Noh Gyoung Tae, Oh Bo-Young, Han Myunghyun, Chung Soon Sup, Lee Ryung-Ah, Kim Kwang Ho
Department of Surgery, Ewha Womans University College of Medicine, Seoul, South Korea.
Department of Surgery, Hallym University College of Medicine, Chuncheon-si, South Korea.
Int J Med Robot. 2020 Jun;16(3):e2091. doi: 10.1002/rcs.2091. Epub 2020 Apr 6.
The da Vinci Surgical System (Intuitive Surgical, Sunnyvale, CA) was introduced to overcome the limitations of single-incision laparoscopic surgery, which is challenging due to its restrictions regarding triangulation and retraction. The purpose of this article is to describe the initial experience with single-incision surgery using the da Vinvci Single-Port Platform (dVSP).
The medical records of patients with colorectal disease, who underwent single-incision robotic surgery using the dVSP, were retrospectively reviewed.
Five patients with appendiceal and colorectal cancer, and two with diverticulitis were enrolled. All procedures were completed using a pure single-incision approach, with an exception for low anterior resection. There were two minor complications. For patients with colorectal cancer, the number of retrieved lymph nodes and status of the resection margin were acceptable, and cosmetic results were satisfactory.
The dVSP is a novel surgical platform that can be used as an alternative surgical modality for colorectal surgery.
达芬奇手术系统（直观外科公司，加利福尼亚州桑尼维尔市）的推出是为了克服单切口腹腔镜手术的局限性，单切口腹腔镜手术由于其在三角定位和牵拉方面的限制而具有挑战性。本文的目的是描述使用达芬奇单孔平台（dVSP）进行单切口手术的初步经验。
对使用dVSP进行单切口机器人手术的结直肠疾病患者的病历进行回顾性分析。
纳入了5例阑尾癌和结直肠癌患者以及2例憩室炎患者。除低位前切除术外，所有手术均采用单纯单切口入路完成。发生了2例轻微并发症。对于结直肠癌患者，获取的淋巴结数量和切缘状态可接受，美容效果令人满意。
dVSP是一种新型手术平台，可作为结直肠手术的替代手术方式。
