Advertisement

Right Hemicolectomy and Ileocecectomy: Single-Port Robotic Approach

  • Vincent Obias
  • Scott Sexton
Chapter

Abstract

Single-incision robotic surgery is utilized in many procedures including but not limited to colectomies, prostatectomies, cholecystectomies, and hysterectomies. The greatest advantage of single-incision robotic surgery compared to laparoscopic is ergonomic superiority and return of triangulation via the cross-arm technique on the da Vinci robot, enhanced three-dimensional acuity, camera stability, and better assistant positioning. Disadvantages such as increased operative and docking time and cost of robot utilization may be offset by more experience and decreased length of stay, respectively. Further studies with larger sample size and cost-benefit analysis will help guide the future of robotic surgery.

Keywords

Right Hemicolectomy Ileocecectomy Single port robotic approach Colorectal surgery 

Supplementary material

Video 10.1

Ileocolic transection (WMV 24524 kb)

Video 10.2

Medial to lateral mobilization (WMV 22540 kb)

Video 10.3

Lateral mobilization (WMV 15267 kb)

Video 10.4

Hepatic flexure mobilization (WMV 20189 kb)

References

  1. 1.
    Turner P. Case of double inguinal hernia in which both sacs were removed through a single transverse suprapubic incision. Proc R Soc Med. 1922;15(Sect Study Dis Child):29.PubMedPubMedCentralGoogle Scholar
  2. 2.
    Khambaty F, Brody F, Vaziri K, Edwards C. Laparoscopic versus single incision cholecystectomy. World J Surg. 2011;35(5):967–72.CrossRefPubMedGoogle Scholar
  3. 3.
    Magrina JF. Complications of laparoscopic surgery. Clin Obstet Gynecol. 2002;45(2):469–80.CrossRefPubMedGoogle Scholar
  4. 4.
    Nezhat C, Nezhat F, Seidman D, Nezhat C. Incisional hernias after operative laparoscopy. J Laparoendosc Adv Surg Tech A. 1997;7(2):111–5.CrossRefPubMedGoogle Scholar
  5. 5.
    Plaus WJ. Laparoscopic trocar site hernias. J Lap Surg. 1993;3(6):567–70.CrossRefGoogle Scholar
  6. 6.
    Reardon PR, Preciado A, Scarborough T, Matthews B, Marti JL. Hernia at 5-mm laparoscopic port site presenting as early postoperative small bowel obstruction. J Laparoendosc Adv Surg Tech A. 1999;9:523–5.CrossRefPubMedGoogle Scholar
  7. 7.
    Matter I, Nash E, Abrahamson J, Eldar S. Incisional hernia via a lateral 5mm trocar port following laparoscopic cholecystectomy. Isr J Med Sci. 1996;32(9):790–1.PubMedGoogle Scholar
  8. 8.
    Toub D. Omental herniation through a 5-mm laparoscopic cannula site. J Am Assoc Gyncol Laparosc. 1994;1(4 pt 1):413–4.CrossRefGoogle Scholar
  9. 9.
    Moreaux G, Estrade-Huchon S, Bader G, Guyot B, Heitz D, Fauconnier A, Huchon C. Five-millimeter trocar site small bowel evisceration after gynecologic laparoscopic surgery. J Min Inv Gyn Repro Med. 2009;16(5):643–5.CrossRefGoogle Scholar
  10. 10.
    Vilos GA, Vilos AG, Abu-Rafea B, Hollett-Caines J, Nikkhah-Abyaneh Z, Edris F. Three simple steps during closed laparoscopic entry may minimize major injuries. Surg Endosc. 2009;23:758–64.CrossRefPubMedGoogle Scholar
  11. 11.
    Jacobs M, Verdeja JC, Goldstein HS. Minimally invasive colon resection (laparoscopic colectomy). Surg Laparosc Endosc. 1991;1(3):144–50.PubMedGoogle Scholar
  12. 12.
