Robotic-assisted transanal surgery for total mesorectal excision (RATS-TME): a description of a novel surgical approach with video demonstration


A new era has emerged in rectal cancer surgery—transanal total mesorectal excision (TME). Various platforms have been used to facilitate this novel approach, including transanal minimally invasive surgery (TAMIS) and transanal endoscopic microsurgery. We have previously reported the use of TAMIS-TME. This is a report of the first human case of robotic-assisted transanal surgery for TME.

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The authors received no funding for this study, and the research was not supported by any grants or other funding. Drs. Atallah, Albert, deBeche-Adams, and Larach are paid consultants for Applied Medical, Inc. Dr. Albert is a paid consultant for Life Cell.

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Correspondence to S. Atallah.

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Atallah, S., Nassif, G., Polavarapu, H. et al. Robotic-assisted transanal surgery for total mesorectal excision (RATS-TME): a description of a novel surgical approach with video demonstration. Tech Coloproctol 17, 441–447 (2013) doi:10.1007/s10151-013-1039-2

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  • Rectal cancer
  • Transanal total mesorectal excision
  • Transanal minimally invasive surgery
  • Robotic-assisted surgery