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Updated: May 25, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
Robotic-assisted total mesorectal excision with the aid of a single-port device
Rosa M Jiménez-Rodríguez1, José M Díaz Pavón, Fernando de la Portilla
1Department of General Surgery, Virgen del Rocío UH, Seville, Spain. ros_j_r@hotmail.com
Unlabelled:
INTRODUCTION AND INDICATIONS: Robotic surgery has numerous advantages in rectal cancer surgery. Studies have reported the advantages associated with single-port approaches, such as eliminating the need for additional incisions, as well as the difficulties inherent in this technique. The authors present a hybrid technique that they performed using a robotic total mesorectal excision with the aid of a single port-device. Materials and methods. The authors performed the technique on 2 patients using a single-port device through an umbilical incision and 3 accessory ports for the robotic arms. There was no need to place ports for the assistant's equipment or for an assistant incision.
Results And Complications:
The operation time was 177.5 minutes, and there were no intraoperative or postoperative complications. Both patients were discharged 7 days after the operation.
Conclusions:
This technical variation is an additional step forward for oncological surgery with minimal damage to the abdominal wall.
