Use of the new da Vinci Xi® during robotic rectal resection for cancer: a pilot matched-case comparison with the da Vinci Si®

Int J Med Robot. 2017 Mar;13(1). doi: 10.1002/rcs.1728. Epub 2016 Jan 25.

Abstract

Background: The aim of this study was to compare the short-term outcomes of robotic rectal resection with total mesorectal excision (TME) for rectal cancer, with the use of the new da Vinci Xi® (Xi-RobTME group) and the da Vinci Si® (Si-RobTME group).

Methods: Ten patients with histologically confirmed rectal cancer underwent robot-assisted TME with the use of the new da Vinci Xi. The outcomes of Xi-RobTME group were compared with a Si-RobTME group selected using a case-matched methodology.

Results: Overall operative times and mean hospital stays were shorter in the Xi-RobTME group. Surgeries were fully robotic with a complete take-down of the splenic flexure in all Xi-RobTME cases, while only four cases of the Si-RobTME group were fully robotic, with two cases of complete take-down of the splenic flexure.

Conclusions: The new da Vinci Xi could offer some advantages with respect to the da Vinci Si in rectal resection for cancer. Copyright © 2016 John Wiley & Sons, Ltd.

Keywords: da Vinci Xi; low rectal cancer; robotic surgery.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Biopsy
  • Colon, Transverse / surgery
  • Digestive System Surgical Procedures / instrumentation
  • Digestive System Surgical Procedures / methods
  • Female
  • Humans
  • Laparoscopy / methods
  • Length of Stay
  • Lymph Node Excision
  • Male
  • Middle Aged
  • Operative Time
  • Rectal Neoplasms / surgery*
  • Robotic Surgical Procedures / instrumentation*
  • Robotic Surgical Procedures / methods*