Robotic Right Hemicolectomy: Difficult Mesentery

Dr. Sami Alasari (Saudi Arabia) and his team at Mouwasat Hospital (Saudi Arabia) will perform a robotic right hemicolectomy for difficult mesentery. The focus of this demonstration will be the debate on when to resect versus not resect the mesentery in Crohn’s disease cases. This discussion is crucial for understanding the complexities and challenges associated with mesenteric surgery in Crohn’s patients.

PROGRAM:

1. Welcome and Introduction 

2. Case Presentation

a) Patient: 31-year-old female with fever, diarrhea, night sweats, and abdominal pain for 6 months. Notable tenderness in the right lower abdomen.

b) Diagnosis: Colonoscopy revealed terminal ileitis; biopsy confirmed Crohn’s disease.

3. Surgical Procedure

a) Robotic patient cart and trocar positioning

b) Medial and lateral dissection

c) Vascular ligation

d) Stapler bowel resection

e) Intracorporeal anastomosis and suturing

f) Specimen extraction

4. Closing Remarks