Robotic Sigmoid resection for Colovesicular Fistula and use of Firefly

Contributors: Ben Biteman, MD

61 year old male with diverticulitis and colovesicular fistula. Patient underwent robotic sigmoid colectomy with takedown of fistula. Firefly used to help identify if fistula still present. 

Editor Recruited By: Vincent Obias, MD, MS

DOI#  http://dx.doi.org/10.17797/9qxwhlr1q5

Robotic Assisted Right Hemicolectomy with Intracorporeal Anastomosis

Contributors: Nell Maloney Patel

We present a case of a seventy-two year old female found on colonoscopy to have multiple polyps and an ascending colon mass that was biopsy proven adenocarcinoma who underwent a robotic assisted right hemicolectomy with intracorporeal anastomosis.

DOI# http://dx.doi.org/10.17797/54hba94993

Editor Recruited by: Vincent Obias

Robotic Assisted Redo Rectopexy and Low Anterior Resection

Contributors: Craig Rezac, MD

Low anterior resection and rectopexy is the optimal treatment for well functioning patients with rectal prolapse. Reoperations for rectal prolapse may be challenging due to significant adhesions. Use of the robot for low anterior resection and rectopexy is safe, feasible and may be more useful than laparoscopy especially in challenging cases.

DOI:http://dx.doi.org/10.17797/vkp7axh60l

Low Anterior Resection for Diverticulitis

Contributors: Craig Rezac, MD

Treatment for recurrent or complicated diverticulitis is surgical resection. Minimally invasive techniques are associated with decreased length of stay and decreased post operative pain. However, laparoscopic low anterior resection is challenging especially in the narrow pelvis. Robotic surgery may overcome these obstacles and allow more surgery for divertiuclitis to be performed minimally invasively.

These surgeons always do a LAR for diverticulitis because they transect on the proximal rectum. They take down the lateral stalks in order to mobilize the rectum and get the eea stapler through the rectum easier.

Bilateral ureteral stents are routinely placed to better identify the ureters. This is especially important in cases of chronic/active diverticulitis or diverticulitis that has been complicated by abscess or fistula. This is the preference of the surgeon.

DOI#  http://dx.doi.org/10.17797/y1f1omu3mt

Robotic Assisted Small Bowel Resection for Meckel’s Diverticulum

We present a case of a 21-year-old male with a one-day history of right lower quadrant pain and CT scan findings suspicious for a perforated Meckel’s Diverticulum who underwent a robotic assisted small bowel resection with an intracorporeal anastomosis.

Contributors:

Milind D. Kachare, M.D.
Nisha Dhir, M.D., FACS

University Medical Center of Princeton at Plainsboro, Rutgers – Robert Wood Johnson Medical School

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