Implementation of a single-port robotic platform into your colorectal surgery practice: a SAGES colorectal committee task force review of evolving robotic technology and innovations - Scorecard - MDSpire
Clinical Scorecard: Integrating Single-Port Robotic Technology into Colorectal Surgery: A SAGES Committee Review of Emerging Platforms and Innovations
At a Glance
Category
Detail
Condition
Single-port robotic platform use in colorectal surgery
Key Mechanisms
A single robotic arm uses a 25 mm cannula with four channels: three for working instruments and one for a camera. The boom rotates 360 degrees about the port’s remote center, enabling access to multiple quadrants without repositioning; the cannula arrangement preserves instrument triangulation.
Target Population
The review examines single-port robotic applications in transanal minimally invasive surgery (TAMIS), right colectomy, and low anterior resection/total mesorectal excision (LAR/TME).
Care Setting
The task force evaluated the FDA-approved single-port robotic platform and its workflow for three colorectal applications: TAMIS, right colectomy, and LAR/TME.
Key Highlights
Specific FDA approval of the single-port platform for colorectal surgery was granted in 2024.
The platform’s articulating instruments and cannula arrangement address limitations of earlier single-incision approaches, including instrument collisions and loss of triangulation.
The task force evaluated platform features, instrumentation, workflow, patient selection, and implementation across TAMIS, right colectomy, and LAR/TME.
The task force considered early clinical outcomes from published series and cadaveric studies when formulating implementation recommendations.
Guideline-Based Recommendations
Diagnosis
Management
The task force evaluated the platform and workflows for TAMIS, right colectomy, and LAR/TME.
The source states that the cannula, Entry Guide cannula seal, and obturator must be correctly assembled before insertion.
The source discusses alignment of the cannula remote center; retain specific alignment instructions only if supported by the complete source.
Earlier single-incision approaches were constrained by loss of triangulation, instrument crowding, and surgeon fatigue.
Patient & Prescribing Data
The review addresses single-port robotic applications in TAMIS, right colectomy, and LAR/TME.
The article describes a surgical platform and implementation considerations, not medication prescribing. Patient selection criteria and operative workflows were structured by reviewing published techniques and SME experience.
Clinical Best Practices
The platform’s single-arm configuration and cannula arrangement preserve instrument triangulation through one incision.
The boom rotates 360 degrees about the port’s remote center, permitting multi-quadrant access without repositioning; this may benefit operations involving substantial colonic mobilization.
The source notes that boom rotation has limited utility in transanal procedures, where the operative field remains fixed relative to intra-abdominal procedures.
The task force reviewed incision placement, docking strategies and tools, exposure, dissection, vascular control, anastomosis or defect closure, patient selection, and operative workflow.
by Ankit Sarin, Justin Dourado, Christopher M. Seffren, Upinder S. Sidhu, Poya Pourghaderi, Nathan Aminpour, Elisabeth C. McLemore, Giovanni Dapri, Nawar A. Alkhamesi, Sherief Shawki, Brooklyn Williams, Muhammed Elhadi, Scott Nguyen, Alison Wenholz, Patricia Sylla, Laila Rashidi
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