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Robotic Total Abdominal Colectomy: A Step-by-Step Approach

  • Rosa Jimenez-Rodriguez
  • Felipe Quezada-Diaz
  • Julio Garcia-Aguilar
Chapter

Abstract

The use of the da Vinci robotic platform for total colectomy has been limited by the need to reposition the surgical cart from one side of the patient to the other, which increases operative time. Nevertheless, the new da Vinci Xi model offers a rotating boom-mounted system and laser-targeted trocar positioning which facilitates the application of the robotic approach to all abdominal quadrants with relocation of the arms in the ports but without re-docking or relocation of the patient-side surgical cart. In this chapter, we describe total abdominal colectomy with a robotic approach.

Keywords

Robotic total abdominal colectomy Robotic surgery Segmental colon resection 

Supplementary material

Video 25.1

Robotic total proctocolectomy (MP4 110342 kb)

References

  1. 1.
    D’Annibale A, Morpurgo E, Fiscon V, et al. Robotic and laparoscopic surgery for treatment of colorectal diseases. Dis Colon Rectum. 2004;47:2162–8.CrossRefGoogle Scholar
  2. 2.
    Hellan M, Anderson C, Ellenhorn JD, et al. Short-term outcomes after robotic-assisted total mesorectal excision for rectal cancer. Ann Surg Oncol. 2007;14:3168–73.CrossRefGoogle Scholar
  3. 3.
    Zhang X, Wei Z, Bie M, et al. Robot-assisted versus laparoscopic-assisted surgery for colorectal cancer: a meta-analysis. Surg Endosc. 2006;30:5601–14.CrossRefGoogle Scholar
  4. 4.
    Moghadamyeghaneh Z, Hanna MH, Carmichael JC, et al. Comparison of open, laparoscopic, and robotic approaches for total abdominal colectomy. Surg Endosc. 2016;30:2792–8.CrossRefGoogle Scholar
  5. 5.
    Hanai T, Maeda K, Masumori K, et al. Technique of robotic-assisted total proctocolectomy with lymphadenectomy and Ileal pouch-anal anastomosis for transverse colitic cancer of ulcerative colitis, using the single cart position. Surg Technol Int. 2015;27:86–92.PubMedGoogle Scholar
  6. 6.
    Baik SH, Kwon HY, Kim JS, et al. Robotic versus laparoscopic low anterior resection of rectal cancer: short-term outcome of a prospective comparative study. Ann Surg Oncol. 2009;16:1480–7.CrossRefGoogle Scholar
  7. 7.
    Heemskerk J, de Hoog DE, van Gemert WG, et al. Robot-assisted vs. conventional laparoscopic rectopexy for rectal prolapse: a comparative study on costs and time. Dis Colon Rectum. 2007;50:1825–30.CrossRefGoogle Scholar
  8. 8.
    Prete FP, Pezzolla A, Prete F, et al. Robotic versus laparoscopic minimally invasive surgery for rectal cancer: a systematic review and meta-analysis of randomized controlled trials. Ann Surg. 2018;267:1034–46.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Rosa Jimenez-Rodriguez
    • 1
  • Felipe Quezada-Diaz
    • 1
  • Julio Garcia-Aguilar
    • 2
  1. 1.Department of Surgery Colorectal ServiceMemorial Sloan Kettering Cancer CenterNew YorkUSA
  2. 2.Department of SurgeryMemorial Sloan Kettering Cancer CenterNew YorkUSA

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