New Technique of Transanal Proctectomy With Completely Robotic Total Mesorrectal Excision for Rectal Cancer

Ruiz, Marcos Gómez; Palazuelos, Carlos Manuel; Parra, José Ignacio Martín; Martín, J.A. Portillo; Fernández, Carmen Cagigas; Diego, Julio Castillo; Fleitas, Manuel Gómez

doi:10.1016/j.cireng.2013.12.021

Cited by 9 publications

(10 citation statements)

References 16 publications

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“…After all exclusions 36 studies reporting on 627 participants (510 participants who underwent TaTME and 117 participants who underwent LapTME) fulfilled the selection criteria and were included in the systematic review. They comprised eight case reports reporting on eight patients , 24 case series reporting on 389 patients and four comparative studies comparing 113 patients who underwent TaTME with 117 who underwent LapTME . Included in the case series, there were eight published abstracts and one unpublished abstract .…”

Section: Resultsmentioning

confidence: 99%

“…One case report [54] was excluded because the same patient was reported in a case series [43] published by the same group. After all exclusions 36 studies [38][39][40][41][42][43][44][45]52,53,58,61,63,64,67,70,74,76,[78][79][80][81][82]84,89,90,92,95,96,101,[104][105][106]108,109,111] reporting on 627 participants (510 participants who underwent TaTME and 117 participants who underwent LapTME) fulfilled the selection criteria and were included in the systematic review. They comprised eight case reports reporting on eight patients [38][39][40]53,67,79,106,109], 24 case series reporting on 389 patients [41]…”

Section: Resultsmentioning

confidence: 99%

“…Multiport laparoscopy was performed using three ports [39,76,111] or more ports [39,42,61,76,95]. Multiport laparoscopy with the da Vinci Robotic Surgical System-Si (Intuitive Surgical Inc., Sunnyvale, California, USA) was performed by some studies for the abdominal phase [43,45,67].…”

Section: Surgical Techniquementioning

confidence: 99%

“…The transanal platform is then introduced transanally and the rectum is insufflated with CO 2 to a pressure of 9-15 mmHg [43,52,95]. Different transanal platforms have been used by the included studies such as a transanal endoscopic operation (TEO) proctoscope (Karl Storz, Tuttlingen, Germany) [39,79,90,95], Endorec Trocar (Aspide Medical) [39,79,90,95,101], GelPOINT Path Transanal Access Platform (Applied Medical) [41,43,53,58,61,76,106,108], transanal access port (PAT, Developia Inc., Spain) closed on the back with GelPOINT (Applied Medical) [45,67], SILS Port (Covidien) [52,105] and single-channel colonoscope (Olympus, Tokyo, Japan) [42,111]. The included studies demonstrated that TaTME can be performed using dis-posable flexible or reusable rigid platforms.…”

Section: Surgical Techniquementioning

confidence: 99%

See 3 more Smart Citations

A systematic review of transanal total mesorectal excision: is this the future of rectal cancer surgery?

et al. 2016

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Surgical Techniquementioning

confidence: 99%

Section: Surgical Techniquementioning

confidence: 99%

See 2 more Smart Citations

A systematic review of transanal total mesorectal excision: is this the future of rectal cancer surgery?

et al. 2016

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“…The da Vinci surgical system is expected to overcome this limitation with its three-dimensional high vision imaging and endowrist technology [26,[31][32][33]. The feasibility of robotic surgery for transanal rectal dissection has been evaluated by several authors [19,26,33].…”

Section: Laparoscopic or Robotic Surgery?mentioning

confidence: 99%

Transanal total mesorectal excision for rectal cancer

et al. 2015

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Although laparoscopic surgery for rectal cancer has been gaining acceptance with the gradual accumulation of evidence, it remains a technically demanding procedure in patients with a narrow pelvis, bulky tumors, or obesity. To overcome the technical difficulties associated with laparoscopic rectal dissection and transection, transanal endoscopic rectal dissection, which is also referred to as transanal (reverse, bottom-up) total mesorectal excision (TME), has recently been introduced. Its potential advantages include the facilitation of the dissection of the anorectum, regardless of the patient body habitus, and a clearly defined safe distal margin and transanal extraction of the specimen. This literature review shows that this approach seems to be feasible with regard to the operative and short-term postoperative outcomes. In experienced hands, transanal TME is a promising method for the resection of mid- and low-rectal cancers. Further investigations are required to clarify the long-term oncological and functional outcomes.

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Natural-orifice transluminal endoscopic surgery

Atallah

Martin‐Perez

Keller

et al. 2015

British Journal of Surgery

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NOTES experimentation in the preclinical setting has increased substantially. There has also been a significant increase in the application of NOTES in humans in the past decade. Enthusiasm for NOTES should be tempered by the risk of incurring NOTES-specific morbidity. Surgeons should carefully consider patient preferences regarding this new minimally invasive option, as opinions are not unanimously supportive of NOTES. As technical limitations are overcome, the clinical application of NOTES is predicted to increase. It is paramount that, when this complex technique is performed on humans, it is applied judiciously by appropriately trained experts with outcomes recorded in a registry.

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New Technique of Transanal Proctectomy With Completely Robotic Total Mesorrectal Excision for Rectal Cancer

Cited by 9 publications

References 16 publications

A systematic review of transanal total mesorectal excision: is this the future of rectal cancer surgery?

A systematic review of transanal total mesorectal excision: is this the future of rectal cancer surgery?

Transanal total mesorectal excision for rectal cancer

Natural-orifice transluminal endoscopic surgery

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