New Technique of Transanal Proctectomy With Completely Robotic Total Mesorrectal Excision for Rectal Cancer

Abstract Anterior resection with total mesorectal excision is the standard method of rectal cancer resection. However, this procedure remains technically difficult in mid and low rectal cancer. A robotic transanal proctectomy with total mesorectal excision and laparoscopic assistance is reported in...

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Bibliographic Details
Published in:Cirugia española (English ed.) 2014-05, Vol.92 (5), p.356-361
Main Authors: Gómez Ruiz, Marcos, Palazuelos, Carlos Manuel, Martín Parra, José Ignacio, Alonso Martín, Joaquín, Cagigas Fernández, Carmen, del Castillo Diego, Julio, Gómez Fleitas, Manuel
Format: Article
Language:English
Subjects:
Cirugía robótica
Cáncer de recto
Escisión total mesorrectal
Proctectomy
Proctectomía
Rectal cancer
Robotic surgery
Surgery
Total mesorectal excision
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Summary:Abstract Anterior resection with total mesorectal excision is the standard method of rectal cancer resection. However, this procedure remains technically difficult in mid and low rectal cancer. A robotic transanal proctectomy with total mesorectal excision and laparoscopic assistance is reported in a 57 year old male with BMI 32 kg/m2 and rectal adenocarcinoma T2N1M0 at 5 cm from the dentate line. Operating time was 420 min. Postoperative hospital stay was 6 days and no complications were observed. Pathological report showed a 33 cm specimen with ypT2N0 adenocarcinoma at 2 cm from the distal margin, complete TME and non affected circumferential resection margin. Robotic technology might reduce some technical difficulties associated with TEM/TEO or SILS platforms in transanal total mesorectal excision. Further clinical trials will be necessary to assess this technique.
ISSN:2173-5077
2173-5077
DOI:10.1016/j.cireng.2013.12.021