We present the essential technical points of a robotic right colectomy with complete mesocolic excision (CME), central vascular ligation (CVL) and D3 lymphadenectomy performed with the da Vinci Xi robot®, using a suprapubic bottom-to-up approach (Appendix A, Video).
The placement of the trocars along a horizontal suprapubic line allows a frontal vision of the superior mesenteric vascular axis along with an optimal instruments’ triangulation, making the separation of mesocolon from the posterior plane easier and a precise dissection of superior mesenteric vein and artery, middle colic artery and Henle’s trunk with its branches (Fig. 1).
Please cite this article as: García Domínguez M, Lo Conte D, Mellano A, Ribero D. Colectomía derecha robótica con escisión completa del mesocolon y linfadenectomía D3 mediante abordaje suprapúbico «bottom-to-up»: aspectos técnicos clave. Cir Esp. 2020;98:482.
