An extraperitoneal single‐port robotic approach to low anterior resection—Cadaveric experience
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Abstract
Abstract Aim A minimally invasive surgery (MIS) extraperitoneal (XP) approach to left‐sided colorectal resection utilizing the laparoscopic approach has recently been shown to be safe and feasible and to have potential advantages over the transperitoneal approach, especially in high‐risk surgical patients. The aim of this article is to provide a first cadaveric demonstration of the use of a single‐port robotic platform in performing XP low anterior resection by MIS. Method A single‐port robotic platform (DaVinci®SP™) was used to perform XP single‐port low anterior resection in two cadavers with body mass indexes (BMIs) of 19 and 40 kg/m 2 . Results The single‐port robotic platform with versatile arms was successfully used to perform a complete low anterior resection with splenic flexure mobilization and total mesorectal excision through a single port. Conclusions A single‐port robotic platform enhances complete XP dissection in the supine patient in extreme BMI ranges. Clinical studies are necessary to confirm these findings.
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