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Robotic transanal total mesorectal excision for rectal cancer: experience with a first case
Author(s) -
Verheijen P. M.,
Consten E. C. J.,
Broeders I. A. M. J.
Publication year - 2014
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.1594
Subject(s) - total mesorectal excision , medicine , surgery , ileostomy , port (circuit theory) , sigmoidoscopy , anastomosis , anal verge , colorectal cancer , colonoscopy , cancer , electrical engineering , engineering
Background A transanal approach for total mesorectal excision (TME) using a single incision port is feasible. The disadvantages are technical difficulties associated with limited manoeuvrability. Methods We present our first experience with robotic‐assisted transanal total mesorectal excision. A 48 year‐old woman with a tumour 8 cm from the anal verge was successfully operated using a transanal approach. A complete mesorectal excision was performed through a single incision port, using two robot arms. Results TME was performed successfully and the patient recovered quickly without any complications. The histological report showed a complete mesorectal excision with free distal and circumferential margins. A sigmoidoscopy showed an intact anastomosis and the patient was planned for reversal of her ileostomy. Conclusions Transanal total mesorectal excision using the robot is feasible. Robotics may help to overcome technical difficulties associated with the single incision port. Copyright © 2014 John Wiley & Sons, Ltd.