Advertisement

Techniques in Coloproctology

, Volume 20, Issue 1, pp 71–73 | Cite as

Towards the development of simultaneous two-field robotic surgery

  • S. AtallahEmail author
  • A. DuBose
  • S. W. Larach
Technical Advances

As technologically evolves, certain changes are predictable. For example, computer processor speeds will increase, surgical instruments will become more refined, and devices more durable. Likewise, it is conceivable that different approaches to surgery—and not the instruments themselves—will represent an important part of surgical innovation. One recent example of this is the new technique of transanal total mesorectal excision (taTME) [1, 2].

There can be more than one next step in innovation for both robotics and minimally invasive surgery, and often innovation happens in parallel. Recently, the da Vinci Xirobotic platform (Intuitive Surgical, Sunnyvale, CA, USA) was introduced into clinical practice in the USA. The system is equipped with features that streamline the experience for the console surgeon, particularly because of the ability to alter the operating table position without undocking the robotic cart so that access to the pelvis and splenic flexure (for example) can be...

Keywords

Tamis Robotic Camera Transanal Total Mesorectal Excision Robotic Cart Transanal Access 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgments

The author received no funding for this study, and the written communication was not supported by any Grants or other funding. Dr. S. Atallah is a paid consultant for Applied Medical, Inc., and Surgiquest, Inc. Dr. A. DuBose has no disclosures to report. Dr. S. Larach has no disclosures to report.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from the individual participant included in the study.

Supplementary material

Supplementary material 1 (MOV 86322 kb)

References

  1. 1.
    Bjørn MX, Perdawood SK (2015) Transanal total mesorectal excision—a systematic review. Dan Med J 62:A5105PubMedGoogle Scholar
  2. 2.
    Hasegawa S, Takahashi R, Hida K, Kawada K, Sakai Y (2015) Transanal total mesorectal excision for rectal cancer. Surg Today. doi: 10.1007/s00595-015-1195-2 PubMedCentralGoogle Scholar
  3. 3.
    Atallah S, Nassif G, Polavarapu H et al (2013) Robotic-assisted transanal surgery for total mesorectal excision (RATS-TME): a description of a novel surgical approach with video demonstration. Tech Coloproctol 17:441–447PubMedCrossRefGoogle Scholar
  4. 4.
    Atallah S, Albert M, Larach S (2010) Transanal minimally invasive surgery: a giant leap forward. Surg Endosc 24:2200PubMedCrossRefGoogle Scholar
  5. 5.
    Gómez Ruiz M, Parra IM, Palazuelos CM et al (2015) Robotic-assisted laparoscopic transanal total mesorectal excision for rectal cancer: a prospective pilot study. Dis Colon Rectum 58:145–153PubMedCrossRefGoogle Scholar
  6. 6.
    Hompes R (2015) Robotics and transanal minimal invasive surgery (TAMIS): the “sweet spot” for robotics in colorectal surgery? Tech Coloproctol 19:377–378PubMedCrossRefGoogle Scholar
  7. 7.
    Huscher CG, Bretagnol F, Ponzano C (2015) Robotic-assisted transanal total mesorectal excision: the key against the Achilles’ heel of rectal cancer? Ann Surg 261:e120–e121PubMedCrossRefGoogle Scholar
  8. 8.
    Sylla P (2015) Robotically assisted transanal total mesorectal excision: an exciting new trend in rectal cancer surgery. Ann Surg 261:e122PubMedCrossRefGoogle Scholar
  9. 9.
    Atallah S, Drake J, Martin-Perez B, Kang C, Larach S (2015) Robotic transanal total mesorectal excision with intersphincteric dissection for extreme distal rectal cancer: a video demonstration. Tech Coloproctol 19:435PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia Srl 2015

Authors and Affiliations

  1. 1.Florida HospitalWinter ParkUSA

Personalised recommendations