Аnalysis and anthropometric study of port placement in robotic rectal cancer surgery

Ts. Ivanov; D. Dimitrov; T. Deliyski; S. Iliev; E. Filipov; H. Feradova; K. Nedyalkov

doi:10.14748/ssm.v47i0.1358

Аnalysis and anthropometric study of port placement in robotic rectal cancer surgery

Ts. Ivanov, D. Dimitrov, T. Deliyski, S. Iliev, E. Filipov, H. Feradova, K. Nedyalkov

Abstract

Robotic surgery is an innovative, minimally invasive technique, which has already proved its advantages in the operative-technical field by providing ergonomics, three dimensional (3D) visualization of the operative field, more precise dissection in narrow spaces, etc. The additional time needed for docking of the console and collision (internal and external) between the robotic hands is a part of the specific difficulties related to this type of surgery. The aim of this study was to analyze the position of ports and their efficiency in robotic rectal surgery based on our initial experience with this type of surgery in the University Hospital of Pleven- Bulgaria as well as to seek for additional anatomical landmarks to improve the work process. The initial experience with robotic rectal resections for rectal cancer revealed that the recommended distance of 8 cm between the ports doesn`t provide sufficient efficacy. Additional topography anatomical landmarks are required for personalized preoperative planning of port positions and enhanced effectiveness of the robotic system in rectal cancer treatment. Further studies in this field are necessary.

Keywords

robotic rectal cancer surgery; port placement; anthropometrics

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DOI: http://dx.doi.org/10.14748/ssm.v47i0.1358

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