• Cirugía española · May 2014

    Case Reports

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

    • Marcos Gómez Ruiz, Carlos Manuel Palazuelos, José Ignacio Martín Parra, Joaquín Alonso Martín, Carmen Cagigas Fernández, Julio del Castillo Diego, and Manuel Gómez Fleitas.
    • Servicio de Cirugía General y Aparato Digestivo, Unidad de Cirugía Colorrectal, Hospital Universitario Marqués de Valdecilla, Santander, España. Electronic address: marcgomez@humv.es.
    • Cir Esp. 2014 May 1; 92 (5): 356-61.

    AbstractAnterior 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.Copyright © 2013 AEC. Published by Elsevier Espana. All rights reserved.

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