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Preclinical cadaveric study of transanal robotic proctectomy with total mesorectal excision combined with laparoscopic assistance
Author(s) -
Gomez Ruiz M.,
Martin Parra I.,
Calleja Iglesias A.,
Stein H.,
Sprinkle S.,
Manuel Palazuelos C.,
Alonso Martin J.,
Cagigas Fernandez C.,
Castillo Diego J.,
Gomez Fleitas M.
Publication year - 2015
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.1581
Subject(s) - total mesorectal excision , medicine , cadaveric spasm , robotic surgery , surgery , port (circuit theory) , resection , cadaver , colorectal cancer , cancer , electrical engineering , engineering
Background Anterior resection with total mesorectal excision (TME) is the standard method of rectal cancer resection. However, this procedure remains technically difficult. A robotic transanal approach could overcome some of these limitations. An initial laboratory experience with robotic transanal TME using a new designed port on human cadavers is reported. Methods The feasibility of robotic transanal TME and ideal set‐up were evaluated in human cadavers. For the da Vinci Si HD system transanal access and total mesorectal excision, a specifically designed port was used. Results It was possible to complete a proctectomy with transanal total mesorectal excision. The port proved to be very reliable and facilitated docking of the robotic arms. Conclusion Using the robotic technology and a specifically designed port for robotic transanal access, TME was shown to be feasible and one specific preferred set‐up was determined. Further clinical trials will be necessary to assess the safety and efficacy of this technique. Copyright © 2014 John Wiley & Sons, Ltd.