Surgical Technique for Robot-assisted Right-sided Colon Resection

Ohki Takeshi, Imazato Ryosuke, Harada Kimito, Ganno Hedeaki, Amagasa Hidetoshi, Iida Satoru

doi:10.3862/jcoloproctology.76.614

<p>From 2022, robot-assisted resection of malignant colon tumors will be covered by insurance. Based on our experience gained through trial and error in introducing this procedure, we describe the surgical technique, focusing on port placement in robot-assisted right-sided colon cancer surgery, which is currently the standard procedure at our hospital. The first port is selected from three patterns: (1) umbilical incision, (2) Pfannenstiel incision, and (3) 4th arm (R4) position in the left upper abdomen, depending on whether the anastomosis is external or intracorporeal. Robotic-assisted surgery is considered to be compatible with intracorporeal anastomosis because of the ease of operation of instruments and staplers and suture ligation, and an increasing number of institutions are actively adopting intracorporeal anastomosis. However, the choice should be made after fully understanding the advantages and disadvantages of intracorporeal anastomosis; at our hospital, intracorporeal anastomosis is basically performed by the overlap method. The differences in insertion procedures between the da Vinci stapler and the laparoscopic stapler are explained.</p>

Surgical Technique for Robot-assisted Right-sided Colon Resection

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