Robotic Right Hemicolectomy for Tubulovillous Adenoma with High-Grade Dysplasia: Multimedia Analysis of a Contemporary Technique
Christopher L. Kalmar, MD; Caleb L. Cutherell, MD; Farrell C. Adkins, MD
Virginia Tech Carilion
Robotic right hemicolectomy is a minimally invasive technique for right colon resections. The technique utilizes a robotic laparoscopic instrument to perform dissection of the right colon and to perform intracorporeal anastomoses, allowing for smaller abdominal incisions, quicker recovery times, and decreased short- and long-term complications.
In this case, a robotic right hemicolectomy was performed to remove an endoscopically unresectable mass at the ileocecal valve. An intracorporeal-stapled ileocolic anastomosis was performed, and the colon was removed through a trocar insertion site. The robotic-assisted minimally invasive technique allows for clear visualization of the dissection planes and facilitates intracorporeal anastomoses that would otherwise be difficult to perform using traditional laparoscopy.
Robotic Right Hemicolectomy
Virginia Tech Carilion
Farrell C. Adkins, MD
Colon and Rectal Surgery
Christopher L. Kalmar, MD
Resident Physician
Caleb L. Cutherell, MD
Resident Physician
In this case, a robotic right hemicolectomy is performed and narrated by Dr. Farrell Adkins at Virginia Tech Carilion.
Laparoscopic Total Abdominal Colectomy with Ileorectal Anastomosis
Massachusetts General Hospital
Richard Hodin, MD
Professor of Surgery
Harvard Medical School
A 59-year-old male with a history of Crohn’s disease underwent a colonoscopy where several areas of multifocal dysplasia were discovered. In this case, Dr. Richard Hodin performs a total abdominal colectomy on this patient in order to remove these precancerous lesions and prevent recurrence.
Laparoscopic Right Colectomy
David Rattner MD
Massachusetts General Hospital
Dr. Rattner performs a laparoscopic right colectomy to treat an unresectable polyp and incidental carcinoid tumor.
Open Total Colectomy
David Berger, MD
Associate Professor of Surgery, Massachusetts General Hospital
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