title: Standardized single docking, four arms and fully robotic proctectomy for rectal cancer: the key points are the ports and arms placement.
abstract: Rectal cancer continues to be a surgical challenge. As more technology is developed, the surgeon must both incorporate this new technology into his practice and, at the same time, keep improving oncologic surgery and overall outcomes. We describe a standardized approach and fully robotic proctectomy, using four arms and one single docking (SI system). Patient cart and ports placement, as well as arms position to avoid collision, are key points to perform the entire procedure with one single docking. Although the place of robotic surgery might still need to be defined, standardizing the procedures is a step towards its evaluation. We propose with this report a solution to perform a single docking four arms robotic proctectomy.
authors.affiliation: Surgical Oncology Department, Institut régional du Cancer de Montpellier (ICM), 208 avenue des Apothicaires, 34298, Montpellier Cedex 5, France.
authors.forename: Martin Marie
authors.initials: MM
authors.lastname: Bertrand
authors.affiliation: Surgical Oncology Department, Institut régional du Cancer de Montpellier (ICM), 208 avenue des Apothicaires, 34298, Montpellier Cedex 5, France.
authors.forename: Pierre-Emmanuel
authors.initials: PE
authors.lastname: Colombo
authors.affiliation: Surgical Oncology Department, Institut régional du Cancer de Montpellier (ICM), 208 avenue des Apothicaires, 34298, Montpellier Cedex 5, France.
authors.forename: Anne
authors.initials: A
authors.lastname: Mourregot
authors.affiliation: Surgical Oncology Department, Institut régional du Cancer de Montpellier (ICM), 208 avenue des Apothicaires, 34298, Montpellier Cedex 5, France.
authors.forename: Drissa
authors.initials: D
authors.lastname: Traore
authors.affiliation: Surgical Oncology Department, Institut régional du Cancer de Montpellier (ICM), 208 avenue des Apothicaires, 34298, Montpellier Cedex 5, France.
authors.forename: Sébastien
authors.initials: S
authors.lastname: Carrère
authors.affiliation: Surgical Oncology Department, Institut régional du Cancer de Montpellier (ICM), 208 avenue des Apothicaires, 34298, Montpellier Cedex 5, France.
authors.forename: François
authors.initials: F
authors.lastname: Quénet
authors.affiliation: Surgical Oncology Department, Institut régional du Cancer de Montpellier (ICM), 208 avenue des Apothicaires, 34298, Montpellier Cedex 5, France. Philippe.Rouanet@icm.unicancer.fr.
authors.forename: Philippe
authors.initials: P
authors.lastname: Rouanet
mesh_terms: D006801:Humans; D007327:Insufflation / Q000379:methods; D056888:Patient Positioning; D011028:Pneumoperitoneum, Artificial / Q000379:methods; D011351:Proctoscopy / Q000295:instrumentation / Q000379:methods; D012004:Rectal Neoplasms / Q000601:surgery*; D065287:Robotic Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D013523:Surgical Equipment; D013525:Surgical Instruments
keywords: Ports placement; Proctectomy; Rectal cancer; Robotics