講演情報
[ESY2-2]da Vinci SP and 5 in Colorectal Surgery: Early Experience and Future Perspectives
Yasumitsu Hirano (Saitama Medical University International Medical Center)
The advent of next-generation robotic systems has significantly advanced colorectal surgery, enabling procedures that are more precise, less invasive, and ergonomically favorable for surgeons. At our institution, we have performed over 100 cases using the da Vinci SP system in gastrointestinal surgery, exploring the full potential of single-port robotic approaches. The SP system offers excellent maneuverability in confined pelvic spaces, reduces the number of incisions, and improves cosmetic outcomes. Furthermore, its compatibility with the concept of "solo surgery" minimizes reliance on experienced surgical assistants, allowing the primary surgeon to perform procedures independently. This system has shown particular advantages in anatomically complex cases, such as patients with previous pelvic surgery, ileal conduit reconstruction, or kyphosis. In contrast, the newly introduced da Vinci 5 system represents a state-of-the-art robotic platform, offering enhanced console ergonomics, real-time force feedback, and advanced system analytics. Features such as energy usage monitoring and intraoperative motion tracking support the integration of surgical data into clinical practice. From our initial experience, the da Vinci 5 has enabled safe and efficient procedures and shows great promise for broader application in colorectal surgery. In this presentation, we will compare the technical refinements, clinical performance, and initial implementation challenges of both systems. Through these insights, we aim to provide a forward-looking perspective on the future of robotic colorectal surgery, integrating the philosophy of single-port access with the innovations of next-generation robotic technology.