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Robotic Proctocolectomy

  • Volkan Ozben
  • Bilgi Baca
Chapter

Abstract

Total proctocolectomy with ileal pouch-anal anastomosis is the procedure of choice for the surgical treatment for ulcerative colitis or familial adenomatous polyposis. Since the initial description of this operation in 1970s, the surgical techniques have evolved over the years from open surgery to laparoscopic approach in order to obtain better postoperative outcomes. Recently, the introduction of robotic systems with its technical advantages over laparoscopy has revolutionized minimal invasive surgery. As a result, robotic surgery has been preferred for many colorectal procedures, including total proctocolectomy, in the hope to further optimize surgical outcomes. In this chapter, we present a literature review on robotic proctocolectomy procedure and describe the technical aspects of this operation and perioperative patient care.

Keywords

Proctocolectomy Robotic surgery Ulcerative colitis Familial adenomatous polyposis 

Abbreviations

IPAA

Ileal pouch-anal anastomosis

SMA

Superior mesenteric artery

SMV

Superior mesenteric vein

Notes

Conflicts of Interest

The authors, Volkan Ozben and Bilgi Baca, declare that they have no conflicts of interest.

References

  1. 1.
    Fazio VW, Ziv Y, Church JM, Oakley JR, Lavery IC, Milsom JW, Schroeder TK. Ileal pouch-anal anastomoses complications and function in 1005 patients. Ann Surg. 1995;222:120–7.CrossRefGoogle Scholar
  2. 2.
    Farouk R, Pemberton JH, Wolff BG, Dozois RR, Browning S, Larson D. Functional outcomes after ileal pouch-anal anastomosis for chronic ulcerative colitis. Ann Surg. 2000;231:919–26.CrossRefGoogle Scholar
  3. 3.
    Konishi T, Ishida H, Ueno H, Kobayashi H, Hinoi T, Inoue Y, Ishida F, Kanemitsu Y, Yamaguchi T, Tomita N, Matsubara N, Watanabe T, Sugihara K. Feasibility of laparoscopic total proctocolectomy with ileal pouch-anal anastomosis and total colectomy with ileorectal anastomosis for familial adenomatous polyposis: results of a nationwide multicenter study. Int J Clin Oncol. 2016;21:953–61.CrossRefGoogle Scholar
  4. 4.
    Parks AG, Nicholls RJ. Proctocolectomy without ileostomy for ulcerative colitis. Br Med J. 1978;2:85–8.CrossRefGoogle Scholar
  5. 5.
    Peters WR. Laparoscopic total proctocolectomy with creation of ileostomy for ulcerative colitis: report of two cases. J Laparoendosc Surg. 1992;2:175–8.CrossRefGoogle Scholar
  6. 6.
    Seshadri PA, Poulin EC, Schlachta CM, Cadeddu MO, Mamazza J. Does a laparoscopic approach to total abdominal colectomy and proctocolectomy offer advantages? Surg Endosc. 2001;15:837–42.CrossRefGoogle Scholar
  7. 7.
    Schiessling S, Leowardi C, Kienle P, Antolovic D, Knebel P, Bruckner T, Kadmon M, Seiler CM, Büchler MW, Diener MK, Ulrich A. Laparoscopic versus conventional ileoanal pouch procedure in patients undergoing elective restorative proctocolectomy (LapConPouch Trial)-a randomized controlled trial. Langenbeck’s Arch Surg. 2013;398:807–16.CrossRefGoogle Scholar
  8. 8.
    Ballantyne GH, Moll F. The da Vinci telerobotic surgical system: the virtual operative field and telepresence surgery. Surg Clin North Am. 2004;83:1293e1304.Google Scholar
  9. 9.
    Damle A, Damle RN, Flahive JM, Schlussel AT, Davids JS, Sturrock PR, Maykel JA, Alavi K. Diffusion of technology: trends in robotic-assisted colorectal surgery. Am J Surg. 2017;214:820–4. pii: S0002-9610(16)30934-5.CrossRefGoogle Scholar
  10. 10.
    Pedraza R, Patel CB, Ramos-Valadez DI, Haas EM. Robotic-assisted laparoscopic surgery for restorative proctocolectomy with ileal J pouch-anal anastomosis. Minim Invasive Ther Allied Technol. 2001;20:234–9.CrossRefGoogle Scholar
  11. 11.
    Miller AT, Berian JR, Rubin M, Hurst RD, Fichera A, Umanskiy K. Robotic-assisted proctectomy for inflammatory bowel disease: a case-matched comparison of laparoscopic and robotic technique. J Gastrointest Surg. 2012;16:587–94.CrossRefGoogle Scholar
  12. 12.
    Mark-Christensen A, Pachler FR, Nørager CB, Jepsen P, Laurberg S, Tøttrup A. Short-term outcome of robot-assisted and open IPAA: an observational single-center study. Dis Colon Rectum. 2016;59:201–7.CrossRefGoogle Scholar
  13. 13.
    McLemore EC, Cullen J, Horgan S, Talamini MA, Ramamoorthy S. Robotic-assisted laparoscopic stage II restorative proctectomy for toxic ulcerative colitis. Int J Med Robot. 2012;8:178–83.CrossRefGoogle Scholar
  14. 14.
    Roviello F, Piagnerelli R, Ferrara F, Scheiterle M, De Franco L, Marrelli D. Robotic single docking total colectomy for ulcerative colitis: first experience with a novel technique. Int J Surg. 2015;21:63–7.CrossRefGoogle Scholar
  15. 15.
    Juo YY, Obias V. Robot-assisted single-incision total colectomy: a case report. Int J Med Robot. 2015;11:104–8.CrossRefGoogle Scholar
  16. 16.
    Baca B, Aghayeva A, Ozben V, Bayraktar O, Atasoy D, Erguner I, Karahasanoglu T, Hamzaoglu I. Robotic total proctocolectomy for ulcerative colitis – a video vignette. Color Dis. 2015;17:736.CrossRefGoogle Scholar
  17. 17.
    Atasoy D, Aghayeva A, Bayraktar O, Ozben V, Baca B, Hamzaoglu I, Karahasanoglu T. Vascular high ligation and embryological dissection in laparoscopic restorative proctocolectomy for ulcerative colitis. J Laparoendosc Adv Surg Tech A. 2017;27:33–5.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Volkan Ozben
    • 1
  • Bilgi Baca
    • 1
  1. 1.Department of General SurgeryAcibadem Mehmet Ali Aydinlar University, School of MedicineIstanbulTurkey

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