Abstract
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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
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.
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.
Ostrowitz MB, Eschete D, Zemon H, DeNoto G. Robotic-assisted single-incision right colectomy: early experience. Int J Med Robot. 2009;5:465–70.
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.
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.
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.
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.
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.
Chang YS, Wang JX, Chang DW. A meta-analysis of robotic versus laparoscopic colectomy. J Surg Res. 2015;195:465–74.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Melstrom, K. (2018). Colectomy. In: Fong, Y., Woo, Y., Hyung, W., Lau, C., Strong, V. (eds) The SAGES Atlas of Robotic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-91045-1_22
Download citation
DOI: https://doi.org/10.1007/978-3-319-91045-1_22
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-91043-7
Online ISBN: 978-3-319-91045-1
eBook Packages: MedicineMedicine (R0)