We have located links that may give you full text access.
Robotic Transanal Surgery: A Novel Approach for Full Thickness Rectal Excision.
Diseases of the Colon and Rectum 2021 March 13
Transanal excision of rectal lesions is a full thickness excision that is indicated in selected cases of early stage rectal cancer and in cases that have shown a major or complete clinical response after neoadjuvant chemoradiation. Complete clinical response includes also flat scar or teleangiectasia along with non palpable mass at digital exam and non visible lymphnodes at MRI.1 Full thickness excision is considered primarily as a radical excisionaI biopsy and it has the advantage (vs watch and wait approach) to provide a hystologic confirmation of the complete response. The excision of the tumor/scar and the suture of the rectal defect are technically demanding if performed with standard laparoscopic instruments because of the narrow working space. In order to overcome these difficulties we propose to use the daVinci® robotic platform. The robotic instruments are fully articulated at their tip and they allow the surgeon to easily operate within the lumen of the rectum and perform wrist like movements despite the narrow surgical space. The one limitation is represented by the cost of these procedures, so they should be reserved to selected, challenging cases (i.e. lesions of the mid-upper rectum and lesions that require extensive suture). The patients are either in lithotomy or prone position, depending on the site of the lesion. A gelpoint® system is inserted transanally in order to place the robotic trocars and the daVinci® system is then connected. The purpose of this video is to show the many advantages of the robotic platform in performing full thickness excisions and how the wrist like movements allow to perform transversal sutures thus minimizing the risk of stenosis of the rectum. See Video at https://links.lww.com/DCR/B515 .
Full text links
Related Resources
Trending Papers
Contrast-induced acute kidney injury: a review of definition, pathogenesis, risk factors, prevention and treatment.BMC Nephrology 2024 April 23
Hemodynamic Support in Sepsis.Anesthesiology 2024 June 2
The New Challenge of Obesity - Obesity-Associated Nephropathy.Diabetes, Metabolic Syndrome and Obesity 2024
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app