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Robotic and Patient Positioning, Instrumentation, and Trocar Placement

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Robotic Approaches to Colorectal Surgery

Abstract

Four decades ago, the performance of the first laparoscopic cholecystectomy was a milestone in medicine. A decade later, the first laparoscopic colon resection was reported in the United States, and this progress ultimately led to the introduction of robotic surgery in 2000. There are many advantages of minimally invasive operative modalities. However, the widespread adoption of laparoscopic colorectal surgery has been delayed because of technical difficulties. Furthermore, operating in multiple quadrants and the lack of appropriate laparoscopic training for practicing colorectal surgeons have complicated the learning curve. Some of the limitations in terms of two-dimensional imaging, limited dexterity, and a long learning curve could possibly be overcome by robotic approaches. This chapter will describe robotic room setup, instrumentation, patient positioning, and trocar placement.

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References

  1. Alasari S, Min BS. Robotic colorectal surgery: a systematic review. ISRN Surg. 2012;2012:293894.

    Article  PubMed Central  PubMed  Google Scholar 

  2. Baik SH. Robotic colorectal surgery. Yonsei Med J. 2008;49(6):891–6.

    Article  PubMed Central  PubMed  Google Scholar 

  3. Bertani E, Chiappa A, Ubiali P, Fiore B, Corbellini C, Cossu ML, et al. Role of robotic surgery in colorectal resections for cancer. Minerva Gastroenterol Dietol. 2012;58(3):191–200.

    CAS  PubMed  Google Scholar 

  4. Bokhari MB, Patel CB, Ramos-Valadez DI, Ragupathi M, Haas EM. Learning curve for robotic-assisted laparoscopic colorectal surgery. Surg Endosc. 2011;25(3):855–60.

    Article  PubMed Central  PubMed  Google Scholar 

  5. Ty T, Higuchi MT. Robotic instrumentation, personnel and operating room setup. In: Su LM, editor. Atlas of robotic urologic surgery, Current clinical urology. London: Springer; 2011. p. 15–30.

    Google Scholar 

  6. Buyer’s brief: robotic surgery. Healthc Financ Manage. 2013;67(6):53–4.

    Google Scholar 

  7. Vlcek P, Capov I, Jedlicka V, Chalupnik S, Korbicka J, Veverkova L, et al. [Robotic procedures in the colorectal surgery]. Rozhl Chir. 2008;87(3):135–7.

    CAS  PubMed  Google Scholar 

  8. Volonte F, Pugin F, Buchs NC, Spaltenstein J, Hagen M, Ratib O, et al. Console-integrated stereoscopic OsiriX 3D volume-rendered images for da Vinci colorectal robotic surgery. Surg Innov. 2013;20(2):158–63.

    Article  PubMed  Google Scholar 

  9. Parekattil SJ, Moran ME. Robotic instrumentation: evolution and microsurgical applications. Indian J Urol. 2010;26(3):395–403.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Spinoglio G, Summa M, Priora F, Quarati R, Testa S. Robotic colorectal surgery: first 50 cases experience. Dis Colon Rectum. 2008;51(11):1627–32.

    Article  PubMed  Google Scholar 

  11. Roukos DH. The era of robotic surgery for colorectal cancer. Ann Surg Oncol. 2010;17(1):338–9.

    Article  CAS  PubMed  Google Scholar 

  12. Vitobello D, Fattizzi N, Santoro G, Rosati R, Baldazzi G, Bulletti C, et al. Robotic surgery and standard laparoscopy: a surgical hybrid technique for use in colorectal endometriosis. J Obstet Gynaecol Res. 2013;39(1):217–22.

    Article  PubMed  Google Scholar 

  13. Patel CB, Ragupathi M, Ramos-Valadez DI, Haas EM. A three-arm (laparoscopic, hand-assisted, and robotic) matched-case analysis of intraoperative and postoperative outcomes in minimally invasive colorectal surgery. Dis Colon Rectum. 2011;54(2):144–50.

    Article  PubMed  Google Scholar 

  14. Baek SK, Carmichael JC, Pigazzi A. Robotic surgery: colon and rectum. Cancer J. 2013;19(2):140–6.

    Article  PubMed  Google Scholar 

  15. Al-Naami M, Anjum MN, Aldohayan A, Al-Khayal K, Alkharji H. Robotic general surgery experience: a gradual progress from simple to more complex procedures. Int J Med Robot. 2013;9(4):486–91.

