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Robotic transanal access surgery

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Abstract

Transanal use of laparoscopic instrumentation has been described in several case reports as an alternative to transanal endoscopic microsurgery (TEM). Both of these techniques have significant technical limitations due to anatomical constrictions. Robotic technology with articulating instruments has been effectively used in many areas with anatomic limitations similar to the intraluminal use within the rectum. We present the technique of a full-thickness transanal resection of a rectal polyp with endorectal suturing using a robotic platform. Larger case series and trials are needed to compare outcome and cost with TEM. Alternative robotic platforms and instrumentation may be further developed for different and more advanced indications of transanal access surgery.

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References

  1. Buess R, Theiss G, Guenther M et al (1985) Transanal endoscopic microsurgery. Leber, Magen, Darm 15:271–279

    PubMed  CAS  Google Scholar 

  2. Transanal endoscopic microsurgery: a systematic review (2012) Centre for Reviews and Dissemination. EBM reviews—database of abstracts of reviews of effects, database of abstracts of reviews of effects. Issue 1

  3. Moore J, Cataldo P, Osler T (2008) Transanal endoscopic surgery is more effective than traditional transanal excision of rectal masses. Dis Colon Rectum 51:1026–1031

    Article  PubMed  Google Scholar 

  4. Ribeiro da Rocha JJ, Feres O (2008) A new proctoscopy for transanal endoscopic operations. Tech Coloproctol 12:241–246

    Article  PubMed  CAS  Google Scholar 

  5. Swanstrom LL, Smiley P, Zelko J et al (1997) Video endoscopic transanal-rectal tumor excision. Am J Surg 173(5):383–385

    Article  PubMed  CAS  Google Scholar 

  6. Khoo REH (2010) Transanal excision of a rectal adenoma using single-access laparoscopic port. Dis Colon Rectum 53:1078–1079

    Article  PubMed  Google Scholar 

  7. Atallah SB, Albert MR, Larach S (2010) Transanal minimally invasive surgery: a giant leap forward. Surg Endosc 24:2200–2205

    Article  PubMed  Google Scholar 

  8. Ragupathi M, Haas EM (2011) Transanal endoscopic video-assisted excision: application of single-port access. JSLS 15:53–58

    Article  PubMed  Google Scholar 

  9. Dardamanis D, Theodorou D, Theodoropulos G et al (2011) Transanal polypectomy using single incision laparoscopic instruments. World J Gastrointest Surg 3(4):56–58

    Article  PubMed  Google Scholar 

  10. Barendse RM, Doornebosch PG, Bemelman WA, et al. (2012) Transanal employment of single access ports is feasible for rectal surgery. Ann Surg. doi:10.1097/SLA.0b013e3182523b31

  11. Lorenz C, Nimmesgern T, Back M et al (2010) Transanal single port microsurgery (TSPM) as a modified technique of transanal endoscopic microsurgery. Surg Innov 17(2):160–163

    Article  PubMed  Google Scholar 

  12. Van den Boezem PB, Kruyt PM, Stommel MW et al (2011) Transanal single-port surgery for the resection of large polyps. Dig Surg 28(5–6):412–416 Epub 2011 Dec 20

    Article  PubMed  Google Scholar 

  13. Smith RA, Anaya DA, Albo D et al (2012) A stepwise approach to transanal endoscopic microsurgery for rectal cancer using a single-incision laparoscopic port. Ann Surg Oncol 19(9):2859

    Article  PubMed  Google Scholar 

  14. Demirbas S, Cetiner S, Ozer TM et al (2012) The use of single port surgery for polyps located in the rectum. Turk J Gastroenterol 23(1):66–71

    PubMed  Google Scholar 

  15. Atalla SB, Albert MR, deBeche-Adams TH et al (2011) Robotic transanal minimally invasive surgery in a cadaveric model. Tech Coloproctol 15:461–464

    Article  Google Scholar 

  16. Wolthuis AM, Cini C, Penninckx F et al (2012) Transanal single port access to facilitate distal rectal mobilization in laparoscopic rectal sleeve resection with hand-sewn coloanal anastomosis. Tech Coloproctol 16:161–165

    Article  PubMed  CAS  Google Scholar 

  17. Denk PM, Swanstrom LL, Whiteford MH (2008) Transanal endoscopic microsurgical platform for natural orifice surgery. Gastrointest Endosc 68:954–959

    Article  PubMed  Google Scholar 

  18. Marks JH (2011) TEM as a platform for NOTES. J Gastrointest Surg 15:1313–1315

    Article  PubMed  Google Scholar 

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The author is a proctor with Intuitive Surgical.

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  1. Colon & Rectal Surgery, Saint Louis University, 3635 Vista Avenue, Desloge Towers, 3rd Floor, St. Louis, MO, 63110, USA

    Ovunc Bardakcioglu

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  1. Ovunc Bardakcioglu
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Correspondence to Ovunc Bardakcioglu.

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Bardakcioglu, O. Robotic transanal access surgery. Surg Endosc 27, 1407–1409 (2013). https://doi.org/10.1007/s00464-012-2581-0

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  • DOI: https://doi.org/10.1007/s00464-012-2581-0

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