Colectomy: An overview of robotic surgical techniques

Written in association with: Ms Kat Baker
Published: | Updated: 26/09/2023
Edited by: Sophie Kennedy

In this informative article on colectomy, we hear from revered consultant colorectal surgeon Ms Kat Baker on what is involved in the surgical removal of a part or the entirety of the colon (large intestine). The leading expert also sheds light on how advancements in medical technology have introduced robotic surgical techniques into daily practice, revolutionising colectomy procedures. Ms Baker also details the many benefits of robotic surgery and addresses common concerns associated with colectomy procedures.

Why might a colectomy procedure be performed?

Colectomy is performed to treat a range of conditions, including colon cancer, diverticulitis, inflammatory bowel disease, and polyps. The procedure may involve removing a section of the colon (partial colectomy) or the entire colon (total colectomy). In some cases, the rectum may also be removed, which is known as proctocolectomy.

Robotic surgical techniques

Robotic-assisted colectomy is a minimally invasive surgical approach that utilises advanced robotic technology. During the procedure, the surgeon controls robotic arms equipped with surgical instruments, which are inserted through small incisions in the abdomen. The surgeon operates the robotic system from a console, providing enhanced precision and control over the surgical instruments.
 

What are the benefits of robotic surgery?

Enhanced precision

The robotic system provides the surgeon with a three-dimensional view of the surgical site, allowing for improved accuracy during the procedure. The robotic arms can rotate and manoeuvre with greater dexterity, enabling precise movements.
 

Minimally invasive approach

Compared to traditional open surgery, robotic-assisted colectomy offers smaller incisions, resulting in reduced scarring, less post-operative pain, and a shorter recovery time. Patients often experience less blood loss during the procedure.
 

Reduced complications

Robotic surgery has been associated with lower rates of complications, such as infections and wound healing problems, when compared to open surgery. Additionally, the risk of damage to surrounding tissues is minimised due to the increased precision of the robotic system.


Common concerns addressed

Surgeon expertise

Robotic-assisted colectomy requires specialised training for the surgeon to operate the robotic system effectively. Ensure that your surgeon has expertise and experience in performing robotic surgeries and discuss any concerns you may have during your preoperative consultations.
 

Accessibility

The availability of robotic-assisted colectomy may vary based on the hospital and location. If you are offered a procedure which uses robotic techniques, you should strongly consider it as there are many advantages over open surgery. You should discuss any concerns you have about your procedure with your doctor.


Individual suitability

Not all patients are suitable candidates for robotic-assisted colectomy. Factors such as the complexity of the condition and the patient's overall health may influence the feasibility of robotic surgery. Your surgeon will evaluate your specific case to determine the most appropriate surgical approach for you.

Although it’s important to bear these factors in mind, robotic-assisted colectomy offers various key advantages over traditional open surgery, including enhanced precision, reduced invasiveness, and improved patient outcomes. If you require colectomy surgery, you should discuss robotic surgery with your specialist who can advise if it is a suitable option for your specific case. By staying informed and proactive, you can make well-informed decisions about your healthcare journey.




If you would like to schedule a consultation with Ms Baker, you can do so by visiting her Top Doctors profile.

By Ms Kat Baker
Colorectal surgery

Ms Kat Baker is a highly respected consultant colorectal surgeon based in Oxford. She is renowned for her expertise in colorectal cancer, Crohn’s disease and ulcerative colitis, and also specialises in robotic surgery. She offers broad portfolio of cases using the Da Vinci Xi robot, including anterior resection, right hemicolectomy with intra-corporeal anastomosis, subtotal colectomy and proctectomy and pouch surgery. She also provides a full proctology practice.

Ms Baker qualified in medicine from the University of Bristol in 2006. She later undertook a Royal College of Surgeons research fellowship based at University Hospitals Bristol and the University of Bristol. In 2015, she completed an MD in cellular and molecular medicine and colorectal cancer and led an NIHR portfolio adopted study. In recognition of the excellence of her research, Ms Baker received the John of Arderne Medal from the Royal Society of Medicine and the Rosetrees essay prize. Following this, she was awarded a highly esteemed Fulbright scholarship, in which she travelled to New York Presbyterian Hospital and Colombia University, USA to research colorectal cancer outcomes. In this period, she also completed a Value Based Healthcare course at Harvard University. In 2019, the Association of Coloproctology of Great Britain and Ireland (ACPGBI) named Ms Baker as Trainee Coloproctologist of the Year. The following year, she embarked on a specialist fellowship in colorectal surgery, including the use of robotics, at the internationally renowned Royal Brisbane and Women’s Hospital, Australia. Since 2021, she has been appointed as a consultant colorectal surgeon at Oxford University Hospitals NHS Foundation Trust. Ms Baker sees private patients at Nuffield Health The Manor Oxford Hospitals.

Throughout her esteemed career, Ms Baker has held a number of key roles, including with the European Society of Coloproctology as an Education and Training Committee member. She is also a former president of the Dukes' Club of the UK Colorectal Surgery Trainees’ Society and has volunteered as a medic on various charity treks around the world. Ms Baker has published a number of academic papers which appear in peer-reviewed journals and has appeared as an invited speaker at key national and international meetings. She is currently an investigator on several national studies researching robotic surgery and inflammatory bowel disease. She is a fellow of the Royal College of Surgeons and a member of the British Association of Cancer Research and the Association of Coloproctology of Great Britain and Ireland, amongst others.

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