Robotic Left Colectomy

Technological characteristics of the robotic platform may play a role in decreasing challenges of minimally invasive left colectomy for benign or malignant diseases. The literature regarding robotic left colectomy is scarce and focuses mainly on the robotic approach for complicated diverticular disease, showing good clinical results. Robotic left colectomy is performed with three robotic instruments (a monopolar hook or scissor; a bipolar forceps and a Cadiere forceps) and with one or two instruments for the assistant. The dissection of the left mesocolon is performed from medial to lateral and the splenic flexure is always fully mobilized. Section of the colon can be performed with a robotic stapler, and indocyanine green fluorescence can be employed to verify colon perfusion before anastomosis.