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

Robotic Sigmoid Colectomy with Intracorporeal Anastomosis: An Innovative IMV First Technique – A Video Presentation

  • By

  • Valentin Butnari

  • Ahmer Mansuri

  • Matthew Hanson

  • Richard Boulton

  • Joseph Huang

  • Nirooshun Rajendran

  • Sandeep Kaul

  • March 27, 2026

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Objective:

To showcase a simple and reproducible technique for side-to-side intracorporeal anastomosis in left-sided colorectal lesions using robotic surgery.

Approach:
    Key Findings:
    • The technique resulted in a total operative time of 120 minutes with minimal blood loss (50 ml).
    • The patient had an uneventful recovery and was discharged on day 3 without complications.
    • Postoperative histology confirmed pT3N0M0R0 moderately differentiated adenocarcinoma.
    Interpretation:

    The intracorporeal anastomosis technique enhances postoperative recovery and reduces surgical morbidity, demonstrating feasibility and efficiency in left-sided colorectal resections.

    Limitations:
    • Further randomized prospective studies are needed to establish long-term clinical advantages over traditional extracorporeal methods.
    Conclusion:

    The described technique is reproducible and aims to optimize surgical workflow while minimizing complications in left-sided colorectal resections.

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