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Flexible robotic transanal resection of rectal polyps - A case series
Kar Yin Fok1, Ferhat Arabaci2, Walid Barto2
1Department of General Surgery, Nepean Hospital, Kingswood, New South Wales, Australia.
Background:
Flexible systems in robotic transanal surgery (RTA) are a proposed solution to the challenges of transanal minimally invasive surgery (TAMIS). RTA was performed with the Medrobotics Flex® Robotics System to determine its safety and feasibility.
Methods:
Medrobotics Flex® Robotics System was used for transanal resection of benign rectal polyps by a single surgeon in a tertiary centre, and cases retrospectively reviewed.
Results:
Five patients underwent flexible RTA, average age was 67 years. Polyps were between 5 and 12 o'clock, mean distance of 8.3 cm from the anal verge. Average operating time was 143 min. There was no peri-operative or 30-day morbidity or mortality. Histopathology included tubulovillous adenoma (TVA), and one hyperplastic polyp, all were clear of the surgical margin.
Conclusion:
This is the first case series using Medrobotics Flex® Robotics System for RTA in a tertiary Australian public hospital. Flexible RTA is safe and feasible for the resection of benign rectal polyps.
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