{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T22:41:12Z","timestamp":1773268872020,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2009,10,5]],"date-time":"2009-10-05T00:00:00Z","timestamp":1254700800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2009,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Application of laparoendoscopic single\u2010site surgery (LESS) is increasing across surgical disciplines. In addition to the possibility of decreased postoperative pain, LESS offers better cosmesis with virtually \u2018scarless\u2019 surgeries, while avoiding the increased costs and complexity of natural orifice surgery. Instrument conflict minimization often requires the crossing of articulating instruments, which we believe can be more intuitively facilitated using the daVinci\u2010S<jats:sup>\u00ae<\/jats:sup> robotic system. We describe our early experience with three robotic single\u2010incision right hemicolectomies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Three robotic single\u2010incision right hemicolectomies were performed using the daVinci\u2010S robotic system, utilizing a single 4 cm incision through or around the umbilicus. The procedure was performed using three robotic arms, a 12 mm camera and two 8 mm robotic ports. A medial to lateral approach was used and an extracorporeal resection and anastomosis was performed after undocking the robot.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no intraoperative or postoperative complications. Average operative time was 152 min. The first case was converted to non\u2010robotic single\u2010incision right hemicolectomy during mobilization of the ascending colon, due to uncontrollable air leakage around the ports. The second and third cases were successfully completed without air loss by purse\u2010stringing sutures around each individual port and the use of the SILS<jats:sup>\u2122<\/jats:sup> port, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Robotic\u2010assisted single\u2010incision right hemicolectomy can be successfully and safely performed using the daVinci\u2010S robotic system. Several techniques may be employed to prevent the loss of pneumoperitoneum. We believe right hemicolectomy lends itself to single\u2010site surgery because specimen extraction requires a 4 cm incision and may confer patient benefit, with decreased postoperative pain and improved cosmesis. By crossing the robotic instruments and reassigning control of the arms, the robot represents a means to help perform these procedures safely by allowing them to be performed in a more intuitive fashion. Copyright \u00a9 2009 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/rcs.281","type":"journal-article","created":{"date-parts":[[2009,10,5]],"date-time":"2009-10-05T13:23:45Z","timestamp":1254749025000},"page":"465-470","source":"Crossref","is-referenced-by-count":106,"title":["Robotic\u2010assisted single\u2010incision right colectomy: early experience"],"prefix":"10.1002","volume":"5","author":[{"given":"Matthew B.","family":"Ostrowitz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dennis","family":"Eschete","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harry","family":"Zemon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"DeNoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,10,5]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-008-0735-0"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2007.11.034"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-008-9705-6"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-008-9649-x"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2008.0100"},{"issue":"10","key":"e_1_2_1_7_2","first-page":"721","article-title":"Laparoscopic hysterectomy with bilateral salpingo\u2010oophorectomy using a single umbilical puncture","volume":"88","author":"Pelosi MA","year":"1991","journal-title":"N J Med"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.142.9.823"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)09290-5"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(05)70221-7"},{"key":"e_1_2_1_11_2","first-page":"44","article-title":"Survival after laparoscopic surgery versus open surgery for colon cancer: long\u2010term outcome of a randomised clinical trial","volume":"10","author":"Colon Cancer Laparoscopic or Open Resection Study Group","year":"2008","journal-title":"Lancet Oncol"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1077363"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-008-9781-7"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/1553350608324509"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-008-0195-3"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2008.562"},{"key":"e_1_2_1_17_2","unstructured":"New York Times. SurgiQuest signs a development and supply agreement with Intuitive Surgical for MIS access utilizing the AirSeal\u2122technology;www.nytimes.com[published 19 January 2009]."},{"key":"e_1_2_1_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000232518.01447.c7"},{"key":"e_1_2_1_19_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2008.0220"},{"key":"e_1_2_1_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-008-0321-2"},{"key":"e_1_2_1_21_2","first-page":"153","article-title":"Towards an in vivo wireless mobile robot for surgical assistance","volume":"132","author":"Hawks JA","year":"2008","journal-title":"Stud Health Technol Inform"}],"container-title":["The International Journal of Medical Robotics and Computer Assisted Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Frcs.281","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcs.281","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,14]],"date-time":"2023-11-14T00:22:04Z","timestamp":1699921324000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcs.281"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,10,5]]},"references-count":20,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2009,12]]}},"alternative-id":["10.1002\/rcs.281"],"URL":"https:\/\/doi.org\/10.1002\/rcs.281","archive":["Portico"],"relation":{},"ISSN":["1478-5951","1478-596X"],"issn-type":[{"value":"1478-5951","type":"print"},{"value":"1478-596X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,10,5]]}}}