Work

Stoma‐Site Single‐Port Robotic Restorative Colorectal Surgery Using the da Vinci SP System: Technical Considerations and Early Outcomes

Year: 2026

Type: article

Abstract: BACKGROUND: Restorative colorectal surgery after emergency stoma formation is challenging because of adhesions, altered anatomy, and pelvic dissection. We evaluated the technical feasibility of stoma-site single-port robotics restorative colorectal surgery using the da Vinci SP system. METHODS: Six patients underwent restorative colorectal surgery through the previous stoma site between January 2023 and December 2024. The Institutional Review Board of Ulsan University Hospital approved this study (2026-02-018). RESULTS: Five patients underwent Hartmann's reversal and one underwent completion proctocolectomy with ileal pouch-anal anastomosis. All procedures were completed robotically without open conversion; one required an additional port. Median operative time was 287.5 min and median blood loss was 25 mL. One intraoperative small-bowel injury required resection, and one postoperative abscess required percutaneous drainage. No leakage, reoperation, readmission or mortality occurred. CONCLUSIONS: This approach was technically feasible in selected patients, but safety events highlight the difficulty of reoperative pelvic surgery. Further studies are required.

Source: International Journal of Medical Robotics and Computer Assisted Surgery

DOI: 10.1002/rcs.70241

Authors: Hyeon Sik Jeong, Dong Jin Park, In Kyu Park, Songsoo Yang

Institutions: Ulsan University Hospital, University of Ulsan

Language: English

Topic: Minimally Invasive Surgical Techniques

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $4,430