Skip to main content

Robotic Technique for Right Colectomy

  • 1961 Accesses

Abstract

The da Vinci® surgical system (Intuitive) is the only commercially available robotic system. It consists of three components: the operating console, the vision stack, and the robotic cart supporting the robotic arms. The operating console is remotely situated from the operating table and is where the surgeon sits to control the robotic arms and instruments. A pseudo-three-dimensional (3-D) operative view is provided by a binocular imaging system. Movements of the robotic arms and instruments are controlled by the surgeon’s fingers in the master controls and through a series of foot pedals. The robotic cart supports a laparoscopic camera and two (da Vinci) or three (da Vinci-S, da Vinci-Si) robotic arms. This system is ideally suited to operating within the abdomen. Its advantages over conventional laparoscopy include a stable camera platform under direct surgeon control, a 3-D operative field, intuitive instrument handling with 6-degrees of freedom and an ergonomic operating position for the surgeon.

Keywords

  • Colon cancer
  • Surgical technique
  • Robotic colectomy

This is a preview of subscription content, access via your institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • DOI: 10.1007/978-1-4939-1893-5_17
  • Chapter length: 8 pages
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
eBook
USD   99.00
Price excludes VAT (USA)
  • ISBN: 978-1-4939-1893-5
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book
USD   129.00
Price excludes VAT (USA)
Fig. 17.1
Fig. 17.2
Fig. 17.3
Fig. 17.4
Fig. 17.5
Fig. 17.6

References

  1. Collinson FJ, Jayne DG, Pigazzi A, Tsang C, Barrie JM, Edlin R, et al. An international, multicentre, prospective, randomised, controlled, unblinded, parallel-group trial of robotic-assisted versus standard laparoscopic surgery for the curative treatment of rectal cancer. Int J Colorectal Dis. 2012;27(2):233–41. doi:10.1007/s00384-011-1313-6.

    PubMed  CrossRef  Google Scholar 

  2. Weber PA, Merola S, Wasielewski A, Ballantyne GH. Telerobotic-assisted laparoscopic right and sigmoid colectomies for benign disease. Dis Colon Rectum. 2002;45(12):1689–94. doi:10.1097/01.dcr.0000037657.78153.a8; discussion 95-6.

    PubMed  CrossRef  Google Scholar 

  3. 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. doi:10.1097/01.dcr.0000098941.42470.d9.

    PubMed  CrossRef  Google Scholar 

  4. Corcione F, Esposito C, Cuccurullo D, Settembre A, Miranda N, Amato F, et al. Advantages and limits of robot-assisted laparoscopic surgery: preliminary experience. Surg Endosc. 2005;19(1):117–9. doi:10.1007/s00464-004-9004-9.

    CAS  PubMed  CrossRef  Google Scholar 

  5. Braumann C, Jacobi CA, Menenakos C, Borchert U, Rueckert JC, Mueller JM. Computer-assisted laparoscopic colon resection with the Da Vinci system: our first experiences. Dis Colon Rectum. 2005;48(9):1820–7. doi:10.1007/s10350-005-0121-x.

    PubMed  CrossRef  Google Scholar 

  6. Spinoglio G, Summa M, Priora F, Quarati R, Testa S. Robotic colorectal surgery: first 50 cases experience. Dis Colon Rectum. 2008;51(11):1627–32. doi:10.1007/s10350-008-9334-0.

    PubMed  CrossRef  Google Scholar 

  7. Buchs NC, Pugin F, Bucher P, Morel P. Totally robotic right colectomy: a preliminary case series and an overview of the literature. The International Journal of Medical Robotics + Computer Assisted Surgery: IJMRCAS. 2011. doi:10.1002/rcs.404.

  8. Huettner F, Pacheco PE, Doubet JL, Ryan MJ, Dynda DI, Crawford DL. One hundred and two consecutive robotic-assisted minimally invasive colectomies–an outcome and technical update. J Gastrointest Surg. 2011;15(7):1195–204. doi:10.1007/s11605-011-1549-z.

