A Review on Minimally Invasive Right Colectomy from Conventional Laparoscopic Resection to Robotic-Assisted Surgery

The goal of robotic-assisted abdominal surgery was to overcome the limitations of the traditional laparoscopic technique. The current narrative review compares the short and long-term results, costs, and learning curve of laparoscopic versus robotic-assisted techniques for right colectomy (RC). The main technical issues of using robotic assistance for this treatment are explored in further detail. The introduction of next-generation optics (3D, 4K) and more ergonomic instruments can be seen as a step forward in terms of technical facilitation. Because of the unique vascular structure of the right and middle colics, minimally invasive RC is considered technically tough. Due to the high prices and operating times, robotic RC has failed to gain traction. Its use, on the other hand, may have advantages in terms of short-term clinical outcomes and facilitates the acquisition of basic surgical skills, thus shortening the learning curve of minimally invasive colorectal surgery.

Author(S) Details

Dilip M. Chafle
Research Centre of Taywade College, Koradi, Dist. Nagpur (441111), India.

Carmen Payá-Llorente
Department of General and Digestive Surgery, Hospital Universitario Doctor Peset, Valencia, Spain.

Lelde Lauka
Department of Digestive and Hepatobiliary Surgery, Henri-Mondor Hospital, University Paris Est-Créteil – UPEC, Créteil, 94010, France.

Elisa Reitano
Department of Digestive and Hepatobiliary Surgery, Henri-Mondor Hospital, University Paris Est-Créteil – UPEC, Créteil, 94010, France.

Riccardo Memeo
Department of Emergency and Organ Transplantation, University Aldo Moro of Bari, Bari, Italy.

Paschalis Gavriilidis
Department of Hepato-Biliary-Pancreatic and Oesophago-Gastric Surgery, Imperial College Healthcare NHS Trust, Hammersmith Hospital, London W12 0HS, UK.

Francesco Brunetti
Department of Digestive and Hepatobiliary Surgery, Henri-Mondor Hospital, University Paris Est-Créteil – UPEC, Créteil, 94010, France.

Aleix Martínez-Pérez
Department of General and Digestive Surgery, Hospital Universitario Doctor Peset, Valencia, Spain.

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