    Article  CAS  PubMed  Google Scholar 

  16. Baek SJ, Kim SH, Cho JS, Shin JW, Kim J. Robotic versus conventional laparoscopic surgery for rectal cancer: a cost analysis from a single institute in Korea. World J Surg. 2012;36(11):2722–9.

    Article  PubMed  Google Scholar 

  17. D’Annibale A, Pernazza G, Morpurgo E, Monsellato I, Pende V, Lucandri G, et al. Robotic right colon resection: evaluation of first 50 consecutive cases for malignant disease. Ann Surg Oncol. 2010;17(11):2856–62.

    Article  PubMed  Google Scholar 

  18. D’Annibale A, Morpurgo E, Fiscon V, Trevisan P, Sovernigo G, Orsini C, et al. Robotic and laparoscopic surgery for treatment of colorectal diseases. Dis Colon Rectum. 2004;47(12):2162–8.

    Article  PubMed  Google Scholar 

  19. Hottenrott C. Robotic surgery and limitations. Surg Endosc. 2012;26(2):580–1.

    Article  PubMed  Google Scholar 

  20. Jayne DG, Culmer PR, Barrie J, Hewson R, Neville A. Robotic platforms for general and colorectal surgery. Colorectal Dis. 2011;13 Suppl 7:78–82.

    Article  PubMed  Google Scholar 

  21. Keller DS, Hashemi L, Lu M, Delaney CP. Short-term outcomes for robotic colorectal surgery by provider volume. J Am Coll Surg. 2013;217(6):1063–9.e1.

    Google Scholar 

  22. Kim CW, Baik SH. Robotic rectal surgery: what are the benefits? Minerva Chir. 2013;68(5):457–69.

    CAS  PubMed  Google Scholar 

  23. Koh DC, Tsang CB, Kim SH. A new application of the four-arm standard da Vinci(R) surgical system: totally robotic-assisted left-sided colon or rectal resection. Surg Endosc. 2011;25(6):1945–52.

    Article  PubMed  Google Scholar 

  24. Marescaux J. [State of the art of surgery. Robotic surgery and telesurgery]. Cir Cir. 2013;81(4):265–8.

    PubMed  Google Scholar 

  25. Peterson CY, Weiser MR. Robotic colorectal surgery. J Gastrointest Surg. 2014;18(2):398–403.

    Article  PubMed  Google Scholar 

  26. Pedraza R, Ramos-Valadez DI, Haas EM. Robotic-assisted laparoscopic surgery of the colon and rectum: a literature review. Cir Cir. 2011;79(4):384–91.

    PubMed  Google Scholar 

  27. Ma J, Shukla PJ, Milsom JW. The evolving role of robotic colorectal surgery. Dis Colon Rectum. 2011;54(3):376. author reply-7.

    Article  PubMed  Google Scholar 

  28. Yu HY, Friedlander DF, Patel S, Hu JC. The current status of robotic oncologic surgery. CA Cancer J Clin. 2013;63(1):45–56.

    Article  PubMed  Google Scholar 

  29. Bell S, Carne P, Chin M, Farmer C. Establishing a robotic colorectal surgery programme. ANZ J Surg. 2015;85(4):214–6.

    Article  PubMed  Google Scholar 

  30. Marecik SJ, Prasad LM, Park JJ, Pearl RK, Evenhouse RJ, Shah A, et al. A lifelike patient simulator for teaching robotic colorectal surgery: how to acquire skills for robotic rectal dissection. Surg Endosc. 2008;22(8):1876–81.

    Article  CAS  PubMed  Google Scholar 

  31. Anvari M, Birch DW, Bamehriz F, Gryfe R, Chapman T. Robotic-assisted laparoscopic colorectal surgery. Surg Laparosc Endosc Percutan Tech. 2004;14(6):311–5.

    Article  PubMed  Google Scholar 

  32. Abdalla RZ. Robotic surgery, can we live without it? Arq Bras Cir Dig. 2012;25(2):74.

    Article  PubMed  Google Scholar 

  33. Ayloo S, Fernandes E, Choudhury N. Learning curve and robot set-up/operative times in singly docked totally robotic Roux-en-Y gastric bypass. Surg Endosc. 2014;28(5):1629–33.

