Find in Library
Search millions of books, articles, and more
Indexed Open Access Databases
Robotic left colectomy with double indocyanine green guidance and intracorporeal anastomoses
oleh: Jan Grosek, Aleš Tomažic
Format: | Article |
---|---|
Diterbitkan: | Wolters Kluwer Medknow Publications 2021-01-01 |
Deskripsi
Radical surgery is the mainstay of treatment of colon cancer. Lymphatic drainage of splenic flexure colon cancer is variable, and the exact site of lymphatic dissection is uncertain. Hence, a true consensus of what kind of colectomy should be performed for tumours of the splenic flexure is lacking. Segmental left colectomy (splenic flexure colectomy) (extended), left colectomy as well as subtotal colectomy (extended right colectomy) all have their proponents. Robotic colectomy addresses the limitations of straight laparoscopic colon resections. We report our technique of single-docking totally robotic left hemicolectomy for splenic flexure adenocarcinoma using Da Vinci Xi® Surgical System (Intuitive Surgical, USA) with indocyanine green near-infrared fluorescence for the assessment of both the lymph nodes and intestinal blood flow in real time.