, H. S. ; Oh, B.-Y. ; Cheong, C. ; Park, M. H. ; Chung, S. S. ; Lee, R.-A. ; Kim, K. H. ; Noh, G. T.</creator><creatorcontrib>Kim, H. S. ; Oh, B.-Y. ; Cheong, C. ; Park, M. H. ; Chung, S. S. ; Lee, R.-A. ; Kim, K. H. ; Noh, G. T.</creatorcontrib><description>Purpose
The da Vinci SP® (dVSP) surgical system (Intuitive Surgical, Sunnyvale, CA, USA), a robotic platform designed for single-incision surgery, overcame the need for multiple ports in traditional robotic surgery and issues including triangulation and retraction in single-incision laparoscopic surgery. However, previous studies only included case reports or series with small sample sizes. The aim of this study was to assess the safety and performance of the dVSP surgical system and its instruments and accessories for colorectal procedures.
Methods
The medical records of patients who had surgery with the dVSP from March 2019 to September 2021 at Ewha Womans University Seoul Hospital were investigated. The pathologic and follow-up data of patients who had malignant tumors were analyzed separately to evaluate oncological safety.
Results
Fifty patients (26 male and 24 female) with a median age of 59 years (interquartile range 52.5–63.0 years) were enrolled. The procedures included low anterior resection with total mesorectal excision (
n
= 16), sigmoid colectomy with complete mesocolic excision and central vessel ligation (CME + CVL) (
n
= 14), right colectomy with CME + CVL (
n
= 9), left colectomy with CME + CVL (
n
= 4), right colectomy (
n
= 6), and sigmoid colectomy (
n
= 1). Operative time significantly decreased after 25 cases (early phase vs. late phase; operative time 295.0 min vs. 250.0 min,
p
= 0.015; docking time 16.0 min vs. 12.0 min,
p
= 0.001; console time 212.0 min vs. 190.0 min,
p
= 0.019). Planned procedures were successfully completed in all patients. Postoperative outcomes were acceptable with only six cases of mild adverse events through a 3-month follow-up. No local recurrence and only one case of systemic recurrence occurred within 1 year postoperatively.
Conclusions
This study demonstrated the surgical and oncological safety and feasibility of dVSP, which may be a novel surgical platform for colorectal surgery.</description><identifier>ISSN: 1123-6337</identifier><identifier>EISSN: 1128-045X</identifier><identifier>DOI: 10.1007/s10151-023-02791-5</identifier><identifier>PMID: 36971849</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Colectomy - methods ; Colorectal Surgery ; Female ; Gastroenterology ; Humans ; Laparoscopy ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Multimedia Article ; Operative Time ; Proctology ; Retrospective Studies ; Robotic surgery ; Robotic Surgical Procedures - methods ; Robotics - methods ; Surgery</subject><ispartof>Techniques in coloproctology, 2023-07, Vol.27 (7), p.589-599</ispartof><rights>Springer Nature Switzerland AG 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. Springer Nature Switzerland AG.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-ea849d38e064840f7b7c53e23147a78c08fb19c5bb7e9e3baa93f6a91ed513e3</citedby><cites>FETCH-LOGICAL-c375t-ea849d38e064840f7b7c53e23147a78c08fb19c5bb7e9e3baa93f6a91ed513e3</cites><orcidid>0000-0001-9849-8211</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10151-023-02791-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10151-023-02791-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36971849$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, H. S.</creatorcontrib><creatorcontrib>Oh, B.-Y.</creatorcontrib><creatorcontrib>Cheong, C.</creatorcontrib><creatorcontrib>Park, M. H.</creatorcontrib><creatorcontrib>Chung, S. S.</creatorcontrib><creatorcontrib>Lee, R.-A.</creatorcontrib><creatorcontrib>Kim, K. H.</creatorcontrib><creatorcontrib>Noh, G. T.</creatorcontrib><title>Single-incision robotic colorectal surgery with the da Vinci SP® surgical system: initial results of 50 cases</title><title>Techniques in coloproctology</title><addtitle>Tech Coloproctol</addtitle><addtitle>Tech Coloproctol</addtitle><description>Purpose
The da Vinci SP® (dVSP) surgical system (Intuitive Surgical, Sunnyvale, CA, USA), a robotic platform designed for single-incision surgery, overcame the need for multiple ports in traditional robotic surgery and issues including triangulation and retraction in single-incision laparoscopic surgery. However, previous studies only included case reports or series with small sample sizes. The aim of this study was to assess the safety and performance of the dVSP surgical system and its instruments and accessories for colorectal procedures.
