Standardized single docking, four arms and fully robotic proctectomy for rectal cancer: the key points are the ports and arms placement

Martin Marie Bertrand (1, 2) , Pierre-Emmanuel Colombo (1, 3) , Anne Mourregot (1) , Drissa Traore (1) , Sebastien Carrere (1) , François Quenet (1, 3) , Philippe Rouanet (1, 3)

1 Département de chirurgie
2 CHU Nîmes - Centre Hospitalier Universitaire de Nîmes
3 IRCM - U1194 Inserm - UM - Institut de Recherche en Cancérologie de Montpellier

Rectal cancer continues to be a surgical challenge. As more technology is developed, the surgeon must both incorporate this new technology into his practice and, at the same time, keep improving oncologic surgery and overall outcomes. We describe a standardized approach and fully robotic proctectomy, using four arms and one single docking (SI system). Patient cart and ports placement, as well as arms position to avoid collision, are key points to perform the entire procedure with one single docking. Although the place of robotic surgery might still need to be defined, standardizing the procedures is a step towards its evaluation. We propose with this report a solution to perform a single docking four arms robotic proctectomy.

Mots clés: Ports placement; Proctectomy; Rectal cancer; Robotics

Domaines: Médecine humaine et pathologie

Martin Marie Bertrand, Pierre-Emmanuel Colombo, Anne Mourregot, Drissa Traore, Sebastien Carrere, et al.. Standardized single docking, four arms and fully robotic proctectomy for rectal cancer: the key points are the ports and arms placement. Journal of Robotic Surgery, 2016, 10 (2), pp.171 - 174. ⟨10.1007/s11701-015-0551-y⟩. ⟨hal-01908899⟩