Robotic transanal total mesorectal excision for rectal cancer: experience with a first case

P.M. Verheijen, E.C.J. Consten, Ivo Adriaan Maria Johannes Broeders

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    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.
    Original languageUndefined
    Pages (from-to)423-426
    Number of pages4
    JournalInternational journal of medical robotics and computer assisted surgery
    Issue number4
    Publication statusPublished - 1 May 2014


    • EWI-25715
    • rectum
    • Robotic
    • IR-94237
    • transanal
    • METIS-309890
    • TME

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