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Related Experiment Video

Updated: Oct 1, 2025

Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection
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Robotic NICE Procedure Using Handsewn Technique.

Eric M Haas1,2, Roberto Luna-Saracho1, Jetsen A Rodriguez-Silva1

  • 1Division of Colon and Rectal Surgery, Houston Methodist Hospital, Houston, Texas.

Diseases of the Colon and Rectum
|March 3, 2022
PubMed
Summary
This summary is machine-generated.

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This study shows that robotic colorectal surgery using handsewn intracorporeal anastomosis and transrectal specimen extraction is safe and feasible. This natural orifice surgery avoids abdominal incisions and stapling devices for colorectal procedures.

Area of Science:

  • Minimally Invasive Surgery
  • Colorectal Surgery
  • Robotic Surgery

Background:

  • Robotic natural orifice surgery offers potential benefits for colorectal resections.
  • Previous techniques involved intracorporeal anastomosis and transrectal specimen extraction.
  • Further exploration into handsewn intracorporeal anastomosis is warranted.

Purpose of the Study:

  • To present the technical steps and initial experience of robotic colorectal resection with total handsewn intracorporeal anastomosis and transrectal specimen extraction.
  • To evaluate the feasibility, safety, and short-term outcomes of this refined natural orifice procedure.

Main Methods:

  • Twenty patients underwent robotic colorectal resection using the natural orifice intracorporeal anastomosis with transrectal extraction (NICE) procedure.

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  • The technique involved a total handsewn end-to-end intracorporeal anastomosis.
  • A technical video demonstrating the procedure and its variations was created.
  • Main Results:

    • The procedure was successfully performed in all 20 patients, with no intraoperative complications or conversions.
    • Natural orifice transrectal extraction was successful in 85% of cases.
    • The mean operative time was 235 minutes, and the mean postoperative stay was 2.1 days, with 3 major complications reported.

    Conclusions:

    • Robotic colorectal resection with handsewn intracorporeal anastomosis and transrectal extraction is a feasible and safe technique.
    • This approach allows for a completely intracorporeal procedure, eliminating the need for abdominal extraction incisions and circular staplers.