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-Assisted Laparoscopic (rTAPP) Bilateral Inguinal Hernia Repair
David Lourié, MD, FACS, FASMBS
Huntington Memorial Hospital
There are over 1 million hernia repairs performed annually in the US, and robotics is revolutionizing the adoption of minimally-invasive hernia repairs. From 2015 to 2018, robotic laparoscopic hernia repairs have explosively grown from less than 2% to 20% of all hernia repairs performed in the US.
Hernia repairs are among the most basic procedures for general surgeons, and there is substantial enthusiasm on the part of surgeons regarding the rapid changes in techniques as well as the best methods of teaching them. Surgical training programs may find it difficult to maintain training for their residents and fellows in the face of rapidly evolving technology. Here, Dr. Lourié presents the case of a 28-year-old male with bilateral inguinal hernias that were repaired using a robotic-assisted laparoscopic approach.
Mako Robotic-Arm Assisted Total Knee Arthroplasty
Jeffrey S. Zarin, MD; Gustavo Barrazueta, MD
Tufts Medical Center
Total knee arthroplasty (TKA) has been around for decades and serves as a very successful procedure to alleviate pain and restore function in a knee with advanced degenerative joint disease. Over the years, there have been many advancements in surgical technique and even more so in implant design. One such technological breakthrough in TKA is the use of robotic-arm assistance for enhanced preoperative planning and intraoperative guidance with dynamic joint balancing and bone preparation.
In this video article, Dr. Zarin demonstrates the operative technique he uses in performing a posterior stabilizing TKA in a varus deformity degenerative knee using Mako robotic-arm assistance.
Robotic Right Hemicolectomy
Virginia Tech Carilion
Farrell C. Adkins, MD
Colon and Rectal Surgery
Christopher L. Kalmar, MD
Caleb L. Cutherell, MD
In this case, a robotic right hemicolectomy is performed and narrated by Dr. Farrell Adkins at Virginia Tech Carilion.