title: New technique of transanal proctectomy with completely robotic total mesorrectal excision for rectal cancer.
abstract: Anterior resection with total mesorectal excision is the standard method of rectal cancer resection. However, this procedure remains technically difficult in mid and low rectal cancer. A robotic transanal proctectomy with total mesorectal excision and laparoscopic assistance is reported in a 57 year old male with BMI 32 kg/m2 and rectal adenocarcinoma T2N1M0 at 5 cm from the dentate line. Operating time was 420 min. Postoperative hospital stay was 6 days and no complications were observed. Pathological report showed a 33 cm specimen with ypT2N0 adenocarcinoma at 2 cm from the distal margin, complete TME and non affected circumferential resection margin. Robotic technology might reduce some technical difficulties associated with TEM/TEO or SILS platforms in transanal total mesorectal excision. Further clinical trials will be necessary to assess this technique.
authors.affiliation: Servicio de Cirugía General y Aparato Digestivo, Unidad de Cirugía Colorrectal, Hospital Universitario Marqués de Valdecilla, Santander, España. Electronic address: marcgomez@humv.es.
authors.forename: Marcos
authors.initials: M
authors.lastname: Gómez Ruiz
authors.affiliation: Servicio de Cirugía General y Aparato Digestivo, Unidad de Cirugía Colorrectal, Hospital Universitario Marqués de Valdecilla, Santander, España.
authors.forename: Carlos Manuel
authors.initials: CM
authors.lastname: Palazuelos
authors.affiliation: Servicio de Cirugía General y Aparato Digestivo, Unidad de Cirugía Colorrectal, Hospital Universitario Marqués de Valdecilla, Santander, España.
authors.forename: José Ignacio
authors.initials: JI
authors.lastname: Martín Parra
authors.affiliation: Servicio de Cirugía General y Aparato Digestivo, Unidad de Cirugía Colorrectal, Hospital Universitario Marqués de Valdecilla, Santander, España.
authors.forename: Joaquín
authors.initials: J
authors.lastname: Alonso Martín
authors.affiliation: Servicio de Cirugía General y Aparato Digestivo, Unidad de Cirugía Colorrectal, Hospital Universitario Marqués de Valdecilla, Santander, España.
authors.forename: Carmen
authors.initials: C
authors.lastname: Cagigas Fernández
authors.affiliation: Servicio de Cirugía General y Aparato Digestivo, Unidad de Cirugía Colorrectal, Hospital Universitario Marqués de Valdecilla, Santander, España.
authors.forename: Julio
authors.initials: J
authors.lastname: del Castillo Diego
authors.affiliation: Servicio de Cirugía General y Aparato Digestivo, Unidad de Cirugía Colorrectal, Hospital Universitario Marqués de Valdecilla, Santander, España.
authors.forename: Manuel
authors.initials: M
authors.lastname: Gómez Fleitas
mesh_terms: D001003:Anal Canal; D013505:Digestive System Surgical Procedures / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D065287:Robotic Surgical Procedures / Q000379:methods
keywords: Cirugía robótica; Cáncer de recto; Escisión total mesorrectal; Proctectomy; Proctectomía; Rectal cancer; Robotic surgery; Total mesorectal excision