Intracorporeal Anastomosis for Robotic-assisted Right Hemicolectomy Using an Umbilical Assistant Port

利用脐部辅助端口进行机器人辅助右半结肠切除术的体内吻合

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Abstract

There is ongoing debate on the respective merits of extracorporeal and intracorporeal anastomoses in patients undergoing minimally invasive surgery for right-sided colon cancer. Herein, we report the benefits of intracorporeal anastomosis for right-sided colon cancer using an umbilical assistant port. The final decision to perform an intracorporeal or extracorporeal anastomosis was made intraoperatively. Robotic ports were established; the Da Vinci Xi robotic system was used with the specified instrument configuration. The benefits of intracorporeal anastomosis for right-sided colon cancer using an umbilical assistant port include reduced stress for the surgical team and improved adaptability. Although techniques differ, standardizing practices tailored to each team's strengths is vital for advancing robotic-assisted surgery. This method minimizes lower abdominal incisions, thereby reducing the risk of wound infection and incidence of postoperative hernia. Comprehensive evidence of robotic-assisted colon surgery remains limited, underscoring the need for ongoing evaluation and refinement of techniques.

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