Right Hemicolectomy with Complete Mesocolic Excision Using the Versius Surgical System: A Step-by-Step Guide

Area of Science:

• Minimally Invasive Surgery
• Surgical Robotics
• Colorectal Surgery

Background:

• Robotic platforms in colorectal surgery have significantly advanced over the past decade.
• Hybrid robotic approaches have been reported for right-sided colon cancer.
• Complete mesocolic excision (CME) is crucial for advanced right colon cancer but technically demanding.

Purpose of the Study:

• To describe a step-by-step hybrid laparoscopic/robotic right hemicolectomy with CME.
• To evaluate the application of a hybrid robotic system for complex right colon cancer surgery.
• To demonstrate the feasibility of the Versius Surgical System in performing CME.

Main Methods:

• A hybrid approach combining laparoscopy and the Versius Surgical System was employed.
• The procedure involved a right hemicolectomy with complete mesocolic excision (CME).
• The focus was on meticulous dissection accuracy facilitated by the robotic platform.

Main Results:

• The hybrid robotic technique allows for precise dissection during CME in right hemicolectomy.
• This approach may offer advantages in managing locally advanced right-sided colon cancer.
• The Versius Surgical System was utilized effectively for this complex oncological procedure.

Conclusions:

• Hybrid robotic surgery is a viable option for performing complete mesocolic excision in right colon cancer.
• Robotic assistance can enhance the accuracy and potentially the outcomes of minimally invasive oncological colorectal procedures.
• Further studies are warranted to assess the long-term benefits of this technique.