Journal of the Anus, Rectum and Colon (Jan 2024)

Suctionable Gauze Ball Operated by the Console Surgeon Overcomes Wet Scenes during Robotic Rectal Surgery

  • Kaori Watanabe,
  • Hajime Ushigome,
  • Hiroki Takahashi,
  • Akira Kato,
  • Shinnosuke Harata,
  • Yoshiaki Fujii,
  • Takeshi Yanagita,
  • Takuya Suzuki,
  • Kazuyoshi Shiga,
  • Ryo Ogawa,
  • Yoichi Matsuo,
  • Shuji Takiguchi

DOI
https://doi.org/10.23922/jarc.2023-029
Journal volume & issue
Vol. 8, no. 1
pp. 43 – 47

Abstract

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Although robotic rectal resections are now widely performed, there are few robotic suction tools that can be easily used by console surgeons. It can therefore be difficult to maintain a clear visual field in the pelvis when there is effusion and bleeding from either a highly advanced cancer or from preoperative cancer treatment. In this report, we introduce our unique surgical technique that uses a soft catheter with a small gauze ball attached, inserted through the assistant port. This simple and inexpensive “instrument” can be used by the console surgeon as a retractor as well as a reliable suction device to secure their view of the operative field in the pelvis. This technique can be used in a narrow surgical field and does not rely on an assistant surgeon, making it potentially applicable to all types of surgery.

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