Evidence map›Paper›PMID 42864467›Full record

ArticleSurgical endoscopy2026

Implementation of a single-port robotic platform into your colorectal surgery practice: a SAGES colorectal committee task force review of evolving robotic technology and innovations.

Ankit Sarin, Justin Dourado, Christopher M Seffren, Upinder S Sidhu, Poya Pourghaderi, Nathan Aminpour, Elisabeth C McLemore, Giovanni Dapri, Nawar A Alkhamesi, Sherief Shawki and 6 more

Abstract read
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Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Ankit SarinDepartment of Surgery, UC Davis Medical Center, 6th Floor, 2335 Stockton Blvd., Sacramento, CA, 95817, USA. axsarin@health.ucdavis.edu.
Justin DouradoDepartment of Surgery, Florida Atlantic University, Boca Raton, FL, USA.
Christopher M SeffrenDepartment of Surgery, UC Davis Medical Center, 6th Floor, 2335 Stockton Blvd., Sacramento, CA, 95817, USA.
Upinder S SidhuDepartment of Surgery, UC Davis Medical Center, Sacramento, CA, USA.
Poya PourghaderiDepartment of Colorectal Surgery, MultiCare Cancer Institute, Tacoma, WA, USA.
Nathan AminpourDepartment of Surgery, Los Angeles Medical Center, Kaiser Permanente, Los Angeles, CA, USA.
Elisabeth C McLemoreDepartment of Surgery, Los Angeles Medical Center, Kaiser Permanente, Los Angeles, CA, USA.
Giovanni DapriInternational School Reduced Scar Laparoscopy, University of Mons, Mons, Belgium.
Nawar A AlkhamesiKadlec Regional Medical Center and Elison S. Floyed College of Medicine, Washington State University, Richland, WA, USA.
Sherief ShawkiDepartment of Surgery, Mayo Clinic, Rochester, MN, USA.
Brooklyn WilliamsDepartment of Surgery, Army Medical Center, Tacoma, WA, USA.
Muhammed ElhadiDepartment of Surgery Division of Colon and Rectal Surgery, Houston Methodist Hospital, Houston, TX, USA.
Scott NguyenDepartment of Surgery Division of Colon and Rectal Surgery, Houston Methodist Hospital, Houston, TX, USA.
Alison WenholzDepartment of Colorectal Surgery, MultiCare Cancer Institute, Tacoma, WA, USA.
Patricia SyllaDepartment of Surgery, Mount Sinai Health System, New York, NY, USA.
Laila RashidiDepartment of Colorectal Surgery, MultiCare Cancer Institute, Tacoma, WA, USA.ORCID http://orcid.org/0000-0001-5788-5936

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobotic and endoscopic techniques continue to revolutionize minimally invasive surgery. Single-port (SP) robotic platforms mark a new era in minimally invasive colorectal surgery, combining single-incision/site access with full robotic articulation through a single access point. This manuscript, as a part of a four-part series, outlines specific technical considerations of the SP robotic platform including details of the platform, instrumentation, docking, and operative maneuvers.

methodsSubject matter experts from the SAGES Colorectal Committee SP Task Force performed a structured review of the currently FDA-approved SP robotic platform, assessing technical features, instrumentation, and workflow considerations for several key representative operations relevant to colorectal surgery. Three clinical areas of SP implementation included transanal robotic surgery, right colectomy, and low anterior resection (LAR). Task Force members (subject matter experts with early experience in SP robotic platforms) analyzed technical details, patient selection, and operative workflows. Representative procedural techniques were detailed with emphasis on instrumentation choice, docking strategies, and key operative steps specific to single-port colorectal surgery.

resultsThe technical aspects of the SP platform include full robotic articulation through a single 25 mm port. A SP approach also enables triangulation and dexterity within confined spaces using three wristed instruments and a flexible 3-D camera. The current 360-degree boom rotation facilitates multi-quadrant manipulation without redocking. Current limitations may include continued reliance on bedside assistance for certain energy and stapling operative steps, although stapling capability has expanded with FDA clearance of an SP-compatible 45 mm stapler as of April 2025. Training of the entire operative team and gradual progression of case complexity is recommended as the surgeon implements this new technology into clinical practice.

conclusionsA SP robotic approach to minimally invasive colorectal surgical procedures is feasible for a range of colorectal surgery operations. In select procedures like SP TAMIS, SP right colectomy, and SP-LAR, the single-port platform appears to offer advantages related to reduced invasiveness and improved surgeon ergonomics compared to other minimally invasive approaches. Successful implementation requires structured training, careful patient selection, and adherence to evidence-based adoption principles.

Indexed as

Colorectal surgeryMinimally invasive surgeryRobotic surgeryRobotic surgery platformsSingle-port robotic surgery

Identifiers

PMID42864467

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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.