Robot-assisted laparoscopic descending colon carcinoma resection with D3 lymph node dissection using the triple bipolar technique and intracorporeal delta anastomosis

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Robot-assisted laparoscopic surgeries for descending colon cancer are increasing but lack standardized techniques.
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The procedure requires lymph node dissection, particularly around the inferior mesenteric artery, as per JSCCR guidelines.
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A standardized technique using a triple bipolar method and intracorporeal delta anastomosis has been developed.
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The surgical approach involves a Pfannenstiel incision and a 5-port configuration with specific patient positioning.
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The procedure was completed in 215 minutes with minimal blood loss, demonstrating efficiency and reduced dissection.

Techniques In Coloproctology

by J. Mazaki, T. Ishizaki, Y. Kuboyama, R. Udo, T. Tago, K. Kasahara, K. Iwasaki, Y. Nagakawa
September 11, 2024

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