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Related Experiment Video

Updated: Apr 27, 2026

Single-port Robotic Transanal Total Mesorectal Excision in a Porcine Model (Sus scrofa domesticus)
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Robotic transanal total mesorectal excision: a pilot study.

S Atallah1, B Martin-Perez, J Pinan

  • 1Florida Hospital, Winter Park, FL, USA, atallah@post.harvard.edu.

Techniques in Coloproctology
|June 25, 2014
PubMed
Summary

Robotic transanal total mesorectal excision (TME) is a new surgical approach for rectal cancer. Initial results show it is feasible and safe for distal rectal cancer patients.

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Area of Science:

  • Minimally invasive surgery
  • Colorectal surgery
  • Robotic surgery

Background:

  • Transanal minimally invasive surgery (TAMIS) has evolved, enabling TAMIS for total mesorectal excision (TME).
  • Robotic-assisted transanal TME represents a novel advancement in rectal cancer surgery.

Observation:

  • Three patients with distal rectal cancer underwent robotic transanal TME.
  • The procedures were performed with curative intent by a single surgeon over 11 months.

Findings:

  • All patients achieved tumor-free resection margins (distal and circumferential).
  • Mesorectal resection quality was graded as I or II.
  • No major morbidity or mortality was observed in the short term.

Implications:

  • Robotic transanal TME is a feasible technique for en bloc rectal cancer resection.
  • Further research is needed to evaluate the benefits of this innovative surgical approach.