Combined transanal total mesorectal excision (taTME) with laparoscopic instruments and abdominal robotic surgery in rectal cancer
- Resource Type
- Authors
- María Fernandez-Hevia; M. C. Arroyave; Alessio Pigazzi; Jean-Sébastien Trépanier; Antonio M. Lacy; Raquel Bravo
- Source
- Techniques in coloproctology. 21(3)
- Subject
- Laparoscopic surgery
Male
medicine.medical_specialty
medicine.medical_treatment
Adenocarcinoma
Transanal Endoscopic Surgery
03 medical and health sciences
0302 clinical medicine
Robotic Surgical Procedures
Abdomen
Medicine
Humans
Robotic surgery
Laparoscopy
medicine.diagnostic_test
business.industry
Rectal Neoplasms
Gastroenterology
Middle Aged
Total mesorectal excision
Combined Modality Therapy
Colorectal surgery
Laparoscopes
Surgery
Treatment Outcome
030220 oncology & carcinogenesis
030211 gastroenterology & hepatology
business
Abdominal surgery
- Language
- ISSN
- 1128-045X
Laparoscopic surgery for rectal cancer can be technically challenging. We describe a hybrid technique combining abdominal robotic dissection and transanal total mesorectal excision. This procedure was performed in a 50-year-old man with rectal adenocarcinoma at 5 cm from the dentate lane. Preoperative staging was T2N0M0. Surgery went well without complications, and estimated blood loss was less than 50 mL. Robotic surgical time was 90 min, and total operative time was 160 min. The patient was discharged on postoperative day 3. Pathology analysis revealed an intact mesorectum (TME grade 3) and a T2N0 tumor with negative margins. Hybrid surgery with pelvic robotic dissection and transanal total mesorectal excision was feasible, quick and safe in this patient and may be a method that can be developed further.