Robotic Right-Sided Colon Resection: Unique Considerations and Optimal Setup

Robotic right-sided colon resection aims to obviate some of the limitations of conventional laparoscopic surgery, particularly as it relates to complete mesocolic excision and intracorporeal anastomosis. Robotic right colectomy (RRC) has been shown to be oncologically safe, and its short-term outcomes are similar to conventional laparoscopy. Compared to robotic total mesorectal excision (TME), robotic right colectomy is less challenging, has a shorter learning curve, and could be considered a “gateway procedure” for surgeons considering adapting robotic technology in their practice; yet, it is associated with increased cost and operative time. While these metrics improve over time, many surgeons are still reluctant to adapt robotic technology to right colectomy. At present, it is unclear whether the robotic approach to right colectomy is associated with enhanced recovery and improved outcomes. The aim of this chapter is to present current developments and technical aspects of robotic right colectomy. Specific approaches, such as port placement and docking, are discussed for both the previous model (Si) and newer models (X and Xi) of da Vinci robot.