ArticleUpdates in surgery2026
Single-port robotic total colectomy: technical standardisation and ergonomic considerations of suprapubic versus periumbilical access.
Article in Updates in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSingle-port (SP) robotic platforms represent an evolution of minimally invasive colorectal surgery, enabling complex multi-quadrant procedures through a single incision. Evidence on SP robotic total colectomy (TC) remains limited, and technical standardisation is lacking. We describe a standardised SP robotic TC technique and report the technical/ergonomic considerations for two access configurations: suprapubic and periumbilical.
methodsThree consecutive patients with Familial Adenomatous Polyposis underwent SP robotic TC with ileorectal anastomosis at a high-volume colorectal centre. Suprapubic access was used in one case, and periumbilical access in two. Operative steps, quadrant sequence, vascular approach, ergonomics and anastomotic strategy were systematically documented. Operative and short-term postoperative outcomes were analysed. A detailed surgical video accompanies the manuscript.
resultsAll procedures were completed robotically without conversion. Median operative time was 240 min, and median estimated blood loss was 50 ml. No intraoperative or 30-day postoperative complications occurred. The suprapubic access facilitated a bottom-up right colectomy but limited direct visualisation of left-sided central vessels, requiring a lateral-to-medial approach. Conversely, the periumbilical access provided a more central operative view, facilitating medial-to-lateral dissection of the left mesocolon and enabling a fully intracorporeal anastomosis.
conclusionsSP robotic TC is feasible and safe in selected patients when performed by experienced colorectal robotic surgeons. Access configuration may influence exposure and dissection strategy, particularly for central vascular control and anastomotic planning. Standardised operative steps and awareness of platform-specific technical considerations may enhance reproducibility and support broader adoption of SP robotic TC.
Indexed as
Identifiers
41806172What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.