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Robotic colorectal surgery

Robotic colorectal surgery is a form of minimally invasive surgery used to treat conditions affecting the colon, rectum, and anus. This approach utilizes robotic systems, such as the da Vinci Surgical System, to enhance the surgeon's precision and control during the procedure.

How It Works

In robotic colorectal surgery, the surgeon makes small incisions in the abdomen to insert robotic arms and a high-definition 3D camera. Operating from a console, the surgeon’s hand movements are translated into precise actions by the robotic system, allowing enhanced dexterity and access to challenging areas, such as the pelvis. Since 2019, our institution has adopted this technique as a standard approach for colorectal cancer surgery. In 2024, we introduced the latest generation of the da Vinci robot, the single-port (SP) system, which allows the surgeon to operate through a single incision in select cases.

Benefits

Robotic colorectal surgery offers several advantages over traditional open surgery, including:

  • Reduced blood loss and shorter hospital stays
  • Faster recovery and less post-operative pain
  • Enhanced precision in complex procedures due to improved visualization and instrument control
  • Lower risk of complications, such as infections and bowel obstruction

These benefits are further amplified when combined with fast-track surgery programs, as outlined here.

Summary

Overall, robotic colorectal surgery represents a significant advancement in surgical technology, offering substantial benefits for patients undergoing colorectal procedures. For those who may feel uncertain about the term “robotic”: rest assured, the da Vinci system does not execute any actions autonomously. It simply translates the surgeon’s hand movements into a miniaturized form. We are proud to have been using this technique for over five years, and members of our surgical team serve as proctors, teaching the method in hospitals across Europe. We also offer visiting programs for doctors from other countries and hospitals, thanks to our extensive experience with this technique.

 

Operation Videos (Warning: Sensitive Content)

Robot-assisted right hemihepactectomy for NASH-induced hepatocellular carcinoma

Robot-assisted spleen-preserving distal pancreatectomy

Robot-assisted right hemicolectomy with intracorporeal anastomosis

Robot-assisted ALPPS for multifocal HCC in child A/B cirrhosis