Table 1.
Summary of published experience of RTaTME performed with da Vinci® Robotic platform.
| Atallah (2013) |
Atallah (2014) |
Verheijen (2014) |
Huscher (2015) |
Gomez-Ruiz (2015) |
Kuo (2016) |
Monsellato (2019) |
Hu (2020) |
Ye (2020) |
|
|---|---|---|---|---|---|---|---|---|---|
| Number of patients | 1 | 3 | 1 | 7 | 5 | 15 | 3 | 20 | 13 |
| Abdominal approach | Laparoscopic | Laparoscopic | Laparoscopic | Laparoscopic | Robotic | Single port robotic + assistant port | Robotic 2, laparoscopic 1 | Laparoscopic | Robotic 9, Laparoscopic 4 |
| Transanal platform |
GelPoint Path (daVinci® Si) |
GelPoint Path (daVinci® Si) |
GelPoint Path (daVinci® Si) |
GelPoint Path (daVinci® Si) |
PAT * + GelPoint Path (daVinci® Si) |
GelPoint Path (daVinci® Si) |
GelPoint Path (daVinci® Si) |
GelPoint Path (daVinci® Xi) |
GelPoint Path (daVinci® Si) |
| Two-team approach |
No | No | No | No | No | No | 1/3 | 20/20 | 4/13 |
| BL (mL) | 140 | 200 | 50 | n/a | 90 (25–120) |
33 (30–50) |
n/a | 82 (30–500) |
60 (50–100) |
| LOS (days) | No | 4.3 | 3 | 6 (5–7) | 12.2 (10–14) | 10 (7–15) | 8.8 (6–24) | 7 (6–10) | |
| Conversion | No | No | No | No | No | 2/15 | No | No | No |
| Hand-sewn anastomosis | 0/1 | 2/3 | 0/1 | 0/7 | 2/5 | 15/15 | 3/3 | 2/20 | 8/13 |
| Defunctioning stoma | Terminal ileostomy | Yes | Yes | Yes | Yes | 5/15 | Yes | 14/18 | Yes |
| Operative time (min) |
381 | 376 | 205 | 165.7 (85–220) | 398 (270–450) |
473 (335–569) |
550 (440–600) |
172.3 (135–215) |
240 (195–270) |
| Complications | No | 1 Pulmonary embolism 1 Peristomal dermatitis/ dehydration |
No | 1 anastomotic bleeding |
1 anastomotic leak |
1 mechanical bowel obstruction, 1 wound infection |
1 acute renal failure | 7/20 (no anastomotic leaks reported) |
1 post-op ileus 1 duodenal hemorrage 1 anastomotic leakage |
| TME quality C/NC/I |
0/1/0 | 1/2/0 | 1/0/0 | 6/1/0 | 5/0/0 | 15/0/0 | 3/0/0 | 18/2/0 | 8/5/0 |
| CRM involvement | No | No | No | No | No | No | No | 3/20 | No |
| Distal margin involvement | No | No | No | No | No | No | No | No | No |
BL: Blood loss; LOS: Length of hospital stay, C: Complete; NC: Near complete; I: Incomplete; * PAT (‘Puerto Acceso Transanal’—Developia-HUMV, Santander, Spain).