Operative technique in robotic left colonic resection.

Operative technique in robotic left colonic resection. Minerva Chir. 2018 May 25;: Authors: Mangano A, Valle V, Fernandes E, Bustos R, Gheza F, Giulianotti PC Abstract Minimally invasive techniques have changed the clinical practice in general surgery and provided an improvement of outcomes. Laparoscopic surgery has similar oncological outcomes vs open in the colorectal field. Those findings have been proven by prospective randomized multicenter trials and systematic reviews. However, part of the colorectal operations are still being performed by the open approach. This is partially related to the technical hurdles of the laparoscopic approach (particularly for more complex cases). Robotic surgery can be beneficial in overcoming the laparoscopic hurdles and limitations. Indeed, given the improved dexterity, the 3-D stereotactic magnified view (with the camera controlled directly by the Surgeon), the tremor filtering technology and the 7 degrees of liberty of the surgical instruments can guarantee a more accurate surgical dissection and tissue manipulation. Herein, after a large robotic experience in this field connected to a robotic program started by Giulianotti et al1 in October 2000, we present our approach to robotic left colonic resection with routine splenic flexure mobilization. This approach may be helpful to get more reproducible results, it may be a technical guide and also an additional training tool for surgical residents...
Source: Minerva Chirurgica - Category: Surgery Tags: Minerva Chir Source Type: research