Robotic Transanal Surgery
Transanal minimally invasive surgery (TAMIS) has led to renewal interest in the approach for local excision of rectal neoplasia and even en bloc total mesorectal excision for curative-intent rectal cancer surgery. TAMIS has been performed with and without endoscopic assistance and more recently with the da Vinci platform. The technical success of robotic transanal surgery (RTS) for local excision of rectal neoplasia has set precedent for robotic-assisted transanal total mesorectal excision. These developments are rapidly evolving, and the role of RTS has yet to be fully defined.
KeywordsTotal Mesorectal Excision Local Excision Transanal Endoscopic Microsurgery Rectourethral Fistula Console Surgeon
- 9.Garcia-Aguilar J, Shi Q, Thomas Jr CR, Chan E, Cataldo P, Marcet J, Medich D, Pigazzi A, Oommen S, Posner MC. A phase II trial of neoadjuvant chemoradiation and local excision for T2N0 rectal cancer: preliminary results of the ACOSOG Z6041 trial. Ann Surg Oncol. 2012;19(2):384–91.CrossRefPubMedGoogle Scholar
- 13.Bujko K, Nowacki MP, Nasierowska-Guttmejer A, Kepka L, Winkler-Spytkowska B, Suwaski R, et al. Prediction of mesorectal nodal metastases after chemoradiation for rectal cancer: results of a randomised trial: implication for subsequent local excision. Radiother Oncol. 2005;76(3):234–40.CrossRefPubMedGoogle Scholar
- 14.Yeo SG, Kim DY, Kim TH, Chang HJ, Oh JH, Park W, Choi DH, Nam H, et al. Pathologic complete response of primary tumor following preoperative chemoradiotherapy for locally advanced rectal cancer: long-term outcomes and prognostic significance of pathologic nodal status (KROG 09–01). Ann Surg. 2010;252(6):998–1004.CrossRefPubMedGoogle Scholar