Decalogue for mastering robotic transanal minimally invasive surgery (rTAMIS)

Area of Science:

• Surgical Technology
• Minimally Invasive Surgery
• Robotic Surgery

Background:

• Transanal robotic surgery (TRS) is an advanced technique for rectal procedures.
• Mastery of TRS requires specific technical skills and knowledge.
• Standardized approaches are crucial for optimal patient outcomes.

Purpose of the Study:

• To provide a comprehensive overview of essential tips for successful transanal robotic surgery.
• To guide surgeons in optimizing key procedural steps for improved efficiency and safety.

Main Methods:

• Detailed description of patient positioning and abdominal pressure management for stable pneumorectum.
• Guidance on robotic platform and camera alignment.
• Strategies for trocar placement to prevent instrument collisions.
• Review of instruments and techniques for tumor resection in TRS.

Main Results:

• Successful implementation of described techniques leads to proficient transanal robotic surgery.
• Optimized positioning and instrument management enhance surgical precision.
• Effective tumor resection is achievable with meticulous attention to procedural details.

Conclusions:

• Mastery of transanal robotic surgery is facilitated by understanding and applying these specific technical tips.
• Adherence to best practices in patient positioning, platform setup, and instrument handling is critical.
• These guidelines contribute to the safe and effective application of robotic technology in transanal surgery.