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Robotic Total Mesocolic Excision

  • Deniz Atasoy
  • Bilgi Baca
  • Ismail Hamzaoglu
  • Tayfun Karahasanoglu
Chapter

Abstract

In this chapter, we aim to describe the robotic total mesocolic excision (TMCE) technique for colon cancer. We will discuss the basics of TMCE and specifically the robotic approach. Robotic technology offers better dexterity, increased triangulation, and ergonomic superiority. The disadvantages like increased cost and operative time may be counterbalanced by achievement of better specimen quality and improved oncologic outcomes, which needs further investigation. We will describe the procedural steps in each approach in detail with special emphasis on the key points in every step.

Keywords

Total mesocolic excision Robotic approach Colon cancer Complete mesocolic excision 

Supplementary material

Video 8.1

Dissection and clipping of ileocolic artery and vein (MP4 88361 kb)

Video 8.2

Dissection and clipping of Henle’s trunk (MP4 131428 kb)

Video 8.3

Gastrocolic vein dissection (MP4 150038 kb)

Video 8.4

Preserving peritoneal window and surgical trunk (MP4 134736 kb)

Video 8.5

Transection of bowel loops (MP4 91949 kb)

Video 8.6

Quality of the specimen (MP4 89409 kb)

Video 8.7

Intracorporeal anastomosis (MP4 90776 kb)

Video 8.8

Ligation of the IMV (MP4 66559 kb)

Video 8.9

Splenic flexure mobilization (MP4 150795 kb)

Video 8.10

Specimen extraction (MP4 82638 kb)

Video 8.11

Colocolic anastomosis (MP4 150235 kb)

Video 8.12

Ligation of the left colic vessels (MP4 145043 kb)

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Deniz Atasoy
    • 1
  • Bilgi Baca
    • 1
    • 2
  • Ismail Hamzaoglu
    • 1
  • Tayfun Karahasanoglu
    • 1
  1. 1.Department of General SurgeryAcibadem Mehmet Ali Aydinlar University, School of MedicineIstanbulTurkey
  2. 2.Atakent Acibadem HastanesiKucukcekmece/IstanbulTurkey

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