    Article  PubMed  Google Scholar 

  34. Bianchi PP, Pigazzi A, Choi GS. Clinical Robotic Surgery Association Fifth Worldwide Congress, Washington DC, 3–5 October 2013: Robotic Colorectal Surgery. Ecancermedicalscience. 2014;8:385.

    PubMed Central  PubMed  Google Scholar 

  35. Abboudi H, Khan MS, Aboumarzouk O, Guru KA, Challacombe B, Dasgupta P, et al. Current status of validation for robotic surgery simulators: a systematic review. BJU Int. 2013;111(2):194–205.

    Article  PubMed  Google Scholar 

  36. Baek SJ, Kim CH, Cho MS, Bae SU, Hur H, Min BS, et al. Robotic surgery for rectal cancer can overcome difficulties associated with pelvic anatomy. Surg Endosc. 2015;29(6):1419–24.

    Article  PubMed  Google Scholar 

  37. Bianchi PP, Luca F, Petz W, Valvo M, Cenciarelli S, Zuccaro M, et al. The role of the robotic technique in minimally invasive surgery in rectal cancer. Ecancermedicalscience. 2013;7:357.

    PubMed Central  PubMed  Google Scholar 

  38. Casier R, Lenders C, Lhernould MS, Gauthier M, Lambert P. Position measurement/tracking comparison of the instrumentation in a droplet-actuated-robotic platform. Sensors. 2013;13(5):5857–69.

    Article  PubMed Central  PubMed  Google Scholar 

  39. Dal Moro F. Robotic surgery and functional outcomes: a lesson from urology. Surg Laparosc Endosc Percutan Tech. 2014;24(4):392–3.

    Article  PubMed  Google Scholar 

  40. Dondelinger R. Robotic surgery systems. Biomed Instrum Technol. 2014;48(1):55–9.

    Article  PubMed  Google Scholar 

  41. Himpens J. Surgery in space: the future of robotic telesurgery (Haidegger T, Szandor J, Benyo Z. Surg Endosc 2011; 25(3):681–690). Surg Endosc. 2012;26(1):286.

    Article  PubMed  Google Scholar 

  42. Jayne D. [Robotic colorectal surgery: current status and future developments]. Chirurg. 2013;84(8):635–42.

    Article  CAS  PubMed  Google Scholar 

  43. Robotic-assisted laparoscopic surgery. Med Lett Drugs Ther. 2010;52(1340):45–6.

    Google Scholar 

  44. New technology offers a gentle touch for cancer surgery. A new robotic surgical tool may detect tumors far more accurately than current minimally invasive techniques. Duke Med Health News. 2009;15(12):5–6.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of General Surgery, Koc University School of Medicine, Rumelifeneri yolu, Sarıyer, Istanbul, 34450, Turkey

    Emre Balık M.D.

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  1. Emre Balık M.D.
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Correspondence to Emre Balık M.D. .

Editor information

Editors and Affiliations

  1. Division of Colon and Rectal Surgery Department of Surgery, Temple University Health System, Philadelphia, Pennsylvania, USA

    Howard Ross

  2. Keck School of Medicine, University of Southern California, Los Angels, California, USA

    Sang Lee

  3. Division of Colorectal Surgery, University Hospitals Case Medical Center, Cleveland, USA

    Bradley J. Champagne

  4. University of California, Irvine Orange, California, USA

    Alessio Pigazzi

  5. Hofstra School of Medicine, North Shore-LIJ Health System,Huntington Hospital, Woodbury, New York, USA

    David E. Rivadeneira

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© 2015 Springer International Publishing Switzerland

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Balık, E. (2015). Robotic and Patient Positioning, Instrumentation, and Trocar Placement. In: Ross, H., Lee, S., Champagne, B., Pigazzi, A., Rivadeneira, D. (eds) Robotic Approaches to Colorectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-09120-4_5

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  • DOI: https://doi.org/10.1007/978-3-319-09120-4_5

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-09119-8

  • Online ISBN: 978-3-319-09120-4

  • eBook Packages: MedicineMedicine (R0)

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