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