Robotic Transanal Minimally Invasive Surgery for Rectal Polyps.

Area of Science:

• Minimally Invasive Surgery
• Colorectal Surgery
• Robotic Surgery

Background:

• Transanal minimally invasive surgery (TAMIS) is effective for rectal lesions but technically challenging with traditional laparoscopic tools.
• The da Vinci Single Port (SP) robotic system offers potential to overcome these technical barriers.

Purpose of the Study:

• To describe the initial experience with robotic TAMIS using the da Vinci SP system.
• To provide technical insights for integrating robotic technology into TAMIS procedures.
• To discuss future innovations in flexible endoscopic robotic surgery for organ preservation.

Main Methods:

• Utilized the da Vinci SP robotic platform for transanal minimally invasive surgery.
• Applied the system for local excision of various rectal lesions.
• Documented technical aspects and challenges encountered during initial cases.

Main Results:

• The da Vinci SP system successfully reduced technical difficulties associated with TAMIS.
• The platform facilitated the management of more complex rectal lesions.
• Indications for robotic TAMIS align with conventional TAMIS and transanal endoscopic microsurgery.

Conclusions:

• Robotic TAMIS with the da Vinci SP system is a viable option for treating rectal lesions, expanding therapeutic possibilities.
• The technology holds promise for increasing organ preservation in colorectal surgery.
• Future advancements in flexible endoscopic robotic surgery are expected to broaden the application of natural orifice surgery.