title: [Initial experience in robot-assisted colorectal surgery in Mexico].
abstract: BACKGROUND
  Colorectal surgery has advanced notably since the introduction of the mechanical suture and the minimally invasive approach. Robotic surgery began in order to satisfy the needs of the patient-doctor relationship, and migrated to the area of colorectal surgery. An initial report is presented on the experience of managing colorectal disease using robot-assisted surgery, as well as an analysis of the current role of this platform.
  
  
  METHODS
  A retrospective study was conducted in order to review five patients with colorectal disease operated using a robot-assisted technique over one year in the initial phase of the learning curve. Gender, age, diagnosis and surgical indication, surgery performed, surgical time, conversion, bleeding, post-operative complications, and hospital stay, were analysed and described. A literature review was performed on the role of robotic assisted surgery in colorectal disease and cancer.
  
  
  RESULTS
  The study included 5 patients, 3 men and 2 women, with a mean age of 62.2 years. Two of them were low anterior resections with colorectal primary anastomoses, one of them extended with a loop protection ileostomy, a Frykman-Goldberg procedure, and two left hemicolectomies with primary anastomoses. The mean operating time was 6hours and robot-assisted 4hours 20minutes. There were no conversions and the mean hospital stay was 5 days.
  
  
  CONCLUSIONS
  This technology is currently being used worldwide in different surgical centres because of its advantages that have been clinically demonstrated by various studies. We report the first colorectal surgical cases in Mexico, with promising results. There is enough evidence to support and recommend the use of this technology as a viable and safe option.
authors.affiliation: Cirugía de Colon y Recto, Hospital Ángeles del Pedregal, Ciudad de México, México. Electronic address: dredvilla@me.com.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Villanueva-Sáenz
authors.affiliation: Cirugía General, Hospital Regional de Alta Especialidad de Ixtapaluca, Ixtapaluca, Estado de México, México.
authors.forename: Moisés Marino
authors.initials: MM
authors.lastname: Ramírez-Ramírez
authors.affiliation: Cirugía General, Hospital Ángeles del Pedregal, Ciudad de México, México.
authors.forename: Gregorio
authors.initials: G
authors.lastname: Zubieta-O'Farrill
authors.affiliation: Departamento de Anestesia, Hospital Ángeles del Pedregal, Ciudad de México, México.
authors.forename: Luis
authors.initials: L
authors.lastname: García-Hernández
mesh_terms: D003108:Colonic Diseases / Q000601:surgery*; D015179:Colorectal Neoplasms / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008800:Mexico; D008875:Middle Aged; D012002:Rectal Diseases / Q000601:surgery*; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures
keywords: Cirugía asistida por robot; Cirugía robótica; Colorectal cancer; Colorectal disease; Cáncer colorrectal; Da Vinci; Enfermedad colorrectal; Robot-assisted surgery; Robotic surgery