Robotic Colorectal Surgery: Complete Manual of Surgical Techniques

Introduction
Contents
Part I Basics
1 Robotic Port Positioning
Introduction
Equipment Required
Procedural Steps
Top Tips for Robotic Operative Success
Checklist
References
2 Robotic Docking
Introduction
Theatre Set Up
Patient Positioning
Patient Cart Docking
Targeting
Manual Arm Adjustment
3 Preventing Instrument Clashing in Multi-quadrant Surgery
4 Robotic Ergonomics: Different Systems—CMR Versius Robot System
Overview of System
Training
Data Capture
Set-Up for Procedures
References
5 Colorectal Surgery with the Senhance Digital Laparoscopic Platform
Introduction
General Technical Aspects in Colorectal Procedures
Positioning of the Patient
Trocar Placement
Setting the Robotic Arms
Coupling of the End Instruments with the Robotic Arms
The Number of Robotic Arms to Be Engaged
The Lineup of Instruments
Surgery with Senhance
Colorectal Surgery
Tips and Tricks in Case of Trouble-Shooting
Limited Motion and Exceeding Force
The Limited Articulation
Senhance as a Digital Laparoscopic Platform: An Expert Opinion
5 Top Tips
Checklist
References
6 Robotic Surgery: Role of the Surgical Care Practitioner
About SCPs
Expert Assistance
Training
Future Goals
Tips for Robotic SCP’s
References
Part II Rectum
7 Robotic High Anterior Resection
Introduction
Equipment Required
Procedure
Top Tips for Robotic Operative Success
References
8 Rectal Surgery: Low Anterior Resection
Introduction
Patient Position
Equipment
Port Placement and Docking
Operative Technique
Five Top Tips
Checklist
References
9 Robotic Low Anterior Resection Using Da Vinci Xi System
Introduction
Positioning of the Patient and the Theatre Layout
Placement of the Ports
Equipment Needed
Step by Step on Performing Robotic Low Anterior Resection
References
10 Robotic Abdomino-Perineal Excision of Rectum (APER)
Introduction
Background
Anatomy of the Deep Pelvis and Pelvic Floor
Preoperative Preparation
Room Setup and Patient Positioning
Port Placement
Instruments
Exploration
Abdominal Phase
Levator Transection
Conventional Perineal Dissection
Robotic-Assisted Intra-Abdominal (Trans-Abdominal) Levator Transection
Conclusion
References
11 Robotic Lateral Pelvic Lymph Node Dissection
Indications for Selective Lateral Pelvic Lymph Node Dissection After Neoadjuvant Chemoradiotherapy
Anatomy of Lateral Pelvic Areas
Areas of Dissection and Anatomical Landmarks
Structures to Be Preserved
Step-by-Step Technical Details
Patient Positioning and Port Placement
Nerve and Vesical Vessel-Preserving LPLND
Isolation of Ureter and Pelvic Plexus
Obturator Lymph Node Dissection
Internal Iliac Lymph Node Dissection
Final Check and Drain Placement
Combined Resection of Vessels and Nerves in LPLND
Postoperative genitourinary function after LPLND
Conclusions
References
12 Robotic Transanal Total Mesorectal Excision (taTME)
Introduction
SP rTaTME Setup
Positioning
OR Layout
Equipment Needed
Steps of the Procedure
Open Transanal Intersphincteric Dissection
SP Robotic Transanal TME (SP rTaTME)
Transabdominal Portion
References
13 Transanal Surgery and Single Port Robotic Platform
Background/Introduction
Da Vinci SP
Transanal Surgery
SP Transanal Surgery Setup
Patient Positioning
Operating Theatre Layout
Other Equipments
Operative Steps
Transanal Minimally Invasive Surgery (TAMIS) (Fig. 13.7)
Transanal Total Mesorectal Excision (TaTME) (Fig. 13.8)
Conclusion
References
Part III Colon
14 Robotic Standard Right Hemicolectomy with Intra-corporeal Anastomosis
Introduction
Preoperative Considerations
Bowel Preparation
Patient Positioning
Operative Technique
Abdominal Access and Port Configuration
Mobilization
Anastomosis and Specimen Extraction
Conclusion and Final Remarks
Disclosure Statement
References
15 Robotic Right Hemicolectomy: Complete Mesocolic Excision and Intracorporeal Anastomosis
Introduction and Indications
Procedural Cases
Equipment Needed [8]
Steps of the Procedure
Top 5 Tips and Checklist
References
16 Robotic Subtotal Colectomy
Introduction
Procedure Preparation
Step-by-Step Description of Robotic Subtotal Colectomy
Top Tips
References
17 Robotic Splenic Flexure Mobilization
Introduction/Indications
Procedural Cases
Steps of Procedure
References
Part IV Miscellaneous
18 Robotic Surgery for Perforated Diverticulitis
Introduction
Materials Needed
Procedure Details
Difficulty—Tips and Tricks
References
19 Robotic Urological Surgery for Colorectal Surgeons
Introduction
Pre-operative Checks
Patient Positioning
Theatre Layout
Additional Points
Port Positioning
Safety/Adaptations Versus Lap or Open Surgery
Equipment Needed
Steps of Procedure
Post-op Care
5 Top Tips
References
20 Robotic Approach for Ileal-Pouch-Anal-Anastomosis
Introduction
Procedural Case
Cautionary Note: Safety and Adaptations to Laparoscopic and Open Surgery
Theater Layout
Patient’s Position and Trocar Placement
Robot Docking
Equipment
Instruments for Pouch Construction
Robotic Instruments
Laparoscopic Instruments
Operative Steps
J-Pouch Construction
Proctectomy Completion
Anastomosis Construction
Anastomosis Testing
Specimen Extraction and Diverting Loop Ileostomy Construction
References
21 Robotic Parastomal and Perineal Hernia Repair
Part 1: Robotic Parastomal Hernia Repair
Introduction
Procedural Cases
Equipment Needed
Procedural Steps
Top 5 Tips
Checklist
Part 2: Robotic Perineal Hernia Repair
Introduction
Steps of the Procedure
Equipment Needed
Procedural Steps
Top 5 Tips
Checklist
References