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  • Title: New technique of transanal proctectomy with completely robotic total mesorrectal excision for rectal cancer.
    Author: Gómez Ruiz M, Palazuelos CM, Martín Parra JI, Alonso Martín J, Cagigas Fernández C, del Castillo Diego J, Gómez Fleitas M.
    Journal: Cir Esp; 2014 May; 92(5):356-61. PubMed ID: 24589418.
    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.
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