Abstract
Robotic right-sided colon resection aims to obviate some of the limitations of conventional laparoscopic surgery, particularly as it relates to complete mesocolic excision and intracorporeal anastomosis. Robotic right colectomy (RRC) has been shown to be oncologically safe, and its short-term outcomes are similar to conventional laparoscopy. Compared to robotic total mesorectal excision (TME), robotic right colectomy is less challenging, has a shorter learning curve, and could be considered a “gateway procedure” for surgeons considering adapting robotic technology in their practice; yet, it is associated with increased cost and operative time. While these metrics improve over time, many surgeons are still reluctant to adapt robotic technology to right colectomy. At present, it is unclear whether the robotic approach to right colectomy is associated with enhanced recovery and improved outcomes. The aim of this chapter is to present current developments and technical aspects of robotic right colectomy. Specific approaches, such as port placement and docking, are discussed for both the previous model (Si) and newer models (X and Xi) of da Vinci robot.
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References
deSouza AL, Prasad LM, Ricci J, Park JJ, Marecik SJ, Zimmern A, et al. A comparison of open and robotic total mesorectal excision for rectal adenocarcinoma. Dis Colon Rectum. 2011;54(3):275–82.
Ozben V, Baca B, Atasoy D, Bayraktar O, Aghayeva A, Cengiz TB, et al. Robotic complete mesocolic excision for right-sided colon cancer. Surg Endosc. 2016;30(10):4624–5.
Spinoglio G, Marano A, Bianchi PP, Priora F, Lenti LM, Ravazzoni F, et al. Robotic right colectomy with modified complete mesocolic excision: long-term oncologic outcomes. Ann Surg Oncol. 2016;23(Suppl 5):684–91.
Spinoglio G, Bianchi PP, Marano A, Priora F, Lenti LM, Ravazzoni F, et al. Robotic versus laparoscopic right colectomy with complete mesocolic excision for the treatment of colon cancer: perioperative outcomes and 5-year survival in a consecutive series of 202 patients. Ann Surg Oncol. 2018 Nov;25(12):3580–6.
Trastulli S, Coratti A, Guarino S, Piagnerelli R, Annecchiarico M, Coratti F, et al. Robotic right colectomy with intracorporeal anastomosis compared with laparoscopic right colectomy with extracorporeal and intracorporeal anastomosis: a retrospective multicentre study. Surg Endosc. 2015;29(6):1512–21.
Lujan HJ, Plasencia G, Rivera BX, Molano A, Fagenson A, Jane LA, et al. Advantages of robotic right colectomy with intracorporeal anastomosis. Surg Laparosc Endosc Percutan Tech. 2018;28(1):36–41.
Harr JN, Juo YY, Luka S, Agarwal S, Brody F, Obias V. Incisional and port-site hernias following robotic colorectal surgery. Surg Endosc. 2016;30(8):3505–10.
Jimenez-Rodriguez RM, Quezada-Diaz F, Tchack M, Pappou E, Wei IH, Smith JJ, et al. Use of the Xi robotic platform for total abdominal colectomy: a step forward in minimally invasive colorectal surgery. Surg Endosc. 2019;33(3):966–71.
Protyniak B, Jorden J, Farmer R. Multiquadrant robotic colorectal surgery: the da Vinci Xi vs Si comparison. J Robot Surg. 2018;12(1):67–74.
Harr JN, Luka S, Kankaria A, Juo YY, Agarwal S, Obias V. Robotic-assisted colorectal surgery in obese patients: a case-matched series. Surg Endosc. 2017;31(7):2813–9.
Formisano G, Misitano P, Giuliani G, Calamati G, Salvischiani L, Bianchi PP. Laparoscopic versus robotic right colectomy: technique and outcomes. Updat Surg. 2016;68(1):63–9.
Morelli L, Palmeri M, Guadagni S, Di Franco G, Moglia A, Ferrari V, et al. Use of a new integrated table motion for the da Vinci Xi in colorectal surgery. Int J Color Dis. 2016;31(9):1671–3.
Lee HJ, Choi GS, Park JS, Park SY, Kim HJ, Woo IT, et al. A novel robotic right colectomy for colon cancer via the suprapubic approach using the da Vinci Xi system: initial clinical experience. Ann Surg Treat Res. 2018;94(2):83–7.
Samia H, Lawrence J, Nobel T, Stein S, Champagne BJ, Delaney CP. Extraction site location and incisional hernias after laparoscopic colorectal surgery: should we be avoiding the midline? Am J Surg. 2013;205(3):264–7; discussion 8
Solaini L, Bazzocchi F, Cavaliere D, Avanzolini A, Cucchetti A, Ercolani G. Robotic versus laparoscopic right colectomy: an updated systematic review and meta-analysis. Surg Endosc. 2018;32(3):1104–10.
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.
Davis BR, Yoo AC, Moore M, Gunnarsson C. Robotic-assisted versus laparoscopic colectomy: cost and clinical outcomes. JSLS. 2014;18(2):211–24.
Casillas MA Jr, Leichtle SW, Wahl WL, Lampman RM, Welch KB, Wellock T, et al. Improved perioperative and short-term outcomes of robotic versus conventional laparoscopic colorectal operations. Am J Surg. 2014;208(1):33–40.
Dolejs SC, Waters JA, Ceppa EP, Zarzaur BL. Laparoscopic versus robotic colectomy: a national surgical quality improvement project analysis. Surg Endosc. 2017;31(6):2387–96.
de’Angelis N, Lizzi V, Azoulay D, Brunetti F. Robotic versus laparoscopic right colectomy for colon cancer: analysis of the initial simultaneous learning curve of a surgical fellow. J Laparoendosc Adv Surg Tech A. 2016;26(11):882–92.
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© 2020 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)
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Umanskiy, K. (2020). Robotic Right-Sided Colon Resection: Unique Considerations and Optimal Setup. In: Sylla, P., Kaiser, A., Popowich, D. (eds) The SAGES Manual of Colorectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-24812-3_15
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DOI: https://doi.org/10.1007/978-3-030-24812-3_15
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