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Updated: Jun 19, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

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Robotic-assisted single-incision right colectomy: early experience.

Matthew B Ostrowitz¹, Dennis Eschete, Harry Zemon

¹Department of Surgery, North Shore University Hospital, Manhasset, NY, USA.

The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS

|October 7, 2009

Summary

Robotic single-incision right hemicolectomy using the daVinci-S system is safe and feasible. Techniques to maintain pneumoperitoneum are crucial for successful outcomes in this minimally invasive approach.

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Area of Science:

Minimally Invasive Surgery
Surgical Robotics
Gastrointestinal Surgery

Background:

Laparoendoscopic single-site surgery (LESS) offers cosmetic benefits and potentially reduced pain.
Robotic systems may facilitate instrument manipulation in LESS procedures.
Single-incision colectomies are gaining traction across surgical disciplines.

Purpose of the Study:

To describe the early experience with robotic single-incision right hemicolectomies.
To evaluate the feasibility and safety of this approach.
To explore the utility of the daVinci-S robotic system in single-site colectomy.

Main Methods:

Three robotic single-incision right hemicolectomies were performed using the daVinci-S system.
A single umbilical incision (4 cm) was utilized for port placement.
Procedures involved a medial-to-lateral dissection and extracorporeal resection and anastomosis.

Main Results:

No intraoperative or postoperative complications were reported.
Average operative time was 152 minutes.
Two cases successfully managed pneumoperitoneum using specific port techniques, while one required conversion.

Conclusions:

Robotic-assisted single-incision right hemicolectomy is a safe and achievable procedure.
Effective management of pneumoperitoneum is key to success.
This approach may offer patient benefits like reduced pain and improved cosmesis.