da Vinci Robot Assisted Right Hemicolectomy with Intracorporeal Anastamosis

Video Type: CVideo
  • 2-5 min videos of a particular surgery or technique. These again show major events in the surgery
  • Clearly annotated and narration is a must in these videos
  • These have clear but concise abstracts are not able to be indexed in PubMed
  • Distributed in newsletters, featured on our website and social media
  • Peer reviewed

Author: Christina Cheng
Specialties: General Surgery, Robotic Surgery
Schools: Rutgers- Robert Wood Johnson Medical School
0 votes, average: 0.00 out of 50 votes, average: 0.00 out of 50 votes, average: 0.00 out of 50 votes, average: 0.00 out of 50 votes, average: 0.00 out of 5 (0 votes, average: 0.00 out of 5)
You need to be a registered member to rate this post.
Basic Info

Contributors: Jimmy Lin and Craig Rezac

This procedure is a da Vinci Robot assisted Right hemicolectomy with intracorporeal anastomosis performed on a 52 year-old male who was found to have a cecal adenocarcinoma on screening colonoscopy. Metastatic work-up was negative.


Editor Recruited by: Vincent Obias



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.



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

Preoperative Workup

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

Anatomy and Landmarks

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.


The advantages of robotic-assisted low anterior resection are a minimally invasive approach with 3D high-definition visuals, camera stability, and the dexterity of wristed instruments for dissection. Disadvantages include longer operation and anesthesia time.


Risk of ureteral injury, difficulty with controlling significant bleeding.

Disclosure of Conflicts

Risk of ureteral injury, difficulty with controlling significant bleeding.



0 replies

Leave a Reply

Want to join the discussion?
Feel free to contribute!

Leave a Reply