Peer-reviewedCC BYThe international journal of medical robotics + computer assisted surgery : MRCAS1 Oct 2026

Stoma-Site Single-Port Robotic Restorative Colorectal Surgery Using the da Vinci SP System: Technical Considerations and Early Outcomes.

Hyeon Sik Jeong¹
Dong Jin Park^1,2
In Kyu Park^1,2
Songsoo Yang^1,2

¹Department of Surgery, Ulsan University Hospital, Ulsan, Korea.
²Department of Surgery, University of Ulsan College of Medicine, Ulsan, Korea.

Abstract

Background

Restorative colorectal surgery after emergency stoma formation is challenging because of adhesions, altered anatomy, and pelvic dissection. We evaluated the technical feasibility of stoma-site single-port robotics restorative colorectal surgery using the da Vinci SP system.Methods

Six patients underwent restorative colorectal surgery through the previous stoma site between January 2023 and December 2024. The Institutional Review Board of Ulsan University Hospital approved this study (2026-02-018).Results

Five patients underwent Hartmann's reversal and one underwent completion proctocolectomy with ileal pouch-anal anastomosis. All procedures were completed robotically without open conversion; one required an additional port. Median operative time was 287.5 min and median blood loss was 25 mL. One intraoperative small-bowel injury required resection, and one postoperative abscess required percutaneous drainage. No leakage, reoperation, readmission or mortality occurred.Conclusions

This approach was technically feasible in selected patients, but safety events highlight the difficulty of reoperative pelvic surgery. Further studies are required.

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Cite

BibTeX RIS

BibTeX

@article{jeong2026stomasite,
  title = {{Stoma-Site Single-Port Robotic Restorative Colorectal Surgery Using the da Vinci SP System: Technical Considerations and Early Outcomes.}},
  author = {Hyeon Sik Jeong and Dong Jin Park and In Kyu Park and Songsoo Yang},
  journal = {The international journal of medical robotics + computer assisted surgery : MRCAS},
  year = {2026},
  month = oct,
  doi = {10.1002/rcs.70241},
  url = {https://europepmc.org/article/MED/42925503},
  note = {CC BY},
}

RIS

TY  - JOUR
TI  - Stoma-Site Single-Port Robotic Restorative Colorectal Surgery Using the da Vinci SP System: Technical Considerations and Early Outcomes.
AU  - Hyeon Sik Jeong
AU  - Dong Jin Park
AU  - In Kyu Park
AU  - Songsoo Yang
PY  - 2026
DA  - 2026/10/01
JO  - The international journal of medical robotics + computer assisted surgery : MRCAS
DO  - 10.1002/rcs.70241
UR  - https://europepmc.org/article/MED/42925503
AB  - Background  Restorative colorectal surgery after emergency stoma formation is challenging because of adhesions, altered anatomy, and pelvic dissection. We evaluated the technical feasibility of stoma-site single-port robotics restorative colorectal surgery using the da Vinci SP system.Methods  Six patients underwent restorative colorectal surgery through the previous stoma site between January 2023 and December 2024. The Institutional Review Board of Ulsan University Hospital approved this study (2026-02-018).Results  Five patients underwent Hartmann's reversal and one underwent completion proctocolectomy with ileal pouch-anal anastomosis. All procedures were completed robotically without open conversion; one required an additional port. Median operative time was 287.5 min and median blood loss was 25 mL. One intraoperative small-bowel injury required resection, and one postoperative abscess required percutaneous drainage. No leakage, reoperation, readmission or mortality occurred.Conclusions  This approach was technically feasible in selected patients, but safety events highlight the difficulty of reoperative pelvic surgery. Further studies are required.
SN  - 1478-5951
SN  - 1478-596X
ER  -

Abstract

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