Methods
The medical records of patients who had surgery with the dVSP from March 2019 to September 2021 at Ewha Womans University Seoul Hospital were investigated. The pathologic and follow-up data of patients who had malignant tumors were analyzed separately to evaluate oncological safety.
Results
Fifty patients (26 male and 24 female) with a median age of 59 years (interquartile range 52.5–63.0 years) were enrolled. The procedures included low anterior resection with total mesorectal excision (
n
= 16), sigmoid colectomy with complete mesocolic excision and central vessel ligation (CME + CVL) (
n
= 14), right colectomy with CME + CVL (
n
= 9), left colectomy with CME + CVL (
n
= 4), right colectomy (
n
= 6), and sigmoid colectomy (
n
= 1). Operative time significantly decreased after 25 cases (early phase vs. late phase; operative time 295.0 min vs. 250.0 min,
p
= 0.015; docking time 16.0 min vs. 12.0 min,
p
= 0.001; console time 212.0 min vs. 190.0 min,
p
= 0.019). Planned procedures were successfully completed in all patients. Postoperative outcomes were acceptable with only six cases of mild adverse events through a 3-month follow-up. No local recurrence and only one case of systemic recurrence occurred within 1 year postoperatively.
Conclusions
This study demonstrated the surgical and oncological safety and feasibility of dVSP, which may be a novel surgical platform for colorectal surgery.</description><subject>Abdominal Surgery</subject><subject>Colectomy - methods</subject><subject>Colorectal Surgery</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Multimedia Article</subject><subject>Operative Time</subject><subject>Proctology</subject><subject>Retrospective Studies</subject><subject>Robotic surgery</subject><subject>Robotic Surgical Procedures - methods</subject><subject>Robotics - methods</subject><subject>Surgery</subject><issn>1123-6337</issn><issn>1128-045X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kd9KHTEQxkOpqLW-QC9KoDe92Taz2ZxkvRPpPxAqKNK7kM2Z1ciejWaylPM2fYI-hE_W7DlawQsvQhLmN98M38fYOxCfQAj9mUCAgkrUshzdQqVesX2A2lSiUb9eb96yWkip99gbohshQGsFu2xPLloNpmn3WTwP49WAVRh9oBBHnmIXc_DcxyEm9NkNnKZ0hWnNf4d8zfM18qW7_3M5d_Dzs_u_m3rwM7imjKsjHsaQQ_knpGnIxGPPleDeEdJbttO7gfDw4T5gF1-_XJx8r05_fvtxcnxaealVrtCV7ZbSoFg0phG97rRXEmsJjXbaeGH6Dlqvuk5ji7JzrpX9wrWASwUS5QH7uJW9TfFuQsp2FcjjMLgR40R2tksLBY0p6Idn6E2c0liWs7Wpa20A5EzVW8qnSJSwt7cprFxaWxB2TsNu07AlDbtJw6rS9P5BeupWuPzf8mh_AeQWoFIai8lPs1-Q_Qdy05b9</recordid><startdate>20230701</startdate><enddate>20230701</enddate><creator>Kim, H. S.</creator><creator>Oh, B.-Y.</creator><creator>Cheong, C.</creator><creator>Park, M. H.</creator><creator>Chung, S. S.</creator><creator>Lee, R.-A.</creator><creator>Kim, K. H.</creator><creator>Noh, G. T.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9849-8211</orcidid></search><sort><creationdate>20230701</creationdate><title>Single-incision robotic colorectal surgery with the da Vinci SP® surgical system: initial results of 50 cases</title><author>Kim, H. S. ; Oh, B.-Y. ; Cheong, C. ; Park, M. H. ; Chung, S. S. ; Lee, R.-A. ; Kim, K. H. ; Noh, G. T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-ea849d38e064840f7b7c53e23147a78c08fb19c5bb7e9e3baa93f6a91ed513e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdominal Surgery</topic><topic>Colectomy - methods</topic><topic>Colorectal Surgery</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Multimedia Article</topic><topic>Operative Time</topic><topic>Proctology</topic><topic>Retrospective Studies</topic><topic>Robotic surgery</topic><topic>Robotic Surgical Procedures - methods</topic><topic>Robotics - methods</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, H. S.</creatorcontrib><creatorcontrib>Oh, B.-Y.</creatorcontrib><creatorcontrib>Cheong, C.</creatorcontrib><creatorcontrib>Park, M. H.