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Robotic natural orifice specimen extraction (NOSE) total colectomy with ileorectal anastomosis: a step-by-step video-guided technical note

  • T.-C. Chen
  • J.-T. LiangEmail author
Technical Note
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Introduction

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 [1]. 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],...

Notes

Acknowledgements

This study was supported by the National Taiwan University Hospital (grant number: 108-18, Dr. Tzu-Chun Chen).

Author contributions

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.

Funding

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.

Ethical approval

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

Informed consent was obtained from all individual participants included in the study.

Supplementary material

Supplementary material 1 (MP4 91371 kb)

Supplementary material 2 (MP4 159566 kb)

Supplementary material 3 (MP4 89744 kb)

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Graduate Institute of Clinical Medicine, College of MedicineNational Taiwan UniversityTaipeiTaiwan, R.O.C.
  2. 2.Division of Colorectal Surgery, Department of SurgeryNational Taiwan University Hospital and College of MedicineTaipeiTaiwan, R.O.C.

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