• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • SAGES 2021 Annual Meeting
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2021
      • SAGES 2020
      • SAGES 2019
      • SAGES 2018
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • SAGES Logo Products
    • “Unofficial” Logo Products
  • Log In

Robotic Right Colectomy: Pathological and Early Clinical Results

M Zuccaro, MD, R Biffi, MD, M. Valvo, MD, T. Leal Ghezzi, MD, S. Cenciarelli, MD, F. Luca, MD. Division of Abdomino-Pelvic Surgery, European Institute of Oncology, Via Ripamonti 435, 20141, Milan, Italy

Introduction: In the era of mini-invasive techniques there is still no agreement on the best surgical approach to right-sided colon cancer, albeit several reports showed some clinical advantages in terms of hospital stay and pain control after “non laparotomic” treatment. There are still few reports in the literature on the use of da Vinci Surgical System for this type of colonic resection. Aim of our study was to evaluate if the technical advantages demonstrated for rectal cancer surgery could offer benefits also for right colon resection performed for oncological intent.

Material and methods: Between February 2008 and June 2010 37 consecutive patients underwent robotic right colectomy (RRC) for malignant disease. All operations were performed with a medial to lateral approach using a full robotic technique with the da Vinci System. Vessel control was gained by endoclips with section of ileocolic, right colic and right branch of middle colic vessels. Specimen extraction and stapled extracorporeal anastomosis were completed through a minilaparotomy. Data regarding outcome and pathology reports were prospectively collected in a dedicated database

Results: Eighteen women and 19 men, with a mean age 65 years (SD ? 11), underwent RRC; mean BMI was 25.5 (SD ? 2,7). Tumor localization is reported in table 1.

Table1
Cecum Ascending hepatic Flexure Transverse
18 15 3 1

In all cases an extracorporeal anastomoses was performed: 24 termino-lateral and 13 latero-lateral. A mean of 27 lymph nodes were harvested (SD ? 8.6), and all patients reached a R0 resection. Mean operation time was 190 minutes (SD ? 35.0 range: 127-250 min). Estimated median blood loss was 10 ml (0 – 250 ml), and intraoperative blood transfusion was nil. Median postoperative hospital stay was 5 days (4 – 11). No conversion occurred in this series. Four minor complications occurred (all wound infection) and one patient with wound infection and fever was re-hospitalized. No major complication was observed. Most common pathological stage was pT3pN0. No recurrence or death were observed after a mean follow-up of 16 months.

Discussion Almost every kind of operations have been reported to be safe and feasible with robotic technique . Some authors claimed 6that right hemicolectomy represents the ideal procedure to start a robotic colorectal surgery program. We believe that the features of the da Vinci Surgical System: stable camera platform and magnified tridimensional view help also experienced surgeons thus reducing stress and fatigue. In addition, wristed instruments with motion scaling and tremor elimination could reduce the risk of iatrogenic injuries and allow for a wide and secure lymphadenectomy.
Conclusion: Our experience confirms the feasibility and safety of RRC. Quality of surgery measured in terms of number of lymph nodes harvested, postoperative recovery and estimated blood loss, was high in all patients of our series.


Session: Poster
Program Number: P489
View Poster

150

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2011 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Surgery is Safer with Vaccination 1

Addressing Religious Concerns About COVID-19 Vaccine

This may be a difficult subject matter for you and your patient to talk about.  Be assured, all major organized religious groups encourage and recommend the COVID-19 vaccine. Listed below are references and websites you can direct your patient towards to help them make an informed decision with regards to their religious concerns against the […]

SAGES Statement on AAPI Violence

The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) stands in solidarity with the Asian American and Pacific Islander (AAPI) community. In the summer of 2020, SAGES released a statement condemning the violence, racism, and hatred toward the Black community in the wake of George Floyd and Breonna Taylor’s murders. It is with great sorrow […]

Free SAGES Webinar: Lessons from COVID on Living and Thriving as Surgeons

SAGES recognizes that the COVID-19 pandemic has had a big impact on surgical practice and in surgeon wellness. SAGES’ Reimagining the Practice of Surgery Taskforce will present “Finding the Opportunities: Lessons from COVID and How We Live and Thrive as Surgeons”  to look at ways in which innovative leadership at various levels may help transform […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
[email protected]
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2022 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2022 Society of American Gastrointestinal and Endoscopic Surgeons