Article

Totally robotic left colectomy

Journal of Robotic Surgery 04/2012; 5(1):57-64. DOI:10.1007/s11701-011-0254-y pp.57-64

ABSTRACT Laparoscopic colectomy has been a challenge for surgeons due to steep learning curves, limited dexterity of instruments and
non-depth perception with visualization. Robotics for left colectomy has been described in the past years using mostly single
docking or hybrid techniques. With the advantages of the robotic technology including the use of 3D visualization, increase
dexterity with 360-degree motion of the instruments, surgeons may see an increase in the adoption of minimally invasive surgery
for colectomies. Surgeons know that multi-quadrant dissection can be difficult at best with the current platforms available
due to the approach of the angles with the robotic arms and collisions. The use of a single docking technique can be challenging
especially for the dissection of the splenic flexure especially in obese patients. We describe a double docking technique
for the approach of the left colectomy that may help surgeons in the approach of multi-quadrant colorectal surgery.

KeywordsRobotic colectomy–Colorectal surgery–Colectomy

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Keywords

advantages
 
current platforms available
 
curves
 
dissection
 
double docking technique
 
hybrid techniques
 
KeywordsRobotic colectomy–Colorectal surgery–Colectomy
 
Laparoscopic colectomy
 
minimally invasive surgery
 
multi-quadrant colorectal surgery
 
multi-quadrant dissection
 
non-depth perception
 
obese patients
 
robotic arms
 
robotic technology
 
single docking technique
 
splenic flexure
 
Surgeons