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ROBOTIC ISOPERISTALTIC SIDE TO SIDE ANASTOMOSIS: A SOLUTION FOR OBESE PATIENTS WITH LIMITED INTESTINAL MOBILITY
Salih N. Karahan
*, Mustafa Oruc, Brogan Catalano, Emre Gorgun
Colorectal Surgery, Cleveland Clinic, Cleveland, OH
We present a case of a 58-year-old male (BMI 50 kg/m2) with a 4.5 cm splenic flexure polyp, resected en-bloc via endoscopic submucosal dissection. Pathology revealed adenocarcinoma with a 0.99 mm deep margin, and tumor board recommended surgery. Robotic segmental splenic flexure resection was performed. Due to obesity and limited intestinal mobility, a robotic isoperistaltic side-to-side colocolic anastomosis was performed, minimizing the need for extensive mobilization. The patient was discharged on postoperative day 2 without complications. This approach reduces operative difficulty in obese patients, providing an efficient alternative to antiperistaltic anastomosis.
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