da Vinci Robot Assisted Right Hemicolectomy with Intracorporeal Anastamosis

da Vinci robotic assisted right hemicolectomy

Adenocarcinoma of the cecum or right colon

Patients with history of prior abdominal surgeries and with significant adhesions; Patients requiring emergency surgery, patients who cannot tolerate insufflation or prolonged operative times.

Robotic Stapler
Robotic Surgical System

Preoperative subcutaneous heparin and oral Entereg 12mg The patient is laid supine with both arms tucked.

CT chest/abdomen/pelvis to look for metastatic disease. Preoperative medical and cardiac risk stratification.

A periumbilical incision is made for the camera port, the abdomen is entered with the open Hasson technique. A robotic trocar is inserted and insufflation is induced to 15mmHg. Three additional 8mm trocars are placed �¢ï¿½ï¿½ left upper quadrant, left mid-abdomen, and right lower quadrant. A 5mm assist port is placed in the left lateral abdomen at the level of the umbilicus. The da Vinci robot is then docked.

Risk of ureteral injury, difficulty with controlling significant bleeding.

Risk of ureteral injury, difficulty with controlling significant bleeding.

N/A