Robotic Total Mesocolic Excision

In this chapter, we aim to describe the robotic total mesocolic excision (TMCE) technique for colon cancer. We will discuss the basics of TMCE and specifically the robotic approach. Robotic technology offers better dexterity, increased triangulation, and ergonomic superiority. The disadvantages like increased cost and operative time may be counterbalanced by achievement of better specimen quality and improved oncologic outcomes, which needs further investigation. We will describe the procedural steps in each approach in detail with special emphasis on the key points in every step.

[1]  J. Fleming,et al.  The metastatic lymph node ratio predicts survival in colon cancer. , 2007, American journal of surgery.

[2]  F. R. Watson,et al.  Cancer of the colon: the influence of the no-touch isolation technic on survival rates. , 1967, Annals of surgery.

[3]  J. E. Jansen,et al.  Disease-free survival after complete mesocolic excision compared with conventional colon cancer surgery: a retrospective, population-based study. , 2015, The Lancet. Oncology.

[4]  M. Mareel,et al.  Lymphatic spread, nodal count and the extent of lymphadenectomy in cancer of the colon. , 2014, Cancer treatment reviews.

[5]  W. Hohenberger,et al.  Complete mesocolic excision with central vascular ligation produces an oncologically superior specimen compared with standard surgery for carcinoma of the colon. , 2010, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[6]  R. Veldkamp,et al.  Laparoscopic surgery versus open surgery for colon cancer : short-term outcomes of a randomised trial , 2022 .

[7]  J. Carmichael,et al.  Right Hemicolectomy and Ileocecectomy: Laparoscopic Approach , 2015 .

[8]  C. Benlice,et al.  Impact of the Specific Extraction-Site Location on the Risk of Incisional Hernia After Laparoscopic Colorectal Resection , 2016, Diseases of the colon and rectum.

[9]  W. Hohenberger,et al.  Understanding optimal colonic cancer surgery: comparison of Japanese D3 resection and European complete mesocolic excision with central vascular ligation. , 2012, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[10]  Y. Kakeji,et al.  Cranially approached radical lymph node dissection around the middle colic vessels in laparoscopic colon cancer surgery , 2014, Langenbeck's Archives of Surgery.

[11]  P. Quirke,et al.  Pathology grading of colon cancer surgical resection and its association with survival: a retrospective observational study. , 2008, The Lancet. Oncology.

[12]  K. Matzel,et al.  Standardized surgery for colonic cancer: complete mesocolic excision and central ligation – technical notes and outcome , 2009, Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.

[13]  Effect of Robotic-Assisted vs Conventional Laparoscopic Surgery on Risk of Conversion to Open Laparotomy Among Patients Undergoing Resection for Rectal Cancer: The ROLARR Randomized Clinical Trial , 2017, JAMA.

[14]  N. Baxter,et al.  Increasing negative lymph node count is independently associated with improved long-term survival in stage IIIB and IIIC colon cancer. , 2006, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[15]  Antoni Castells,et al.  Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomised trial , 2002, The Lancet.

[16]  R. Heald,et al.  The mesorectum in rectal cancer surgery—the clue to pelvic recurrence? , 1982, The British journal of surgery.