Skip to main content

Robotic Right Colectomy: Three-Arm Technique

  • Chapter
  • First Online:
Robotics in General Surgery

Abstract

Laparoscopic colectomy has been shown to have significant advantages over open colectomy. The enhanced dexterity afforded by the robotic system may facilitate the adoption of a minimally invasive approach to colectomies. Robotic right colectomy is safe and feasible and may be an ideal case for a surgeon’s initial experience with robotic techniques. Operative times and perioperative complications are comparable to laparoscopic colectomy, and limited studies suggest oncologic outcomes to be equivalent as well. One of the obvious advantages of the robotic approach is the facilitation of an intracorporeal anastomosis and its associated advantages. A three-arm technique simplifies the setup and minimizes external robotic arm collisions.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Maeso S, Reza M, Mayol JA, et al. Efficacy of the Da Vinci surgical system in abdominal surgery compared with that of laparoscopy: a systematic review and meta-analysis. Ann Surg. 2010;252:254–62.

    Article  PubMed  Google Scholar 

  2. Weber P, Merola S, Wasielewski A, Ballantyne GH. Telerobotic-assisted laparoscopic right and sigmoid colectomies for benign disease. Dis Colon Rectum. 2002;45(12):1689–96.

    Article  PubMed  Google Scholar 

  3. D’Annibale A, Morpurgo E, Fiscon V, et al. Robotic and laparoscopic surgery for colorectal diseases. Dis Colon Rectum. 2004;47:2162–8.

    Article  PubMed  Google Scholar 

  4. Mehran A, Daniel WB, Fahad B, Robert G, Trevor C. Robotic-assisted laparoscopic colorectal surgery. Surg Laparosc Endosc Percutan Tech. 2004;14(6):311–5.

    Article  Google Scholar 

  5. Baik SH. Robotic colorectal surgery. Yonsei Med J. 2008;49(6):891.

    Article  PubMed  Google Scholar 

  6. Antoniou SA, Antoniou GA, Koch OO, Pointner R, Granderath FA. Robotic assisted laparoscopic surgery of the colon and rectum. Surg Endosc. 2012;26:1–11.

    Article  PubMed  Google Scholar 

  7. Shabbir A, Rosiani A, Wong K-S, Tsang CB, Wong H-B, Cheong W-K. Is laparoscopic colectomy as cost beneficial as open colectomy? ANZ J Surg. 2009;79:265–70.

    Article  PubMed  Google Scholar 

  8. Fleshman J, Sargent DJ, Green E, et al. Laparoscopic colectomy for cancer is not inferior to open surgery based on 5-year data from the COST study group trial. Ann Surg. 2007;246(4):655–64.

    Article  PubMed  Google Scholar 

  9. Schwenk W, Haase O, Neudecker J, Muller JM. Short term benefits for laparoscopic colorectal resection. Cochrane Database Syst Rev. 2005;20(3):CD003145.

    Google Scholar 

  10. Romano G, Gagliardi G, Bianco F, Parker MC. Laparoscopic colorectal surgery: why it is still not the gold standard and why it should be. Tech Coloproctol. 2008;12:185–8.

    Article  CAS  PubMed  Google Scholar 

  11. Bordeianou L, Rattner D. Is laparoscopic sigmoid colectomy for diverticulitis the new gold standard? Gastroenterology. 2010;138:2213–6.

    Article  PubMed  Google Scholar 

  12. Lauter DM, Froines EJ. Initial experience with 150 cases of laparoscopic assisted colectomy. Am J Surg. 2001;181(5):398–403.

    Article  CAS  PubMed  Google Scholar 

  13. Jacobs M, Verdeja MC, Goldstein HS. Minimally invasive colon resection (laparoscopic colectomy). Surg Laparosc Endosc. 1991;1(3):144–50.

    CAS  PubMed  Google Scholar 

  14. Carmichael JC, Masoomi H, Mills S, Stamos MJ, Nguyen NT. Utilization of laparocopy in colorectal surgery for cancer at academic medical centers: does site of surgery affect rate of laparoscopy? Am Surg. 2011;77(10):1300–4.

