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Robotic Right Hemicolectomy with Intracorporeal Anastomosis

  • Robert K. ClearyEmail author
  • Craig S. Johnson
Chapter

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.

Keywords

Robotic Colorectal surgery Intracorporeal anastomosis 

Supplementary material

Video 6.1

Cephalad retraction of ileocolic vessels (MP4 12907 kb)

Video 6.2

Medial to lateral dissection of mesentery from retroperitoneum before ligation of vessels (MP4 18609 kb)

Video 6.3

Ligation of ileocolic vessels (MP4 27332 kb)

Video 6.4

Lateral to medial dissection (MP4 37184 kb)

Video 6.5

Dissection of omentum from transverse colon (MP4 24425 kb)

Video 6.6

Division of ileal mesentery (MP4 21278 kb)

Video 6.7

Division of transverse colon mesentery (MP4 33372 kb)

Video 6.8

Immunofluorescence demonstrating viable transverse colon (MP4 29884 kb)

Video 6.9

Division of ileum and roll technique (MP4 41645 kb)

Video 6.10

Stapled anastomosis (MP4 34671 kb)

Video 6.11

Specimen retrieval (MP4 14259 kb)

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of SurgerySt Joseph Mercy HospitalAnn ArborUSA
  2. 2.Department of SurgeryOklahoma Surgical HospitalTulsaUSA

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