Masters Program Colon Pathway: Robotic Left Hemicolectomy and Total Colectomy

Surgeons are increasingly applying robotic techniques to colorectal procedures. Although the use of robotics for pelvic surgery has been well defined, the application of robotics for segmental and total abdominal colectomy has only recently began to be described. Marketing data suggest that robotic colectomy is one of the fastest growing areas of robotic surgery. Indications for robotic-assisted colectomy include benign and malignant neoplasms, inflammatory bowel diseases, and infections. Surgeons have become increasingly aware of the importance of surgical technique as it impacts both patient and oncologic outcomes. The use of robotics may enhance the ability to perform mesocolic resection and intracorporeal anastomosis as well as reduce conversions rates. Additionally, new robotic technologies such as the robotic stapler, integrated fluorescence imaging module, and energy tissue sealer have become available which offer advantages that cannot be duplicated with laparoscopic or open techniques. This chapter reviews the current status of robotic-assisted total and segmental left colectomy, technical considerations, and current data on patient outcomes.