Multiquadrant and Multiorgan Robotic Surgery with the da Vinci Xi

Thanks to advances in diagnostics and imaging, the detection of multiple malignancies is becoming increasingly common clinical practice. Combined multiquadrant surgery can be considered a viable strategy avoid sequential surgeries linked higher discomfort for patients, delayed initiation adjuvant treatments, poorer cosmetic outcomes. Although laparoscopy widespread minimally invasive surgical option allowing surgeons quickly range over wide operative filed, its kinematics limitations make some procedures very challenging. Robotic was developed overcome drawbacks such as limited dexterity ergonomics. While confined single field pelvis or supramesocolic area have been well documented with good results, moving between different abdominal quadrants difficult first version da Vinci robot, Si, due bulky cart. The advent Xi platform 2015 brought further technical advantages terms flexibility maneuverability, thanks boom-mounted system, camera-hopping targeting function, making it possible perform full robotic approach. Moreover, availability Table Motion improve workflow during multiorgan challenging procedures.