ArticleSurgical endoscopy2015
Single-Incision Robotic Colectomy (SIRC) case series: initial experience at a single center.
Article in Surgical endoscopy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Robotic Single-Port Platform in General, Urologic, and Gynecologic Surgeries: A Systematic Review of the Literature and Meta-analysis.World journal of surgery · 2019Pooled it
- Short-term outcomes of single-port robotic surgery versus single-port laparoscopic surgery for colon cancer: a multicenter matched-cohort analysis.Surgical endoscopy · 2025Article
- Feasibility of robotic single-incision colorectal surgery utilizing a multiport robotic platform: a case series.Journal of robotic surgery · 2025Article
- Robotic right colectomy versus laparoscopic right colectomy in patients with right colon cancer: a comparative study.BMC surgery · 2024Article
- A first report of right-hemicolectomy for ascending colon cancer in Japan with the da Vinci SP surgical robot system.Surgical case reports · 2024Article
- Single-incision robotic colorectal surgery with the da Vinci SP® surgical system: initial results of 50 cases.Techniques in coloproctology · 2023Article
- Robotic Reversal of Hartmann's Procedure.Clinics in colon and rectal surgery · 2021Review
- Initial experience with a suprapubic single-port robotic right hemicolectomy in patients with colon cancer.Techniques in coloproctology · 2021Article
- rSILS: initial clinical experience with single-port robotic (SPr) right colectomy.Techniques in coloproctology · 2020Article
- Robotic Surgery in Gastrointestinal Surgery.Cyborg and bionic systems (Washington, D.C.) · 2020Review
- Single-port robotic left colectomy: first clinical experience using the SP robot (rSILS).Techniques in coloproctology · 2020Article
- Surgical approach to right colon cancer: From open technique to robot. State of art.World journal of gastrointestinal surgery · 2016Review
- Minimally invasive surgery for inflammatory bowel disease: Review of current developments and future perspectives.World journal of gastrointestinal pharmacology and therapeutics · 2016Review
- Single Incision Laparoscopic Sleeve Gastrectomy: a Review.Obesity surgery · 2015Review
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic colectomy has been associated with favorable outcomes when compared to open colectomy. Single-Incision Robotic Colectomy (SIRC) is a novel procedure hypothesized to improve upon conventional three-port laparoscopic colectomy. We hereby present and analyze our institution's initial experience with SIRC.
methodsWe performed a retrospective review of 59 patients who underwent SIRC between May 2010 and September 2013, attempting to identify factors associated with conversion rate and postoperative complication rate.
resultsOur study included 34 males (57.6%) and 25 females (42.4%). The mean age was 60.3 years (range 29-92 years), and the mean BMI was 26.6 kg/m(2) (range 14.9-39.7 kg/m(2)). We identified 31 right hemicolectomies (53.4%), 20 sigmoid colectomies (34.5%), 5 left hemicolectomies (1.7%), 2 low anterior resections (3.5%), and 1 total colectomy (1.7%). The overall median operative time was 188 min with an interquartile range of 79 min. Surgical indications included diverticulitis (n = 23, 39.0%), benign colonic mass (n = 18, 30.5%), colon cancer (n = 16, 27.1%), familial adenomatous polyposis (n = 1, 1.7%), and Crohn's disease (n = 1, 1.7%). There were four conversions to open procedure (6.8%), three conversions to multiport robotic procedure (5.1%), and one conversion to single-port laparoscopic procedure (1.7%). Reasons for conversions include difficulty mobilizing the colon and robotic equipment malfunction. Conversions were associated with both higher complication rates (62.5 vs 25.5%, p = 0.035) and longer LOS (7.4 vs 4.0 days, p = 0.0003). Postoperative complications occurred in 16 of the 59 cases (27.1%). Higher BMI was the only significant risk factor for postoperative complications. The overall median LOS was 4 ± 2 days, while the median estimated blood loss was 100 ± 90 ml.
conclusionsOur experience has shown that SIRC can be a safe and feasible procedure for both benign and malignant disease. Patient selection is the key to improving surgical outcomes in SIRC.
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