</creatorcontrib><creatorcontrib>Chung, S. S.</creatorcontrib><creatorcontrib>Lee, R.-A.</creatorcontrib><creatorcontrib>Kim, K. H.</creatorcontrib><creatorcontrib>Noh, G. T.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Techniques in coloproctology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, H. S.</au><au>Oh, B.-Y.</au><au>Cheong, C.</au><au>Park, M. H.</au><au>Chung, S. S.</au><au>Lee, R.-A.</au><au>Kim, K. H.</au><au>Noh, G. T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Single-incision robotic colorectal surgery with the da Vinci SP® surgical system: initial results of 50 cases</atitle><jtitle>Techniques in coloproctology</jtitle><stitle>Tech Coloproctol</stitle><addtitle>Tech Coloproctol</addtitle><date>2023-07-01</date><risdate>2023</risdate><volume>27</volume><issue>7</issue><spage>589</spage><epage>599</epage><pages>589-599</pages><issn>1123-6337</issn><eissn>1128-045X</eissn><abstract>Purpose
The da Vinci SP® (dVSP) surgical system (Intuitive Surgical, Sunnyvale, CA, USA), a robotic platform designed for single-incision surgery, overcame the need for multiple ports in traditional robotic surgery and issues including triangulation and retraction in single-incision laparoscopic surgery. However, previous studies only included case reports or series with small sample sizes. The aim of this study was to assess the safety and performance of the dVSP surgical system and its instruments and accessories for colorectal procedures.
Methods
The medical records of patients who had surgery with the dVSP from March 2019 to September 2021 at Ewha Womans University Seoul Hospital were investigated. The pathologic and follow-up data of patients who had malignant tumors were analyzed separately to evaluate oncological safety.
Results
Fifty patients (26 male and 24 female) with a median age of 59 years (interquartile range 52.5–63.0 years) were enrolled. The procedures included low anterior resection with total mesorectal excision (
n
= 16), sigmoid colectomy with complete mesocolic excision and central vessel ligation (CME + CVL) (
n
= 14), right colectomy with CME + CVL (
n
= 9), left colectomy with CME + CVL (
n
= 4), right colectomy (
n
= 6), and sigmoid colectomy (
n
= 1). Operative time significantly decreased after 25 cases (early phase vs. late phase; operative time 295.0 min vs. 250.0 min,
p
= 0.015; docking time 16.0 min vs. 12.0 min,
p
= 0.001; console time 212.0 min vs. 190.0 min,
p
= 0.019). Planned procedures were successfully completed in all patients. Postoperative outcomes were acceptable with only six cases of mild adverse events through a 3-month follow-up. No local recurrence and only one case of systemic recurrence occurred within 1 year postoperatively.
Conclusions
This study demonstrated the surgical and oncological safety and feasibility of dVSP, which may be a novel surgical platform for colorectal surgery.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>36971849</pmid><doi>10.1007/s10151-023-02791-5</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-9849-8211</orcidid></addata></record> |
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| ispartof | Techniques in coloproctology, 2023-07, Vol.27 (7), p.589-599 |
| issn | 1123-6337 1128-045X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2791705148 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Abdominal Surgery Colectomy - methods Colorectal Surgery Female Gastroenterology Humans Laparoscopy Male Medicine Medicine & Public Health Middle Aged Multimedia Article Operative Time Proctology Retrospective Studies Robotic surgery Robotic Surgical Procedures - methods Robotics - methods Surgery |
| title | Single-incision robotic colorectal surgery with the da Vinci SP® surgical system: initial results of 50 cases |
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