Robotic sigmoid colectomy with intracorporeal anastomosis: IMV first approach—a video vignette - Report - MDSpire

Robotic sigmoid colectomy with intracorporeal anastomosis: IMV first approach—a video vignette

  • By

  • Valentin Butnari

  • Ahmer Mansuri

  • Matthew Hanson

  • Richard Boulton

  • Joseph Huang

  • Nirooshun Rajendran

  • Sandeep Kaul

  • March 27, 2026

  • 0 min

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Clinical Report: Robotic Sigmoid Colectomy with Intracorporeal Anastomosis

Overview

This report presents a case of robotic sigmoid colectomy utilizing an innovative intracorporeal anastomosis technique. The procedure demonstrated a total operative time of 120 minutes with minimal blood loss and an uneventful recovery, highlighting the potential benefits of this approach in colorectal surgery.

Background

Robotic-assisted surgery has transformed colorectal cancer procedures by enhancing precision and reducing recovery times. Intracorporeal anastomosis (ICA) techniques have gained traction for right-sided resections, but their application in left-sided procedures remains underexplored. This report aims to illustrate a reproducible ICA technique for left-sided colorectal lesions, which may improve surgical outcomes and patient recovery.

Data Highlights

No numerical data or trial data presented in the article.

Key Findings

  • The patient was a 72-year-old male with a diagnosis of moderately differentiated adenocarcinoma.
  • The robotic sigmoid colectomy was performed using the DaVinci Xi® platform with a total operative time of 120 minutes.
  • Minimal blood loss of 50 milliliters was recorded during the procedure.
  • The patient experienced an uneventful recovery and was discharged on day 3 post-surgery.
  • Postoperative histology confirmed pT3N0M0R0 status, indicating successful oncological resection.

Clinical Implications

The described ICA technique may enhance surgical efficiency and reduce complications associated with traditional extracorporeal anastomosis methods. By minimizing tissue tension and optimizing surgical workflow, this approach could lead to improved postoperative recovery for patients undergoing left-sided colorectal resections.

Conclusion

The innovative robotic sigmoid colectomy with intracorporeal anastomosis showcases a promising technique that may enhance surgical outcomes in colorectal cancer procedures. Further studies are warranted to validate its efficacy across broader patient populations.

References

  1. BJS (British Journal of Surgery), 2025 -- Robotic Total Inter-Sphincteric Dissection with Transanal Resection and Single Stapled Anastomosis: A Video Presentation
  2. Surgical Endoscopy, 2022 -- Comparative Analysis of Robotic Intracorporeal Bowel Anastomosis and Extracorporeal Stapled Techniques: Surgical Methods and Results
  3. Hybrid Technique for Robotic Proctocolectomy with Ileal Pouch-Anal Anastomosis, 2025
  4. Comparison of short-term outcomes of intracorporeal and extracorporeal anastomosis in robotic right colectomy using the da Vinci SP system, 2026
  5. American College of Surgeons, 2023 -- Operative Standard 5.6
  6. Robotic Versus Laparoscopic Surgery for Colorectal Cancer: A Trial Sequential Meta-Analysis of Randomized Trials, 2025
  7. https://www.facs.org/media/3thdih2a/standard-56-updated-visual-abstract.pdf
  8. Robotic Versus Laparoscopic Surgery for Colorectal Cancer: A Trial Sequential Meta-Analysis of Randomized Trials - Bernardo Fontel Pompeu, Luís Eduardo Braz de Moraes Alves, Beatriz D’Andrea Pigossi, Gabriel Leal Barone, Lucas Monteiro Delgado, Lucas Soares de Souza Pinto Guedes, Sergio Mazzola Poli de Figueiredo, Fernanda Bellotti Formiga, 2025
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