title: Robotic Rectal Resection With a Single-docking Technique Thanks to the Rotation of the R3 Arm.
abstract: BACKGROUND
  Robotic surgery for rectal resection presents some advantages compared with the traditional technique; however, it also presents some limitations, especially due to the multiple changes of surgical fields. We describe a new technique to perform low-anterior resection using single docking with the rotation of the third arm and our perioperative results.
  
  
  METHODS
  A total of 31 patients who underwent low-anterior rectal robotic resection with single-docking technique using robotic daVinci SI (Surgical Intuitive System) were included in the study.
  
  
  RESULTS
  The mean operative time was 338 minutes. The conversion rate was 3%. The mean time of refeeding was 1.4 days and the mean time of hospital stay was 6 days.
  
  
  CONCLUSIONS
  Our technique allowed to use the robot for all surgical steps with a single docking, thereby reducing the cost of the hybrid technique and facilitating the operative team in the management of the robotic cart.
authors.affiliation: *Oncological and Robotic General Surgery, Careggi University Hospital †University of Florence, Florence, Italy.
authors.forename: Benedetta
authors.initials: B
authors.lastname: Pesi
authors.forename: Mario
authors.initials: M
authors.lastname: Annecchiarico
authors.forename: Stefano
authors.initials: S
authors.lastname: Amore Bonapasta
authors.forename: Alessandro
authors.initials: A
authors.lastname: Nerini
authors.forename: Federico
authors.initials: F
authors.lastname: Perna
authors.forename: Lapo
authors.initials: L
authors.lastname: Bencini
authors.forename: Michele
authors.initials: M
authors.lastname: Di Marino
authors.forename: Andrea
authors.initials: A
authors.lastname: Coratti
mesh_terms: D000328:Adult; D000368:Aged; D015179:Colorectal Neoplasms / Q000601:surgery*; D061887:Conversion to Open Surgery / Q000706:statistics & numerical data; D004867:Equipment Design; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures / Q000295:instrumentation* / Q000379:methods; D013525:Surgical Instruments; D016896:Treatment Outcome