Multiple quadrant access is usually necessary for this intricate procedure. For this purpose, the most commonly preferred approach for the patient cart is from the right or left side of the operating table. Rotation of the boom from right to left enables precise maneuvering of both sides of the abdomen (Fig.27.7a). The surgeon initially gains access to the right side, followed by access to the left side, which is achieved by turning the boom where the arms are anchored. Alternatively, the patient’s cart can be placed between the patient’s legs (Fig.27.7b), associated with a similar operative time [10]. A meticulous approach to docking is imperative, necessitating the accurate alignment of the patient cart and robotic arms. In total colectomy, the surgeon initiates the procedure by accessing the abdominal cavity using established techniques such as the Hasson technique, VisiPort™ Trocars (Medtronic, Minneapolis, MN, USA), or a Veress needle. This entry point allows a comprehensive examination of the abdominal anatomy, focusing on critical struc­tures such as the ileocolic artery and duodenum. Pre-docking intra-abdominal inspection is recommended to reveal anatomical details and avoid platform­positioning complications. Port placement, a critical consideration, involves strate­gic positioning of trocars to ensure effective access to all four quadrants of the abdomen. The typical conguration includes a 12mm robotic port in the right iliac fossa; 8mm robotic ports in the umbilical region, left iliac fossa, and right and left upper quadrants; and 5mm assistant ports in the right and left anks (Fig.27.8). Alternative port placements and patient cart positions can be considered based on the procedure and the surgeon’s preferences. As the authors of this chapter, we do not prefer a robotic approach for total colectomy. Consequently, we do not advocate a specic preferred patient cart position or port placement technique.