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Robotic Right Hemicolectomy with CME for Cancer. Uncinate first Open Book & Bottom-Up Approach
Case description
Open-Book dissection technique and bottom-up suprapubic robotic setting enhance precision and oncologic efficiency. Open Book Technique allows a meticulous anatomical dissection, emphasizing the preservation of mesocolic planes, en bloc removal, and optimized lymph node harvest. The bottom-up suprapubic setting of the trocars permits the dissection to start from the ileocaecal junction, this infra-ileal dissection progresses upwards in the fusion fascia of Fredet, offering superior visualization of critical anatomical landmarks and improved control over vascular structures. Complete Mesocolic Excision (CME): Following oncological principles with high vascular ligation for optimal tumor clearance and better oncological outcomes. Robotic platforms enhance precision, minimize tissue trauma, and improve intraoperative ergonomics. This video highlights a step-by-step breakdown of the Open Book dissection technique with a bottom-up suprapubic approach in robotic right hemicolectomy, critical anatomical landmarks and strategies for safe and efficient surgery, and insights into how robotic tools optimize the surgical process and improve outcomes.
