title: Evaluation of technical feasibility and safety of Single-Site™ robotic right colectomy: three case reports.
abstract: BACKGROUND
  Robotic Single-Site™ surgery overcomes the technical constraints of single-access laparoscopy. After performing over 130 Single-Site robotic cholecystectomies and stabilizing operative times, we applied this technology to right colon surgery.
  
  
  METHODS
  We successfully completed three Single-Site robotic right colectomies (SSRRCs) using the da Vinci Si Surgical System(®) with a Single-Site kit (© Intuitive Surgical™) inserted through a suprapubic incision.
  
  
  RESULTS
  Overall SSRRC operative time was 218.3 ± 75.9 min. A side-to-side anisoperistaltic anastomosis was fashioned intracorporeally (two cases) or extracorporeally (one case). All patients were discharged within 5 days. There were no complications and oncological principles were satisfied. There were no recurrences up to 12 months.
  
  
  CONCLUSIONS
  This is the first report of SSRRC with intracorporeal anastomosis using the da Vinci(®) Single-Site™ port inserted through a suprapubic incision. This approach is feasible and safe, with oncological outcomes potentially equivalent to those of robotic or laparoscopic multiport surgery.
authors.affiliation: Department of General and Oncologic Surgery, SS Antonio and Biagio Hospital, Alessandria, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Spinoglio
authors.affiliation: Department of General and Oncologic Surgery, SS Antonio and Biagio Hospital, Alessandria, Italy.
authors.forename: Luca Matteo
authors.initials: LM
authors.lastname: Lenti
authors.affiliation: Department of General and Oncologic Surgery, SS Antonio and Biagio Hospital, Alessandria, Italy.
authors.forename: Ferruccio
authors.initials: F
authors.lastname: Ravazzoni
authors.affiliation: Department of General and Oncologic Surgery, SS Antonio and Biagio Hospital, Alessandria, Italy.
authors.forename: Giampaolo
authors.initials: G
authors.lastname: Formisano
authors.affiliation: Department of General and Oncologic Surgery, SS Antonio and Biagio Hospital, Alessandria, Italy.
authors.forename: Francesca
authors.initials: F
authors.lastname: Pagliardi
authors.affiliation: Department of General and Oncologic Surgery, SS Antonio and Biagio Hospital, Alessandria, Italy.
authors.forename: Alessandra
authors.initials: A
authors.lastname: Marano
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery; D065311:Adenocarcinoma in Situ / Q000601:surgery; D018253:Adenoma, Villous / Q000601:surgery; D000369:Aged, 80 and over; D002430:Cecal Neoplasms / Q000601:surgery; D003082:Colectomy / Q000379:methods*; D003110:Colonic Neoplasms / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D065287:Robotic Surgical Procedures / Q000379:methods*; D012449:Safety; D016896:Treatment Outcome
keywords: Single-Site™; colon cancer; right colectomy; robotic surgery; single-incision surgery