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Hybrid Laparoscopic-Robotic Low Anterior Resection

  • Raul M. Bosio
  • Alessio PigazziEmail author
Chapter

Abstract

Minimally invasive rectal surgery is technically challenging because of a narrow and deep pelvis. As a direct consequence, the majority of rectal resections in the US are performed open or with a combined laparoscopic-open approach. The use of a robotic platform may facilitate minimally invasive rectal resection. Surgeons experienced in advanced laparoscopic techniques may find that the robot may enhance the ability to complete rectal procedures, offering patients the benefits of a minimally invasive technique including its enhanced recovery. It is noteworthy that a number of technical principles are common to various rectal procedures. Within this chapter, a detailed description of a hybrid laparoscopic-robotic low anterior resection is provided with emphasis on the technical aspects that allow surgeons to easily transition from one step to the next while achieving the goal of completing the procedure in a minimally invasive fashion.

Keywords

Robotic Laparoscopic Hybrid Rectal surgery Low anterior resection Rectal cancer Total mesorectal excision 

Supplementary material

Video 23.1

In this video, the surgeon demonstrates his approach to hybrid laparoscopic-robotic low anterior resection. (MPG 1059830 kb)

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of California, Irvine School of MedicineOrangeUSA

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