Right Hemicolectomy With Complete Mesocolon Excision Using Modular Robotic Platform

Complete mesocolic excision (CME) is a technique that is gaining increasing acceptance in\r\ncolorectal surgery.1,2 Nevertheless, it is considered technically demanding, as it requires\r\nadvanced surgical skills and a thorough knowledge of anatomical variations, particularly during\r\ndissection along the mesenteric axis at the origin of the colic vessels, the trunk of Henle, and the\r\ngastroepiploic vessels.3\r\nIn this context, robotic surgery represents a valuable alternative, offering\r\nenhanced image stability, elimination of physiological tremor, and greater precision in\r\nmovement. These advantages may facilitate meticulous dissection and help the surgeon\r\novercome the technical challenges associated with CME.4–6\r\nWe present a clinical case of a right hemicolectomy with CME performed using the modular and\r\nportable robotic platform Hugo™ RAS system (Medtronic, Minneapolis, MN, USA), for right\r\ncolon cancer located in hepatic flexure treated at the Digestive Surgery Unit of the Fondazione\r\nPoliclinico Universitario A. Gemelli, IRCCS in Rome. Written informed consent for video\r\nrecording was obtained from the patient prior to surgery, together with consent for the surgical\r\nprocedure.\r\nThis case demonstrates the feasibility of performing a right hemicolectomy with CME using a\r\nmodular and portable robotic platform showing our own setup for the procedure. The system’s\r\ninnovative design with 4 robotic arms may contribute to enhancing surgical precision in complex\r\ncolorectal procedures. To our knowledge, this is one of the first experiences of the use of a\r\nmodular and portable robotic platform for right hemicolectomy with CME. However, further\r\nstudies are needed to assess long-term outcomes and the broader applicability of this platform in\r\ncolorectal surgery. See Video