Robotic single docking total colectomy for ulcerative colitis: First experience with a novel technique.
INTRODUCTION
We describe a novel technique that could aid the surgeon to perform a total proctocolectomy with a single docking position of the da Vinci Si HD System.


METHODS
Patients were positioned in 20° Trendelenburg lithotomy split legs position. A 12-mm trocar was for camera and 3 more trocars were placed: two robotics on left and right flanks and one laparoscopic in left iliac fossa. The robot was docked between the legs of the patients.


RESULTS
Four proctocolectomies were performed. Mean operative time was 235 min (range 215-255); mean blood loss was 100 cc (range 50-200). Median post-operative stay was 6 days. Overall morbidity was 75%, whereas major complications occurred in 25%. Post-operative mortality was null.


CONCLUSIONS
The robotic single docking approach to perform total proctocolectomy for ulcerative colitis is a time-saving technique respect to the multiple docking approach.
['Roviello|Franco|F|', 'Piagnerelli|Riccardo|R|', 'Ferrara|Francesco|F|', 'Scheiterle|Maximilian|M|', 'De Franco|Lorenzo|L|', 'Marrelli|Daniele|D|']
D000328:Adult D003082:Colectomy D003093:Colitis, Ulcerative D005260:Female D006801:Humans D010535:Laparoscopy D008297:Male D061646:Operative Time D065287:Robotic Surgical Procedures D055815:Young Adult
Ulcerative colitis Total proctocolectomy Colorectal surgery Robotic surgery