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Moroni et al. Mini-invasive Surg 2019;3:36 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2019.34

Review Open Access

Minimally invasive right colectomy - from

conventional laparoscopic resection to robotic-
assisted surgery: a narrative review

Paolo Moroni , Carmen Payá-Llorente , Lelde Lauka , Elisa Reitano , Riccardo Memeo , Paschalis
3
1
1
2
1
Gavriilidis , Francesco Brunetti , Aleix Martínez-Pérez 2
4
1
1 Department of Digestive and Hepatobiliary surgery, Henri-Mondor Hospital, University Paris Est-Créteil - UPEC, Créteil
94010, France.
2 Department of General and Digestive Surgery, Hospital Universitario Doctor Peset, Valencia 46017, Spain .
3 Department of Emergency and Organ Transplantation, University Aldo Moro of Bari, Bari 70121, Italy .
4 Department of Hepato-Biliary-Pancreatic and Oesophago-Gastric Surgery, Imperial College Healthcare NHS Trust,
Hammersmith Hospital, London W12 0HS, UK.
Correspondence to: Dr. Paolo Moroni, Department of Digestive and Hepatobiliary surgery, Henri-Mondor Hospital, University
Paris Est-Créteil - UPEC, 51 Avenue du Maréchal de Lattre de Tassigny, Créteil 94010, France. E-mail: dr.pmoroni@gmail.com
How to cite this article: Moroni P, Payá-Llorente C, Lauka L, Reitano E, Memeo R, Gavriilidis P, Brunetti F, Martínez-Pérez A.
Minimally invasive right colectomy - from conventional laparoscopic resection to robotic-assisted surgery: a narrative review.
Mini-invasive Surg 2019;3:36. http://dx.doi.org/10.20517/2574-1225.2019.34

Received: 8 Sep 2019 First Decision: 24 Oct 2019 Revised: 8 Nov 2019 Accepted: 13 Nov 2019 Published: 12 Dec 2019

Science Editor: Giulio Belli Copy Editor: Jing-Wen Zhang Production Editor: Tian Zhang

Abstract
Robotic-assisted abdominal surgery was introduced with the aim of overcoming the drawbacks of the conventional
laparoscopic approach. The present narrative review focuses on the comparison between laparoscopic and robotic-
assisted approaches for right colectomy (RC) regarding short- and long-term outcomes, costs, and learning curve.
The main technical aspects related to the use of robotic assistance for this specific procedure are further discussed.
Minimally invasive RC is considered technically challenging due to the particularities of the right and middle colic
vascular anatomy. Robotic RC is not yet widespread due to its high cost and longer operating time. However, its use may
result in advantages regarding short-term clinical outcomes, and it facilitates the acquisition of basic surgical skills by
speeding up the learning curve of minimally invasive colorectal surgery.

Keywords: Minimally-invasive right colectomy, robotic surgery, laparoscopic surgery, colon cancer, anastomosis,
learning curve, costs

© The Author(s) 2019. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
and indicate if changes were made.

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