SPECIAL ARTICLE   

Minerva Chirurgica 2019 December;74(6):501-8

DOI: 10.23736/S0026-4733.18.07808-2

Copyright © 2018 EDIZIONI MINERVA MEDICA

lingua: Inglese

Operative technique in robotic rectal resection

Alberto MANGANO ✉, Valentina VALLE, Eduardo FERNANDES, Roberto BUSTOS, Federico GHEZA, Pier C. GIULIANOTTI

Division of General, Minimally Invasive and Robotic Surgery, University of Illinois at Chicago, Chicago, IL, USA

A still too high percentage of the colorectal resections are currently performed by open technique. This in part because laparoscopy has some technical hurdles: not ideal ergonomics, poor control on the traction exerted by the Assistant, long/steep learning curve, confined dexterity, low tactile feedback, hand-tremor and 2D vision with a not completely stable camera. The robotic approach, given the increased surgical dexterity and the better surgical view, may be used to solve the laparoscopic downsides (in particular in the most complex cases). In the present work, after an extensive robotic experience and a robotic program started by Giulianotti et al. in October 2000, we show our operative steps for the robotic rectal resection. The aim is to propose a model to standardize the surgical technique and potentially pave the way for the acquisition of more reproducible data among different centers. This proposal may be also a technical guide to learn the robotic way and also for the expert surgeons as an adjunct in the teaching strategy.

KEY WORDS: Robotic surgical procedures; Rectum; Minimally invasive surgical procedures; Colorectal surgery