title: Robotic single docking total colectomy for ulcerative colitis: First experience with a novel technique.
abstract: BACKGROUND
  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.
authors.affiliation: Department of Medicine, Surgery and Neuroscience, Unit of Minimally Invasive Surgery, University of Siena, Italy. Electronic address: franco.roviello@gmail.com.
authors.forename: Franco
authors.initials: F
authors.lastname: Roviello
authors.affiliation: Department of Medicine, Surgery and Neuroscience, Unit of Minimally Invasive Surgery, University of Siena, Italy.
authors.forename: Riccardo
authors.initials: R
authors.lastname: Piagnerelli
authors.affiliation: Department of Medicine, Surgery and Neuroscience, Unit of Surgical Oncology, University of Siena, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Ferrara
authors.affiliation: Department of Medicine, Surgery and Neuroscience, Unit of Surgical Oncology, University of Siena, Italy.
authors.forename: Maximilian
authors.initials: M
authors.lastname: Scheiterle
authors.affiliation: Department of Medicine, Surgery and Neuroscience, Unit of Surgical Oncology, University of Siena, Italy.
authors.forename: Lorenzo
authors.initials: L
authors.lastname: De Franco
authors.affiliation: Department of Medicine, Surgery and Neuroscience, Unit of Surgical Oncology, University of Siena, Italy.
authors.forename: Daniele
authors.initials: D
authors.lastname: Marrelli
mesh_terms: D000328:Adult; D003082:Colectomy / Q000379:methods*; D003093:Colitis, Ulcerative / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D061646:Operative Time; D065287:Robotic Surgical Procedures; D055815:Young Adult
keywords: Colorectal surgery; Robotic surgery; Total proctocolectomy; Ulcerative colitis