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

doi:10.1002/rcs.1594

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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Abstract

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 language	Undefined
Pages (from-to)	423-426
Number of pages	4
Journal	International journal of medical robotics and computer assisted surgery
Volume	10
Issue number	4
DOIs	https://doi.org/10.1002/rcs.1594
Publication status	Published - 1 May 2014

Keywords

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

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This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1002/rcs.1594

Cite this

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title = "Robotic transanal total mesorectal excision for rectal cancer: experience with a first case",

abstract = "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.",

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T1 - Robotic transanal total mesorectal excision for rectal cancer: experience with a first case

AU - Verheijen, P.M.

AU - Consten, E.C.J.

AU - Broeders, Ivo Adriaan Maria Johannes

N1 - 10.1002/rcs.1594

PY - 2014/5/1

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AB - 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.

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