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Robotic Transanal Surgery for Rectal Cancer
John H Marks1, Rafael E Perez1, Jean F Salem1
1Department of Colorectal Surgery, Lankenau Medical Center, Wynnewood, Pennsylvania.
Clinics in Colon and Rectal Surgery
|September 13, 2021
Summary
Robotic transanal surgery advances rectal cancer treatment. Single-port robotic platforms (SP rTAMIS and SP rtaTME) offer new minimally invasive options for patients, building on prior transanal techniques.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Rectal cancer surgery faces challenges addressed by minimally invasive techniques.
- Transanal surgery has evolved through various approaches like TAMIS and taTME.
- Robotic platforms enhance surgical precision and capabilities.
Purpose of the Study:
- To describe the evolution of transanal rectal cancer surgery.
- To detail the development of single-port robotic transanal minimally invasive surgery (SP rTAMIS) and single-port robotic transanal total mesorectal excision (SP rtaTME).
- To review indications, techniques, outcomes, benefits, and limitations of SP rTAMIS and SP rtaTME.
Main Methods:
- Review of the evolution of transanal rectal cancer surgery techniques.
- Description of the convergence of transanal endoscopic microsurgery, TAMIS, taTME, and robotic platforms.
- Analysis of single-port robotic transanal approaches (SP rTAMIS, SP rtaTME).
Main Results:
- The convergence of technologies has led to SP rTAMIS and SP rtaTME.
- These robotic platforms represent the latest advancements in transanal rectal cancer surgery.
- The article will cover key aspects including indications, technical details, and patient outcomes.
Conclusions:
- Single-port robotic transanal surgery signifies a major advancement in rectal cancer management.
- SP rTAMIS and SP rtaTME hold significant promise for improving patient care.
- Further evaluation of benefits and limitations is essential for clinical integration.
