Surgical Techniques for Robotic Left-Sided Colon Cancer Surgery

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  • III．左側結腸切除の手術手技

Abstract

<p>Robotic surgery for colorectal cancer is rapidly gaining popularity since it was covered by insurance in 2022. Robotic surgery enables more precise surgery because the forceps have a higher degree of freedom and can be operated intuitively. On the other hand, robotic surgery has the disadvantage of a narrow surgical field. It is important to ensure the correct setting and port placement to overcome the limitations of forceps manipulation and the restricted surgical field. Surgery for left-sided colon cancer requires transfer of the splenic flexure in most cases. The pancreas, spleen, and colon are adjacent to the splenic flexure, and the complex adhesions between them vary widely from patient to patient. In this paper, we describe the standardized robotic surgical setup and the surgical technique for robotic left-sided colon resection performed at our institution.</p>

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