    Braga M, Frasson M, Vignali A, Zuliani W, Civelli V, Di Carlo V. Laparoscopic vs open colectomy in cancer patients: long term complications, quality of life, and survival. Dis Colon Rectum. 2005;48(12):2217–23.CrossRefPubMedGoogle Scholar
  13. 13.
    Bucher P, Pugin, Morel P. Single-port access laparoscopic radical left colectomy in humans. Dis Colon Rectum. 2009;52(10):1797–801.CrossRefPubMedGoogle Scholar
  14. 14.
    Rieger NA, Lam FF. Single incision laparoscopically assisted colectomy using standard laparoscopic instrumentation. Surg Endosc. 2010;24(4):888–90.CrossRefPubMedGoogle Scholar
  15. 15.
    Champagne BJ, Lee EC, Leblanc F, Stein SL, Delaney CP. Single incision vs straight laparoscopic segmental colectomy: case controlled study. Dis Colon Rectum. 2011;54(2):183–6.CrossRefPubMedGoogle Scholar
  16. 16.
    Vasilakis V, Clark CE, Liasis L, Papaconstantinou HT. Noncosmetic benefits of single-incision laparoscopic sigmoid colectomy for diverticular disease: a case matched comparison with multiport laparoscopic technique. J Surg Res. 2012;180(2):201–7.Google Scholar
  17. 17.
    Wolthius AM, Penninckx F, Fieuws S, D’Hoore A. Outcomes for case-matched single-port colectomy are comparable with conventional laparoscopic colectomy. Colorect Dis. 2012;14(5):634–41.CrossRefGoogle Scholar
  18. 18.
    Remzi F, Kirat HT, Kaouk JH, Geisler DP. Single port laparoscopy in colorectal surgery. Colorectal Dis. 2008;10(8):823–6.CrossRefPubMedGoogle Scholar
  19. 19.
    Leroy J, Cahill RA, Asakuma M, Dallemagne B, Marescaux J. Single access laparoscopic sigmoidectomy as a definitive surgical management of prior diverticulitis in a human patient. Arch Surg. 2009;144(2):173–9.CrossRefPubMedGoogle Scholar
  20. 20.
    Ramos-Valadez DI, Patel CB, Ragupathi M, Bartley Pickron T, Haas EM. Single incision laparoscopic right hemicolectomy: safety and feasibility in a series of consecutive cases. Surg Endosc. 2010;24(10):2613–6.CrossRefPubMedGoogle Scholar
  21. 21.
    Hottenrott C. Single incision surgery for colorectal cancer. Surg Endosc. 2011;25:2764–5.CrossRefPubMedGoogle Scholar
  22. 22.
    Ross H, Steele S, Whiteford M, Lee S, Albert M, Mutch M, Rivadeneira D. Early multi-institution experience with single incision laparoscopic colectomy. Dis Colon Rectum. 2011;54(2):187–92.CrossRefPubMedGoogle Scholar
  23. 23.
    Joseph RA, Goh AC, Cuevas SP, Donovan MA, Kauffman MG, Salas NA, Miles B, Bass BL, Dunkin BJ. “Chopstick” surgery: a novel technique improves surgeon performance and eliminates arm collision in robotic single incision laparoscopic surgery. Surg Endosc. 2010;24(6):1331–5.CrossRefPubMedGoogle Scholar
  24. 24.
    Ostrowitz MB, Eschete D, Zemon H, DeNoto G. Robotic assisted single incision right colectomy: early experience. Int J Med Robot. 2009;5(4):465–70.CrossRefPubMedGoogle Scholar
  25. 25.
    Lim MS, Melich G, Min BS. Robotic single-incision anterior resection for sigmoid colon cancer: access port creation and operative technique. Surg Endosc. 2012;27(3):1021.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Vincent Obias
    • 1
  • Scott Sexton
    • 2
  1. 1.Division of Colon and Rectal SurgeryGeorge Washington University HospitalWashington, DCUSA
  2. 2.Department of SurgeryGeorge Washington University HospitalWashington, DCUSA

Personalised recommendations