Robotic natural orifice specimen extraction (NOSE) total colectomy with ileorectal anastomosis: a step-by-step video-guided technical note
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Total colectomy with ileorectal anastomosis (TC-IRA) is indicated for familial adenomatous polyposis (FAP) and colonic inertia (CI). FAP is an inherited autosomal dominant disease, and the affected individuals inevitably develop cancer at a relatively young age if this condition remains untreated. However, in consideration of retaining anorectal function for young patients with FAP, TC-IRA may be the first choice, although total proctocolectomy with ileal pouch-anal anastomosis may be eventually inevitable for such patients to prevent colorectal cancer . CI, also known as slow-transit constipation, is a colorectal motility disorder, in which severe constipation cannot be effectively treated by conservative treatment and total colectomy is frequently required. Most reported series have shown that TC-IRA can significantly improve the quality of life for such patients [2, 3]. However, TC-IRA is a complex procedure, and postoperative complications are a major issue [4, 5],...
This study was supported by the National Taiwan University Hospital (grant number: 108-18, Dr. Tzu-Chun Chen).
T-CC, the first author, was responsible for the writing, data collection, and video editing of this article; J-TL, the second and corresponding author, supplied the patients and supervised the writing of this article.
This study was funded by a research project of the National Taiwan University Hospital (grant number 108-18).
Compliance with ethical standards
Conflicts of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional review board of National Taiwan University Hospital (protocol no. 201804001RINA) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
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