Sigmoid Colectomy and Left Hemicolectomy: Robotic Approach

  • Rodrigo PedrazaEmail author
  • Eric M. Haas


Following the overview of laparoscopic techniques to sigmoid resection and Hartmann’s reversal in the previous chapters, we will expand on the utilization of the da Vinci robotic system for this procedure. Certain operative steps described in this chapter are part of a total robotic low anterior resection and proctectomy described in a later chapter for this book.


Sigmoid colectomy Left hemiolectomy Robotic approach Colorectal surgery 

Supplementary material

Video 16.1

Isolation and ligation of IMV (inferior mesenteric artery) (MP4 75776 kb)

Video 16.2

Splenic flexure mobilization (MP4 105344 kb)

Video 16.3

Isolation and ligation of IMA (inferior mesenteric artery) (MP4 154635 kb)

Video 16.4

Robotic adhesiolysis (MP4 200640 kb)

Video 16.5

Medial-to-lateral mobilization (MP4 110431 kb)

Video 16.6

Lateral division peritoneal attachments (MP4 44843 kb)


  1. 1.
    Weber PA, Merola S, Wasielewski A, Ballantyne GH. Telerobotic-assisted laparoscopic right and sigmoid colectomies for benign disease. Dis Colon Rectum. 2002;45:1689–94; discussion 95–6.CrossRefPubMedGoogle Scholar
  2. 2.
    Germain A, Perrenot C, Scherrer ML, et al. Long-term outcome of robotic assisted laparoscopic rectopexy for full-thickness rectal prolapse in elderly patients. Colorectal Dis. 2014;16:198–202.CrossRefPubMedGoogle Scholar
  3. 3.
    Park JS, Choi GS, Lim KH, Jang YS, Jun SH. Robotic-assisted versus laparoscopic surgery for low rectal cancer: case-matched analysis of short-term outcomes. Ann Surg Oncol. 2010;17:3195–202.CrossRefPubMedGoogle Scholar
  4. 4.
    Ragupathi M, Ramos-Valadez DI, Patel CB, Haas EM. Robotic-assisted laparoscopic surgery for recurrent diverticulitis: experience in consecutive cases and a review of the literature. Surg Endosc. 2011;25:199–206.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Division of Minimally Invasive Colon and Rectal Surgery, Department of SurgeryThe University of Texas Medical School at HoustonHoustonUSA

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