John Marks, MD, Jean Salem, MD, Jonathan Josse, MD, Brigitte Anderson, BS, Henry Schoonyoung, MD. Lankenau Medical Center
This video demonstrates the first North American use of the Single Port (SP) DaVinci Robot, in the performance of a colonic resection. The patient is a 53 year old male presenting for elective anterior resection for diverticulitis.
The patient was taken to the operating room and placed supine on the operating room table. After the abdomen was prepped and draped, a 4cm transverse paramedian incision was made 3 finger breadths lateral and 2 finger breadths inferior to the umbilicus. A muscle splitting technique was used to enter the peritoneal cavity. A GelPoint (Applied Medical, Rancho Santa Margarita, California) was placed and the SP trochar was positioned through the cover of the GelSeal Cap. An additional 12mm port was also placed through the GelSeal Cap to facilitate use of a Ligasure and Stapler. Pneumoperitoneum was established and the SP robot was docked. Utilizing a Cadiere forceps, endoshears, and bipolar grasper, the splenic flexure and descending colon were mobilized, the IMA/IMV were divided and the upper rectum was transected with a laparoscopic stapler. The robot was subsequently undocked; the specimen was exteriorized, divided and handed off the field. The robot was then re-docked, and an EEA 28 stapler was used to fashion our anastomosis. Total operative time was 4hrs and 30 mins. Estimated blood loss was 10cc. The patient was managed via ERAS protocol and discharged on POD 2, with no perioperative morbidity and minimal pain.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 96915
Program Number: V018
Presentation Session: Colorectal Videos I
Presentation Type: Video