Abstract
Advances in minimally invasive techniques have led to a critical analysis of potential advantages of the intracorporeal anastomosis when compared to the extracorporeal approach. Recent studies suggest that these advantages may be the result of significant differences in mobilization and specimen extraction methods between the two options. Shorter time to gastrointestinal recovery, shorter hospital length of stay, and even fewer postoperative complications at the expense of longer operating times have been associated with the intracorporeal technique (Morpurgo et al., J Laparoendosc Adv Surg Tech A;23(5):414–7, 2013; Trastulli et al., Surg Endosc;29(6):1512–21, 2015; Milone et al., Surg Endosc;29:2314–20, 2015; Hanna et al., Surg Endosc;30:3933–42, 2016). This chapter is dedicated to a detailed description of the intracorporeal operative approach to robotic right hemicolectomy with the Da Vinci Xi® surgical system.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Morpurgo E, Contardo T, Molaro R, Zerbinati A, Orsini C, D’Annibale A. Robotic-assisted intracorporeal anastomosis versus extracorporeal anastomosis in laparoscopic right hemicolectomy for cancer: a case control study. J Laparoendosc Adv Surg Tech A. 2013;23(5):414–7.
Trastulli S, Coratti A, Guarino S, Piagnerelli R, Annecchiarico M, Coratti F, Di Marino M, Ricci F, Desiderio J, Cirocchi R, Parisi A. Robotic right colectomy with intracorporeal anastomosis compared with laparoscopic right colectomy with extracorporeal and intracorporeal anastomosis: a retrospective multicentre study. Surg Endosc. 2015;29(6):1512–21.
Milone M, Elmore U, DiSalvo E, Delrio P, Bucci L, Ferulano GP, Napolitano C, Angiolini MR, Bracale U, Clemente M, D’ambra M, Luglio G, Musella M, Pace U, Rpsati R, Milone F. Intracorporeal versus extracorporeal anastomosis. Results from a multicenter comparative study of 512 right-sided colorectal cancers. Surg Endosc. 2015;29:2314–20.
Hanna MH, Hwang GS, Phelan MJ, Bui TL, Carmichael JC, Mills SD, Stamos MJ, Pigazzi A. Laparoscopic right hemicolectomy: short- and long-term outcomes of intracorporeal versus extracorporeal anastomosis. Surg Endosc. 2016;30:3933–42.
Samia H, Lawrence J, Nobel T, et al. Extraction site location and incisional hernias after laparoscopic colorectal surgery: should we be avoiding the midline? Am J Surg. 2013;205:264–7.
Harr JN, Juo YY, Luka S, et al. Incisional and port-site hernias following robotic colorectal surgery. Surg Endosc. 2016;30:3505–10.
Widmar M, Keskin M, Beltran P, et al. Incisional hernias after laparoscopic and robotic right colectomy. Hernia. 2016;20:723–8.
Roscio F, Bertoglio C, De Luca A, et al. Totally laparoscopic versus laparoscopic assisted right colectomy for cancer. Int J Surg. 2012;10:290–5.
Magistro C, Lernia SD, Ferrari G, et al. Totally laparoscopic versus laparoscopic-assisted right colectomy for colon cancer: is there any advantage in short-term outcomes? A prospective comparative assessment in our center. Surg Endosc. 2013;27:2613–8.
Fabozzi M, Allieta R, Contul RB, et al. Comparison of short- and medium-term results between laparoscopically assisted and totally laparoscopic right hemicolectomy: a case-control study. Surg Endosc. 2010;24:2085–91.
Scatizzi M, Kröning KC, Borrelli A, et al. Extracorporeal versus intracorporeal anastomosis after laparoscopic right colectomy for cancer: a case–control study. World J Surg. 2010;34(12):2902–8.
Martin TD, Lorenz T, Ferraro J, et al. Newly implemented enhanced recovery pathway positively impacts hospital length of stay. Surg Endosc. 2016;30(9):4019–28.
Lee JR. Anesthetic considerations for robotic surgery. Korean J Anesthesiol. 2014;66(1):3–11.
Bhama AR, Cleary RK. Set up and positioning in robotic colorectal surgery. Semin Colon Rectal Surg. 2016;27:130–3.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Electronic Supplementary Material
Cephalad retraction of ileocolic vessels (MP4 12907 kb)
Medial to lateral dissection of mesentery from retroperitoneum before ligation of vessels (MP4 18609 kb)
Ligation of ileocolic vessels (MP4 27332 kb)
Lateral to medial dissection (MP4 37184 kb)
Dissection of omentum from transverse colon (MP4 24425 kb)
Division of ileal mesentery (MP4 21278 kb)
Division of transverse colon mesentery (MP4 33372 kb)
Immunofluorescence demonstrating viable transverse colon (MP4 29884 kb)
Division of ileum and roll technique (MP4 41645 kb)
Stapled anastomosis (MP4 34671 kb)
Specimen retrieval (MP4 14259 kb)
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Cleary, R.K., Johnson, C.S. (2019). Robotic Right Hemicolectomy with Intracorporeal Anastomosis. In: Bardakcioglu, O. (eds) Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-15273-4_6
Download citation
DOI: https://doi.org/10.1007/978-3-030-15273-4_6
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-15272-7
Online ISBN: 978-3-030-15273-4
eBook Packages: MedicineMedicine (R0)