Abstract

BackgroundWe have introduced the Senhance Digital Laparoscopy System and actively use for colorectal cancer surgery. Recently, we also try to perform surgery by reduce port as less invasive method. For the first time, we report a case of single-incision plus one-port transverse colectomy using Senhance system.Case presentationThe case was a 57-year-old woman, diagnosed with transverse colon cancer referred to our department. The preoperative diagnosis was cT1bN0M0, Stage I. We performed single-incision plus one-port transverse colon resection using Senhance system without any problems. The operative time was 203 min and the blood loss was 35 ml.ConclusionWe report the first case of single-incision plus one-port transverse colectomy using Senhance system. We trust this approach will find increasing use, enabling a safer means of minimally invasive robotic surgery.

Highlights

  • We have introduced the Senhance Digital Laparoscopy System and actively use for colorectal cancer surgery

  • We report the first case of single-incision plus one-port transverse colectomy using Senhance system

  • Adding to our prior publication on single-incision plus two-port surgery for sigmoid colon cancer, we offer the first account of transverse colon cancer resection using a single incision and a single port

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Summary

Introduction

We have introduced the Senhance Digital Laparoscopy System and actively use for colorectal cancer surgery. The Senhance Digital Laparoscopy System (TransEnterix Surgical Inc, Morrisville, NC, USA) introduced at our hospital in Japan is a new surgical support robot and an alternative to the da Vinci Surgical System (Intuitive Surgical Inc, Sunnyvale, CA, USA). It has been approved by the Japanese Ministry of Health, Labor & Welfare (May 2019), earning insurance coverage in July 2019 for 98 types of laparoscopic surgery. The superior aesthetic outcomes of reduced-port surgery (i.e., single-incision laparoscopic surgery) have fueled its broad usage in colorectal cancer surgery since ~ 2010. In addition to improved aesthetics and the distinct advantages of minimal invasion, such procedures are solo events that do not require added assistance

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