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Robotic Left Hemicolectomy and Sigmoidectomy

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Robotic Approaches to Colorectal Surgery

Abstract

A robotic approach to left hemicolectomy and sigmoidectomy is becoming a more widely utilized minimally invasive technique. In early reports, there appeared to be no difference in short-term outcomes when compared to laparoscopy. Currently, the benefit of robotic dissections remains unclear due to a lack of randomized controlled trials, yet anecdotal experience and several series suggest the benefits of robotic approaches elsewhere translate to colorectal surgery. In this chapter, we will provide a step-by-step technique to perform robotic left hemicolectomy and sigmoid resection, including things to consider in patient selection, room arrangement, and what to do in an emergency. We will also briefly review the literature on robotic left hemicolectomy and sigmoidectomy and evaluate the reported short-term and oncologic outcomes.

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References

  1. 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; discussion 95–6.

    Article  PubMed  Google Scholar 

  2. Peterson CY, Weiser MR. Robotic colorectal surgery. J Gastrointest Surg. 2014;18(2):398–403.

    Article  PubMed  Google Scholar 

  3. Baek SK, Carmichael JC, Pigazzi A. Robotic surgery: colon and rectum. Cancer J. 2013;19(2):140–6.

    Article  PubMed  Google Scholar 

  4. Yang Y, Wang F, Zhang P, Shi C, Zou Y, Qin H, et al. Robot-assisted versus conventional laparoscopic surgery for colorectal disease, focusing on rectal cancer: a meta-analysis. Ann Surg Oncol. 2012;19(12):3727–36.

    Article  PubMed  Google Scholar 

  5. Parra-Davila E, Ramamoorthy S. Lap colectomy and robotics for colon cancer. Surg Oncol Clin N Am. 2013;22(1):143–51, vii.

    Google Scholar 

  6. Lim DR, Min BS, Kim MS, Alasari S, Kim G, Hur H, et al. Robotic versus laparoscopic anterior resection of sigmoid colon cancer: comparative study of long-term oncologic outcomes. Surg Endosc. 2013;27(4):1379–85.

    Article  PubMed Central  PubMed  Google Scholar 

  7. Neme RM, Schraibman V, Okazaki S, Maccapani G, Chen WJ, Domit CD, et al. Deep infiltrating colorectal endometriosis treated with robotic-assisted rectosigmoidectomy. JSLS. 2013;17(2):227–34.

    Article  PubMed Central  PubMed  Google Scholar 

  8. 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 

  9. 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.

    Article  PubMed  Google Scholar 

  10. 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.

    Article  PubMed  Google Scholar 

  11. Luca F, Cenciarelli S, Valvo M, Pozzi S, Faso FL, Ravizza D, et al. Full robotic left colon and rectal cancer resection: technique and early outcome. Ann Surg Oncol. 2009;16(5):1274–8.

    Article  PubMed  Google Scholar 

  12. deSouza AL, Prasad LM, Marecik SJ, Blumetti J, Park JJ, Zimmern A, et al. Total mesorectal excision for rectal cancer: the potential advantage of robotic assistance. Dis Colon Rectum. 2010;53(12):1611–7.

    Article  PubMed  Google Scholar 

  13. Scarpinata R, Aly EH. Does robotic rectal cancer surgery offer improved early postoperative outcomes? Dis Colon Rectum. 2013;56(2):253–62.

    Article  PubMed  Google Scholar 

  14. Bae SU, Baek SJ, Hur H, Kim NK, Min BS. Intraoperative near infrared fluorescence imaging in robotic low anterior resection: Three case reports. Yonsei Med J. 2013;54(4):1066–9.

    Article  PubMed Central  PubMed  Google Scholar 

  15. Jafari MD, Lee KH, Halabi WJ, Mills SD, Carmichael JC, Stamos MJ, et al. The use of indocyanine green fluorescence to assess anastomotic perfusion during robotic assisted laparoscopic rectal surgery. Surg Endosc. 2013;27(8):3003–8.

    Article  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  18. Bokhari MB, Patel CB, Ramos-Valadez DI, Ragupathi M, Haas EM. Learning curve for robotic-assisted laparoscopic colorectal surgery. Surg Endosc. 2011;25(3):855–60.

    Article  PubMed Central  PubMed  Google Scholar 

  19. Sng KK, Hara M, Shin JW, Yoo BE, Yang KS, Kim SH. The multiphasic learning curve for robot-assisted rectal surgery. Surg Endosc. 2013;27(9):3297–307.

    Article  PubMed  Google Scholar 

  20. Jimenez-Rodriguez RM, Diaz-Pavon JM, de la Portilla de Juan F, Prendes-Sillero E, Dussort HC, Padillo J. Learning curve for robotic-assisted laparoscopic rectal cancer surgery. Int J Colorectal Dis. 2013;28(6):815–21.

    Article  PubMed  Google Scholar 

  21. Obias V, Sanchez C, Nam A, Montenegro G, Makhoul R. Totally robotic single-position ‘flip’ arm technique for splenic flexure mobilizations and low anterior resections. Int J Med Robot. 2011;7(2):123–6.

    Article  PubMed  Google Scholar 

  22. D’Annibale A, Morpurgo E, Fiscon V, Trevisan P, Sovernigo G, Orsini C, et al. Robotic and laparoscopic surgery for treatment of colorectal diseases. Dis Colon Rectum. 2004;47(12):2162–8.

    Article  PubMed  Google Scholar 

  23. Deutsch GB, Sathyanarayana SA, Gunabushanam V, Mishra N, Rubach E, Zemon H, et al. Robotic vs laparoscopic colorectal surgery: an institutional experience. Surg Endosc. 2012;26(4):956–63.

    Article  PubMed  Google Scholar 

  24. Fung AK, Aly EH. Robotic colonic surgery: is it advisable to commence a new learning curve? Dis Colon Rectum. 2013;56(6):786–96.

    Article  PubMed  Google Scholar 

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Correspondence to Sang W. Lee M.D., F.A.C.S., F.A.S.C.R.S. or Govind Nandakumar M.D. .

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© 2015 Springer International Publishing Switzerland

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Peterson, C.Y., Alsaleh, D., Lee, S.W., Nandakumar, G. (2015). Robotic Left Hemicolectomy and Sigmoidectomy. In: Ross, H., Lee, S., Champagne, B., Pigazzi, A., Rivadeneira, D. (eds) Robotic Approaches to Colorectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-09120-4_11

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  • DOI: https://doi.org/10.1007/978-3-319-09120-4_11

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-09119-8

  • Online ISBN: 978-3-319-09120-4

  • eBook Packages: MedicineMedicine (R0)

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