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Robotic Transanal Minimally Invasive Surgery (rTAMIS): Large Tubulovillous Adenoma
Jetsen A Rodriguez-Silva1, Robert D Bennett1
1Division of Colon and Rectal Surgery, University of South Florida Morsani Medical College, Tampa, FL, USA.
The American Surgeon
|February 28, 2023
Summary
Robotic transanal minimally invasive surgery (rTAMIS) offers a new approach for complex rectal lesions. This case demonstrates rTAMIS for a large, unresectable rectal mass, showcasing its potential in rectal pathology management.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Surgery
- Surgical Robotics
Background:
- Transanal endoscopic microsurgery (TEM) and transanal laparoscopic minimally invasive surgery (TAMIS) evolved to manage rectal pathologies.
- Limitations of conventional transanal surgery spurred the development of TEM and TAMIS.
- Robotic platforms enhance surgical dexterity for complex rectal lesions.
Observation:
- A patient presented with a large rectal mass.
- The mass was deemed endoscopically unresectable.
- Robotic transanal minimally invasive surgery (rTAMIS) was performed.
Findings:
- rTAMIS successfully managed a large, endoscopically unresectable rectal mass.
- The robotic platform combined with TAMIS facilitated treatment of a complex rectal lesion.
- This case highlights the application of rTAMIS in challenging rectal cases.
Implications:
- Robotic surgery may expand minimally invasive options for rectal pathologies.
- rTAMIS presents a viable alternative for complex rectal lesions.
- Further research into rTAMIS for rectal mass management is warranted.
