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Updated: Aug 17, 2026

Single-port Robotic Transanal Total Mesorectal Excision in a Porcine Model (Sus scrofa domesticus)
Published on: April 3, 2026
Dorsal transsacrococcygeal rectal approach
1Department of Surgery, Hospital de Clínicas, Montevideo, Uruguay. ccanessa@hc.edu.uy
Methods:
A modification of the dorsal rectal approach is described as an alternative to consider in selected low and middle rectal lesions unsuitable for the transanal approach. The dorsal rectal approach is performed through the sacrococcygeal joint and below the gluteus maximus muscle resulting in an easier, safe, and well-tolerated procedure.
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