{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T10:51:44Z","timestamp":1789037504250,"version":"build-2803163510"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2022,1,21]],"date-time":"2022-01-21T00:00:00Z","timestamp":1642723200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,1,21]],"date-time":"2022-01-21T00:00:00Z","timestamp":1642723200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["T32CA121938"],"award-info":[{"award-number":["T32CA121938"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Although there is extensive literature on robotic total intracorporeal anastomosis (TICA) for right colon resection, left total ICA using the da Vinci Xi robotic platform has only been described in short case series previously. In this study, we report on the largest cohort of robotic left total ICA, provide a description of our institution\u2019s techniques, and compare outcomes to robotic left partial extracorporeal anastomosis (PECA).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Patients who underwent robotic left colectomy for any underlying pathology from July 1, 2016 through April 30, 2020 were identified by procedure code. A technical description is provided for two unique techniques performed at our institution. Outcomes included operative time, length of stay, supply cost, post-operative ileus, post-operative morbidity and mortality and need for complete mobilization of the splenic flexure.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>From a review of our institution\u2019s data, 83 robotic TICA cases were identified and 76 robotic PECA cases were identified. Common procedures included low anterior resection, sigmoidectomy, left hemicolectomy, and rectopexy with resection. TICA was associated with significantly shorter intraoperative time compared to PECA.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Our series shows that TICA is a safe and feasible technique that does not increase the risk of adverse outcomes. Using either the anvil-forward or anvil-backward technique, we were able to reliably reproduce this method in a total of 83 patients undergoing left colon resection for either benign or malignant diseases.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00464-022-09048-6","type":"journal-article","created":{"date-parts":[[2022,1,21]],"date-time":"2022-01-21T15:02:34Z","timestamp":1642777354000},"page":"3645-3652","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Robotic left-stapled total intracorporeal bowel anastomosis versus stapled partial extracorporeal anastomosis: operative technical description and outcomes"],"prefix":"10.1007","volume":"36","author":[{"given":"Hannah M.","family":"Hollandsworth","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beiqun","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Abbadessa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole E.","family":"Lopez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Parry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia","family":"Ramamoorthy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Eisenstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,1,21]]},"reference":[{"issue":"8","key":"9048_CR1","doi-asserted-by":"publisher","first-page":"1886","DOI":"10.1007\/s00464-009-0865-9","volume":"24","author":"J Grams","year":"2010","unstructured":"Grams J, Tong W, Greenstein AJ, Salky B (2010) Comparison of intracorporeal versus extracorporeal anastomosis in laparoscopic-assisted hemicolectomy. Surg Endosc 24(8):1886\u20131891. https:\/\/doi.org\/10.1007\/s00464-009-0865-9","journal-title":"Surg Endosc"},{"issue":"5","key":"9048_CR2","doi-asserted-by":"publisher","first-page":"614","DOI":"10.1002\/bjs.11519","volume":"107","author":"SH Emile","year":"2020","unstructured":"Emile SH (2020) Intracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy; earlier recovery, less complications, and more. Br J Surg 107(5):614. https:\/\/doi.org\/10.1002\/bjs.11519","journal-title":"Br J Surg"},{"issue":"11","key":"9048_CR3","doi-asserted-by":"publisher","first-page":"4788","DOI":"10.1007\/s00464-019-07255-2","volume":"34","author":"G Anania","year":"2019","unstructured":"Anania G, Agresta F, Artioli E, Rubino S, Resta G, Vettoretto N, Petz WL, Bergamini C, Arezzo A, Valpiani G, Morotti C, Silecchia G (2019) Laparoscopic right hemicolectomy: the SICE (Societ\u00e0 Italiana di Chirurgia Endoscopica e Nuove Tecnologie) network prospective trial on 1225 cases comparing intra corporeal versus extra corporeal ileo-colic side-to-side anastomosis. Surg Endosc 34(11):4788\u20134800. https:\/\/doi.org\/10.1007\/s00464-019-07255-2","journal-title":"Surg Endosc"},{"issue":"3","key":"9048_CR4","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1007\/s11701-017-0759-0","volume":"12","author":"SR Kelley","year":"2018","unstructured":"Kelley SR, Duchalais E, Larson DW (2018) Robotic right colectomy with intracorporeal anastomosis for malignancy. J Robot Surg 12(3):461\u2013466. https:\/\/doi.org\/10.1007\/s11701-017-0759-0","journal-title":"J Robot Surg"},{"issue":"2","key":"9048_CR5","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1097\/DCR.0000000000001164","volume":"62","author":"R Quezada-Diaz","year":"2019","unstructured":"Quezada-Diaz R, Jiminez-Rodriguez RM, Rawdon K, Garcia-Aguilar J (2019) Fully robotic resection of a splenic flexure tumor with intracorporeal anastomosis. Dis Colon Rectum 62(2):257","journal-title":"Dis Colon Rectum"},{"key":"9048_CR6","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-019-01022-0","author":"RO Minjares","year":"2019","unstructured":"Minjares RO, Dimas BA, Ghabra S, LeFave JJ, Haas EM (2019) Surgical resection for diverticulitis using robotic natural orifice intracorporeal anastomosis and transrectal extraction approach: the NICE procedure. J Robot Surg. https:\/\/doi.org\/10.1007\/s11701-019-01022-0","journal-title":"J Robot Surg"},{"issue":"9","key":"9048_CR7","doi-asserted-by":"publisher","first-page":"4041","DOI":"10.1007\/s00464-019-07193-z","volume":"34","author":"G Merola","year":"2020","unstructured":"Merola G, Sciuto A, Pirozzi F, Andreuccetti J, Pignata G, Corcione F, Milone M, De Palma GD, Castaldo R, Pecchia L, Ceccarelli G, Bracale U (2020) Is robotic right colectomy economically sustainable? A multicentre retrospective comparative study and cost analysis. Surg Endosc 34(9):4041\u20134047. https:\/\/doi.org\/10.1007\/s00464-019-07193-z","journal-title":"Surg Endosc"},{"issue":"6","key":"9048_CR8","doi-asserted-by":"publisher","first-page":"2137","DOI":"10.1007\/s13304-021-01061-z","volume":"73","author":"P Achilli","year":"2021","unstructured":"Achilli P, Perry W, Grass F, Abd El Aziz MA, Kelley SR, Larson DW, Behm KT (2021) Completely intracorporeal anastomosis in robotic left colonic and rectal surgery: technique and 30-day outcomes. Updates Surg 73(6):2137\u20132143. https:\/\/doi.org\/10.1007\/s13304-021-01061-z","journal-title":"Updates Surg"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-022-09048-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00464-022-09048-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-022-09048-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,11]],"date-time":"2022-04-11T19:21:37Z","timestamp":1649704897000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00464-022-09048-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,21]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,5]]}},"alternative-id":["9048"],"URL":"https:\/\/doi.org\/10.1007\/s00464-022-09048-6","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"value":"0930-2794","type":"print"},{"value":"1432-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,21]]},"assertion":[{"value":"1 May 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 January 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 January 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Dr. Samuel Eisenstein is a consultant for Auris Health. Drs. Hannah Hollandsworth, Kevin Li, Beiqun Zhao, Nicole Lopez, Benjamin Abbadessa, Lisa Parry, and Sonia Ramamoorthy have no conflicts of interest or financial ties to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}