- Instituto Morrell, Cirurgia do Aparelho Digestivo Robótica e Minimamente Invasiva - São Paulo - SP - Brasil.
- Grupo Leforte, Cirurgia do Aparelho Digestivo, Bariátrica e Metabólica Robótica - São Paulo - SP - Brasil.
Rev Col Bras Cir. 2021 Sep 24;48:e20213007. doi: 10.1590/0100-6991e-20213007. eCollection 2021.
laparoscopy surgery has many proven clinical advantages over conventional surgery and more recently, robotic surgery has been the emerging platform in the minimally invasive era. In the colorectal field, although overcoming limitations of standard laparoscopy, robotic surgery still faces challenging situations even by the most experienced colorectal surgeons. This study reports essentials technical aspects and comparison between Da Vincis Si and Xi platforms aiming to master and maximize efficiency whenever performing robotic colorectal surgery.
this study overviews the most structured concepts and practical applications in robotic colorectal surgery in both Si and Xi Da Vinci platforms. Possible pitfalls are emphasized and step-wise approach is described from port placement and docking process to surgical technique. We also present data collected from a prospectively maintained database.
our early experience includes forty-four patients following a standardized total robotic left-colon and rectal resection. Guided information and practical applications for a safe and efficient robotic colorectal surgery are described. We also present illustrations and describe technical aspects of a standardized procedure.
performing robotic colorectal surgery is feasible and safe in experienced surgeons hands. Although the Da Vinci Xi platform demonstrates greater versatility in a more user-friendly design with technological advances, the correct mastery of technology by the surgical team is an essential condition for its fully robotic execution in a single docking approach.
腹腔镜手术相对于传统手术具有许多已被证实的临床优势，而最近，机器人手术已成为微创时代的新兴平台。在结直肠领域，尽管克服了标准腹腔镜的局限性，但机器人手术仍然面临挑战，即使是经验最丰富的结直肠外科医生也不例外。本研究报告了达芬奇 Si 和 Xi 平台的基本技术方面和比较，旨在掌握并最大限度地提高机器人结直肠手术的效率。
本研究综述了在 Si 和 Xi 达芬奇平台上进行机器人结直肠手术的最结构化的概念和实际应用。强调了可能出现的陷阱，并描述了从端口放置和对接过程到手术技术的逐步方法。我们还介绍了从一个前瞻性维护的数据库中收集的数据。
我们的早期经验包括 44 例接受标准化全机器人左结肠和直肠切除术的患者。介绍了安全高效的机器人结直肠手术的指导信息和实际应用。我们还展示了标准化程序的插图和描述技术方面。
在经验丰富的外科医生手中，进行机器人结直肠手术是可行且安全的。尽管达芬奇 Xi 平台在更用户友好的设计和技术进步方面具有更大的通用性，但手术团队正确掌握技术是其在单次对接中完全机器人执行的必要条件。