    Google Scholar 

  15. Kang CY, Halabi WJ, Luo R, Pigazzi A, Nguyen NT, Stamos MJ. Laparoscopic colorectal surgery: a better look into the latest trends arch surg. Surg. 2012;147(8):724–31.

    Google Scholar 

  16. Pigazzi A, Garcia-Aguilar J. Robotic colorectal surgery: for whom and for what? Dis Colon Rectum. 2010;53:969–70.

    Article  PubMed  Google Scholar 

  17. Rawlings AL, Woodland JH, Vegunta RK, Crawford DL. Robotic versus laparoscopic colectomy. Surg Endosc. 2007;21(10):1701–8.

    Article  CAS  PubMed  Google Scholar 

  18. Zimmern A, Prasad L, deSouza A, Marecik S, Park J, Abcarian H. Robotic colon and rectal surgery: a series of 131 cases. World J Surg. 2010;34(8):1954–8.

    Article  PubMed  Google Scholar 

  19. DeSouza AL, Prasad LM, Park JJ, Marecik SJ, Blumetti J, Abcarian H. Robotic assistance in right hemicolectomy: is there a role? Dis Colon Rectum. 2010;53:1000–6.

    Google Scholar 

  20. Delaney CP, Lynch AC, Senagore AJ, Fazio VW. Comparison of robotically performed and traditional laparoscopic colorectal surgery. Dis Colon Rectum. 2003;46(12):1633–9.

    Article  PubMed  Google Scholar 

  21. Mutch M, Cellini C. Surgical management of colon cancer In: Beck DE, Roberts PL, Saclarides TJ, Senagore AJ, Stamos MJ, Wexner SD, eds. The ASCRS textbook of colon and rectal surgery. Second Edition, New York, NY: Springer Science + Business Media, LLC., 2011;711–20.

    Google Scholar 

  22. Lujan HJ, Maciel VH, Romero R, Plasencia G. Laparoscopic versus robotic right colectomy: a single surgeon’s experience. J Robotic Surg. 2013;7:95.

    Article  Google Scholar 

  23. D’Annibale A, Pernazza G, Morpurgo E, Monsellato I, Pende V, Lucandri G, et al. Robotic right colon resection: evaluation of first 50 consecutive cases for malignant disease. Ann Surg Oncol. 2010;17:2856–62.

    Article  PubMed  Google Scholar 

  24. Spinoglio G, Summa M, Priora F, Quarati R, Testa S. Robotic colorectal surgery: first 50 cases experience. Dis Colon Rectum. 2008;51:1627–32.

    Article  PubMed  Google Scholar 

  25. Ballantyne GH, Ewing D, Pigazzi A, Wasielewski A. Telerobotic-assisted laparoscopic right hemicolectomy: lateral to medial or medial to lateral dissection? Surg Laparosc Endosc Percutan Tech. 2006;16(6):406–10.

    Article  PubMed  Google Scholar 

  26. Grams J, Tong W, Greenstein AJ, Salky B. Comparison of intracorporeal versus extracorporeal anastomosis for laparoscopic-assisted hemicolectomy. 2010;24:1886–91.

    Google Scholar 

  27. Hellan M, Anderson C, Pigazzi A. Extracorporeal versus intracorporeal anastomosis for laparoscopic right hemicolectomy. JSLS. 2009;13:312–7.

    PubMed  Google Scholar 

  28. Franklin ME, Gonzalez JJ, Miter DB, Mansur JH, Trevino JM, Glass JL, et al. Laparoscopic right hemicolectomy for cancer: 11-year experience. Rev Gastroenterol Mex. 2004;69 Suppl 1:65–72.

    PubMed  Google Scholar 

  29. Scatizzi M, Kroning KC, Borrelli A, Andan G, Lenzi E, Feroci F. Extracorporeal versus intracorporeal anastomosis after laparoscopic right colectomy for cancer: a case–control study. World J Surg. 2010;34:2902–8.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Henry J. Lujan M.D., F.A.C.S., F.A.S.C.R.S. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

Lujan, H.J., Plasencia, G. (2014). Robotic Right Colectomy: Three-Arm Technique. In: Kim, K. (eds) Robotics in General Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8739-5_17

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-8739-5_17

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-8738-8

  • Online ISBN: 978-1-4614-8739-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics