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Surgical Endoscopy

, Volume 27, Issue 4, pp 1407–1409 | Cite as

Robotic transanal access surgery

  • Ovunc BardakciogluEmail author
Video

Abstract

Transanal use of laparoscopic instrumentation has been described in several case reports as an alternative to transanal endoscopic microsurgery (TEM). Both of these techniques have significant technical limitations due to anatomical constrictions. Robotic technology with articulating instruments has been effectively used in many areas with anatomic limitations similar to the intraluminal use within the rectum. We present the technique of a full-thickness transanal resection of a rectal polyp with endorectal suturing using a robotic platform. Larger case series and trials are needed to compare outcome and cost with TEM. Alternative robotic platforms and instrumentation may be further developed for different and more advanced indications of transanal access surgery.

Keywords

Robotic surgery Transanal endoscopic microsurgery Local excision Rectal cancer 

Notes

Acknowledgements

Disclosures

The author is a proctor with Intuitive Surgical.

Supplementary material

Supplementary material 1 (M4V 183822 kb)

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Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  1. 1.Colon & Rectal SurgerySaint Louis UniversitySt. LouisUSA

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