{"title":"Robotic Abdominal-Perineal Resection for Rectal Cancer Using da Vinci Single-Port System: Initial Clinical Experience in Japan","authors":"Momoko Ichihara, Koichi Okuya, Tatsuya Ito, Emi Akizuki, Ai Noda, Tadashi Ogawa, Masaaki Miyo, Masayuki Ishii, Ryo Miura, Maho Toyota, Akina Kimura, Ichiro Takemasa","doi":"10.1111/ases.70049","DOIUrl":null,"url":null,"abstract":"<div>\n \n <p>The da Vinci Single-Port (dV-SP) is an innovative robot that integrates the advantages of articulated robotic instruments and a single access approach. A 58-year-old man who presented to our hospital with abdominal pain was diagnosed with cStageIIc (cT4bN0M0) rectal cancer and underwent abdominal-perineal resection using dV-SP. Its characteristic properties (cobra position of the camera, the wrists and elbows, and the relocating) allowed surgeons to overcome the challenges associated with single-port laparoscopic surgery, namely no clear triangulation and countertraction in the surgical fields, collision between straight instruments, and in-line viewing, and provide better cosmetic outcomes than those obtained by a multiport robotic surgery. We report the first surgery performed using dV-SP for rectal cancer in Japan.</p>\n </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9000,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Asian Journal of Endoscopic Surgery","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/ases.70049","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
The da Vinci Single-Port (dV-SP) is an innovative robot that integrates the advantages of articulated robotic instruments and a single access approach. A 58-year-old man who presented to our hospital with abdominal pain was diagnosed with cStageIIc (cT4bN0M0) rectal cancer and underwent abdominal-perineal resection using dV-SP. Its characteristic properties (cobra position of the camera, the wrists and elbows, and the relocating) allowed surgeons to overcome the challenges associated with single-port laparoscopic surgery, namely no clear triangulation and countertraction in the surgical fields, collision between straight instruments, and in-line viewing, and provide better cosmetic outcomes than those obtained by a multiport robotic surgery. We report the first surgery performed using dV-SP for rectal cancer in Japan.