Principles and Practice of Robotic Surgery

Robot bariatric surgery

Introduction Bariatric surgery represents a field in which one operation can “cure” a patient of numerous medical comorbidities and is the only proven method that results in long-term weight loss for patients. Since its inception, the field has undergone continuous…

Robot foregut surgery

Introduction Foregut surgery is a broad term that encompasses a range of disease pathology and procedures. In this chapter, we will discuss the basic construct and robotic technique for four different foregut procedures—paraesophageal hernia repair, Nissen fundoplication, Toupet fundoplication, and…

New platforms for low rectal cancer

Introduction Surgery for low rectal cancer is technically challenging. Traditionally, low rectal cancers were treated with either transanal excision, at the risk of compromising oncologic outcomes, or abdominoperineal resection (APR), which led to a significant impact on a patient’s functional…

Low anterior resection for rectal cancer

Introduction Following the results of multiple randomized controlled trials demonstrating improved short-term outcomes and equivalent oncologic outcomes compared to an open approach, laparoscopic colectomy has become the operation of choice for colon cancer. However, given the technical difficulty of operating…

Robotic sigmoid colectomy for diverticular disease

Introduction Indications for robotic sigmoid colectomy in diverticular disease Diverticular disease is common and increasing in incidence worldwide. The main site of disease in the Western world is the sigmoid, although diverticula can occur anywhere in the colon and right-sided…

Splenic flexure mobilization

Introduction Splenic flexure mobilization is an integral part of total mesorectal excision (TME) for rectal cancer and for segmental resection of splenic flexure, distal transverse colon, and proximal descending colon neoplasms. Splenic flexure mobilization may also be part of operations…

Right hemicolectomy and transverse colectomy

Introduction Robot-assisted right and transverse colectomy is rapidly gaining popularity among surgeons as the preferred approach for treatment of ascending and transverse colon cancers. This is partly due to the ease of performing intracorporeal anastomosis, limiting the need for larger…

Robot-assisted thyroidectomy

Introduction Thyroidectomy is commonly performed through a transcervical approach, a technique first described by Theodor Billroth in the late 19th century. , Since that early description, technological advancement and its application have seen a remarkable evolution in thyroidectomy techniques over…

Transoral robotic surgery for recurrent cancer and reconstruction

Introduction In a previously irradiated patient, salvage surgery remains the main, if not only, curative option for recurrent or residual squamous cell carcinoma (SCC) of the oropharynx. Traditionally, a large open resection was performed. The surgery may require mandibulectomy for…

Transoral robotic surgery for parapharyngeal space tumors

Introduction Since its US Food and Drug Administration (FDA) approval in 2009, the utility of transoral robotic surgery (TORS) as a minimally invasive technique has continued to expand. Initially approved for resection of oropharyngeal tumors, its indications have now broadened…