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
This is a preview of subscription content, log in to check access.
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
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.CrossRefPubMedGoogle Scholar
Ostrowitz MB, Eschete D, Zemon H, DeNoto G. Robotic-assisted single-incision right colectomy: early experience. Int J Med Robot. 2009;5:465–70.CrossRefPubMedGoogle Scholar
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.CrossRefPubMedGoogle Scholar
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.CrossRefPubMedGoogle Scholar
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.CrossRefPubMedGoogle Scholar
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.CrossRefPubMedGoogle Scholar
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.CrossRefPubMedGoogle Scholar
Chang YS, Wang JX, Chang DW. A meta-analysis of robotic versus laparoscopic colectomy. J Surg Res. 2015;195:465–74.CrossRefPubMedGoogle Scholar