New technique of transanal proctectomy with completely robotic total mesorrectal excision for rectal cancer.

نویسندگان

  • Marcos Gómez Ruiz
  • Carlos Manuel Palazuelos
  • José Ignacio Martín Parra
  • Joaquín Alonso Martín
  • Carmen Cagigas Fernández
  • Julio del Castillo Diego
  • Manuel Gómez Fleitas
چکیده

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.

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عنوان ژورنال:
  • Cirugia espanola

دوره 92 5  شماره 

صفحات  -

تاریخ انتشار 2014