Fig. 15.1
shows trocar size and positions for robotic rectosigmoidectomy
Fig. 15.2
shows pelvic site with uterine manipulator elevating the uterus and presenting a complex endometriotic lesion comprising the vagina and the rectum
Fig. 15.3
shows dissection and resection of the left uterosacral ligament compromised with endometriosis just before colonic dissection
Fig. 15.4
shows a complex case with endometriosis comprising the uterus, vagina, and rectum being dissected and separated during a robotic dissection
Fig. 15.5
shows a complex case with encasement of the left ureter, uterus, vagina, and rectum by endometriosis during a robotic dissection
Fig. 15.6
shows the rectal stump with a 33 mm circular stapler just before the connection for the anastomosis
Normally during surgery we use a harmonic scalpel and two bowel graspers. Margins are normally assessed after specimen removal during surgery.
A liquid diet is started on the second postoperative day if flatus is present. Patients are normally discharged on the third postoperative day [5].
Postoperative Care
Normally in the 1st PO day a liquid diet with no lactose and probiotics is started. On the second day antibiotics and IV saline infusion are discontinued.
If the patient has bowel movements on the 2nd or 3rd PO day he is dismissed.
Related posts:
Natural Orifice Approaches in Rectal Surgery: Transanal Endoscopic Proctectomy
Minimally Invasive Surgery for Rectal Prolapse: Robotic Procedures
Laparoscopic Procedures: Single-Incision Laparoscopic Colorectal Surgery
Robotic Low Anterior and Abdominoperineal Resection: Hybrid Technique
Minimally Invasive Techniques for Inflammatory Bowel Disease
Minimally Invasive Procedures for Rare Rectal Conditions: Complex Rectourethral Fistulas and Retrorectal Tumors
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