Standardized technique for single-docking robotic rectal surgery

Abstract

Aim: The aim of this technical note is to describe our standardized technique for rectal surgery using a single-docking totally robotic approach.

Method: The data related to patients who underwent single-docking robotic rectal surgery were analysed for the feasibility of this approach.

Results: This technique was used in 124 consecutive patients who underwent rectal resection since July 2013. Male to female ratio of patients was 2:1 while median age was 67 years (range 24-92). The median operating time was 240 min (range 105-456), whilst blood loss was 10 ml (range 0-200). There was no evidence of intra-operative complications or conversions to either a laparoscopic or an open procedure. The median length of stay was 7 days (range 3-48).

Conclusion: A single-docking technique for robotic rectal surgery is safe and feasible. It can be considered as standard approach for pelvic robotic surgery.

Keywords: Rectal surgery; TME; robotic approach.