First Japanese Experience of Robotic-Assisted Low Anterior Resection Using the da Vinci 5: Incorporating Force Feedback and Case Insights in Rectal Cancer Surgery

INTRODUCTION: Colorectal cancer outcomes depend not only on disease stage but also on surgical quality, particularly in locally advanced rectal cancer. Robot-assisted surgery offers advantages over laparoscopy but lacks haptic feedback. The da Vinci 5 Surgical System introduces Force Feedback (FFB) technology, which transmits kinesthetic sensations to the surgeon and quantifies forces, as well as Case Insights, an artificial intelligence–based intraoperative data platform. To the best of our knowledge, this report describes the first case of robot-assisted low anterior resection for rectal cancer performed in Japan using da Vinci 5.