• Kurt MelstromEmail author


A colectomy, removing a section of the colon, is based on the blood supply that feeds that segment. Colectomies, therefore, are broadly grouped into right-sided colectomies (right hemicolectomy, transverse colectomy) and left-sided colectomies (left hemicolectomy, sigmoidectomy). Colectomies are traditionally performed through an open, midline incision, but the open procedure results in a long incision that leads to a long recovery. Robotic colon surgery is a new technique that allows the surgeon to perform surgery through smaller incisions, with a magnified view and improved dexterity. This chapter describes the standard approach to a right colectomy and a left colectomy. Patient positioning, port placement, and the key steps of the operation are all highlighted.


Colon Robotic surgery Right colectomy Sigmoidectomy Left colectomy Minimally invasive surgery 


  1. 1.
    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 Maloinwazyjne. 2013;8:253–7.PubMedPubMedCentralGoogle Scholar
  2. 2.
    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;16:1274–8.CrossRefGoogle Scholar
  3. 3.
    Ostrowitz MB, Eschete D, Zemon H, DeNoto G. Robotic-assisted single-incision right colectomy: early experience. Int J Med Robot. 2009;5:465–70.CrossRefPubMedCentralGoogle Scholar
  4. 4.
    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;7:123–6.CrossRefGoogle Scholar
  5. 5.
    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.CrossRefPubMedCentralGoogle Scholar
  6. 6.
    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;99:1219–26.CrossRefPubMedCentralGoogle Scholar
  7. 7.
    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;27:1379–85.CrossRefPubMedCentralGoogle Scholar
  8. 8.
    Tyler JA, Fox JP, Desai MM, Perry WB, Glasgow SC. Outcomes and costs associated with robotic colectomy in the minimally invasive era. Dis Colon Rectum. 2013;56:458–66.CrossRefPubMedCentralGoogle Scholar
  9. 9.
    Chang YS, Wang JX, Chang DW. A meta-analysis of robotic versus laparoscopic colectomy. J Surg Res. 2015;195:465–74.CrossRefPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.City of Hope National Medical CenterDuarteUSA

Personalised recommendations