Robotic right colectomy with Complete Mesocolic Excision (CME) for cancer

A. Parisi

Right colectomy with intracorporeal anastomosis is believed as one of the most difficult procedures to perform laparoscopically. The robotic system has allowed an evolution of the traditional minimally invasive surgery, increasing feasibility and safety of surgical maneuvers. In particular, Complete Mesocolic Excision (CME) is considered the gold standard technique in order to achieve the better oncological outcomes for colon cancer. Laparoscopy is a technically demanding procedure and an appropriate learning curve is necessary to perform this procedure correctly. On the contrary, and according to the recent literature, the use of the robot facilitates the execution of a precise and safe CME in right colon cancer, especially if compared with laparoscopic approach, favoring an extended lymphadenectomy with high vascular tie.