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Robotic Total Mesorectal Excision for Rectal Cancer

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Robotic-Assisted Minimally Invasive Surgery

Abstract

The total mesorectal excision (TME) for rectal cancer involves high ligation of the inferior mesenteric artery (IMA) and complete removal of the rectum and mesorectal fascia without damage to the specimen. A well-executed TME has been proven to decrease local recurrence, operative blood loss, and perseveration of urologic and sexual function. Robotic surgery allows for improved visualization of the deep pelvis with instruments that allow for wristed movement and three-dimensional visualization. Here we review relevant anatomy, workup, and surgical technique for the robotic TME.

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Author information

Authors and Affiliations

  1. Colon and Rectal Surgery, Colon and Rectal Clinic of Orlando, Orlando, FL, USA

    Mark K. Soliman

  2. Department of Surgery, Saint Joseph’s Mercy Hospital Ann Arbor, Ypsilanti, MI, USA

    Beth-Ann Shanker

Authors
  1. Mark K. Soliman
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  2. Beth-Ann Shanker
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Corresponding author

Correspondence to Mark K. Soliman .

Editor information

Editors and Affiliations

  1. School of Medicine, Department of Surgery, University of Nevada, Las Vegas, NV, USA

    Shawn Tsuda

  2. Department of General Surgery, Tufts University School of Medicine, Boston, MA, USA

    Omar Yusef Kudsi

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Soliman, M.K., Shanker, BA. (2019). Robotic Total Mesorectal Excision for Rectal Cancer. In: Tsuda, S., Kudsi, O. (eds) Robotic-Assisted Minimally Invasive Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-96866-7_15

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  • DOI: https://doi.org/10.1007/978-3-319-96866-7_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-96865-0

  • Online ISBN: 978-3-319-96866-7

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