Turgut Bora Cengiz, MD, Erman Aytac, MD, Cigdem Benlice, MD, Emre Gorgun, MD, FASCRS, FACS. Cleveland Clinic
In this video, we present technical details of a robotic complete mesocolic excision with a high vascular tie and intracorporeal side to side anastomosis with omental pedicle flap. This was a 74-year-old male with ascending colon cancer with no distant metastasis. He previously had a bilateral inguinal hernia repair. The patient was positioned to modified lithotomy. The da Vinci Xi system (Intuitive Surgical Inc., Sunnyvale, CA, USA) was used for the procedure (Video). Four robotic ports, one 5 mm assistant port and one AirSeal (Conmed, Largo, FL, USA) port were used for the procedure. The dissection was performed medial to lateral fashion. Operating time was 200 minutes and blood loss was 30 ml. There was no postoperative complication and the patient was discharged from the hospital at postoperative day 2. Histopathological evaluation revealed an adenocarcinoma without lymph node metastasis. Robotic right CME can be done safely. Use of robot enables precise dissection between the embryological plans and reduces the risk of vascular and visceral injuries during the procedure.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 86830
Program Number: V243
Presentation Session: Thursday Video Loop (Non CME)
Presentation Type: VideoLoop
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