INTRODUCTION: We describe a novel technique that could aid the surgeon to perform a total proctocolectomy with a single docking position of the da Vinci Si HD System. METHODS: Patients were positioned in 20° Trendelenburg lithotomy split legs position. A 12-mm trocar was for camera and 3 more trocars were placed: two robotics on left and right flanks and one laparoscopic in left iliac fossa. The robot was docked between the legs of the patients. RESULTS: Four proctocolectomies were performed. Mean operative time was 235 min (range 215-255); mean blood loss was 100 cc (range 50-200). Median post-operative stay was 6 days. Overall morbidity was 75%, whereas major complications occurred in 25%. Post-operative mortality was null. CONCLUSIONS: The robotic single docking approach to perform total proctocolectomy for ulcerative colitis is a time-saving technique respect to the multiple docking approach.
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|Titolo:||Robotic single docking total colectomy for ulcerative colitis: First experience with a novel technique|
|Citazione:||Roviello, F., Piagnerelli, R., Ferrara, F., Scheiterle, M.L.P.F., DE FRANCO, L.G., & Marrelli, D. (2015). Robotic single docking total colectomy for ulcerative colitis: First experience with a novel technique. INTERNATIONAL JOURNAL OF SURGERY, 21, 63-67.|
|Appare nelle tipologie:||1.1 Articolo in rivista|
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