Overcoming challenges in robotic rectal resection: three approaches for splenic flexure mobilization
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By
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María Sánchez-Rodríguez
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Chee Hoe Koo
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Vincent Assenat
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Marco-Olivier François
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Patricia Tejedor
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Quentin Denost
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February 24, 2025
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Objective:
To demonstrate three robotic approaches for splenic flexure mobilization during rectal resection using single docking.
Key Findings:
- Medial to lateral approach offers better vascular control and is technically easier.
- Lateral to medial approach is more complex and poses higher risks.
- Combined approach provides flexibility but increases injury risk.
Interpretation:
Robotic splenic flexure mobilization is feasible with single docking, and approaches should be tailored based on patient anatomy.
Limitations:
- Challenges in obese patients may complicate the medial to lateral approach.
- Lateral to medial approach has increased risk of splenic and colonic injuries.
Conclusion:
Robotic techniques for splenic flexure mobilization can be adapted to individual patient needs, enhancing surgical outcomes.
