Chicago 2012 – Robotic Single Site Right Colectomy: Our Experience

F. Priora

We present a case of Robotic Single Site Right Colectomy . The patient is placed in a supine position with the robotic cart positioned at a 40? angle over the patient?s right hemithorax. The single-port is introduced through a 3 cm transversal left paramedian sovrapubic incision. The operation starts with the lateral retraction of the last ileocolic loop with the Cadiere grasper, tenting up the ileocolic vessels The peritoneum is dissected up to visualize the duodenum creating a window. The ileal branch of ileocolic vessels are clipped and cut. The ileocolic vessels are clipped and sectioned exposing the superior mesenteric vein surface. The middle colic vessels are recognized and the right branches are dissected between clips. Mobilization of the colon is performed in medial to lateral direction in the avascular plane between Gerota?s and Toldt?s fascia. The segment of transverse colon chosen for the section is skeletonized The ileum and the transverse colon are joined at the point choosen for anastomosis with an 3-0 absorbable monofilament suture. An intracorporeal side-to-side terminalized anastomosis is performed using a flexible stapler 60 mm blu cartridge. The stapler is introduced by a 15 mm right paramedian sovrapubic trocar, at the side of the robotic port, medially to the rectum muscle, without any added incision.