    PubMed  CrossRef  Google Scholar 

  9. Park SY, Choi GS, Park JS, Kim HJ, Choi WH, Ryuk JP. Robot-assisted right colectomy with lymphadenectomy and intracorporeal anastomosis for colon cancer: technical considerations. Surg Laparosc Endosc Percutan Tech. 2012;22(5):e271–6. doi:10.1097/SLE.0b013e31826581bd.

    PubMed  CrossRef  Google Scholar 

  10. Witkiewicz W, Zawadzki M, Rzaca M, Obuszko Z, Czarnecki R, Turek J, et al. Robot-assisted right colectomy: surgical technique and review of the literature. Wideochir Inne Tech Malo Inwazyjne. 2013;8(3):253–7. doi:10.5114/wiitm.2011.33761.

    PubMed Central  PubMed  Google Scholar 

  11. 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(11):2856–62. doi:10.1245/s10434-010-1175-0.

    PubMed  CrossRef  Google Scholar 

  12. 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. doi:10.1007/s00268-010-0591-4.

    PubMed  CrossRef  Google Scholar 

  13. Rawlings AL, Woodland JH, Crawford DL. Telerobotic surgery for right and sigmoid colectomies: 30 consecutive cases. Surg Endosc. 2006;20(11):1713–8. doi:10.1007/s00464-005-0771-8.

    CAS  PubMed  CrossRef  Google Scholar 

  14. 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(7):1000–6. doi:10.1007/DCR.0b013e3181d32096.

    PubMed  CrossRef  Google Scholar 

  15. Rawlings AL, Woodland JH, Vegunta RK, Crawford DL. Robotic versus laparoscopic colectomy. Surg Endosc. 2007;21(10):1701–8. doi:10.1007/s00464-007-9231-y.

    CAS  PubMed  CrossRef  Google Scholar 

  16. Luca F, Ghezzi TL, Valvo M, Cenciarelli S, Pozzi S, Radice D et al. Surgical and pathological outcomes after right hemicolectomy: case-matched study comparing robotic and open surgery. The International Journal of Medical Robotics + Computer Assisted Surgery: IJMRCAS. 2011. doi:10.1002/rcs.398.

  17. Park JS, Choi GS, Park SY, Kim HJ, Ryuk JP. Randomized clinical trial of robot-assisted versus standard laparoscopic right colectomy. Br J Surg. 2012;99(9):1219–26. doi:10.1002/bjs.8841.

    CAS  PubMed  CrossRef  Google Scholar 

  18. Ostrowitz MB, Eschete D, Zemon H, DeNoto G. Robotic-assisted single-incision right colectomy: early experience. The International Journal of Medical Robotics + Computer Assisted Surgery: IJMRCAS. 2009;5(4):465–70. doi:10.1002/rcs.281.

  19. Morelli L, Guadagni S, Caprili G, Di Candio G, Boggi U, Mosca F. Robotic right colectomy using the Da Vinci Single-Site(R) platform: case report. The International Journal of Medical Robotics + Computer Assisted Surgery: IJMRCAS. 2013;9(3):258–61. doi:10.1002/rcs.1488.

    CrossRef  Google Scholar 

  20. Lassen K, Soop M, Nygren J, Cox PB, Hendry PO, Spies C, et al. Consensus review of optimal perioperative care in colorectal surgery: enhanced recovery after surgery (ERAS) group recommendations. Arch Surg (Chicago, IL: 1960). 2009;144(10):961–9. doi:10.1001/archsurg.2009.170.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to David Jayne B.Sc., M.B.B.Ch., M.D., F.R.C.S. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and Permissions

Copyright information

© 2015 Springer Science+Business Media New York

About this chapter

Cite this chapter

Gossedge, G., Jayne, D. (2015). Robotic Technique for Right Colectomy. In: Kim, J., Garcia-Aguilar, J. (eds) Surgery for Cancers of the Gastrointestinal Tract. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1893-5_17

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-1893-5_17

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1892-8

  • Online ISBN: 978-1-4939-1893-5

  • eBook Packages: MedicineMedicine (R0)