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Navigation for Transanal Total Mesorectal Excision

  • Luis Gustavo Capochin Romagnolo
  • Arthur Randolph Wijsmuller
  • Armando Geraldo Franchini Melani
Chapter

Abstract

Functional and oncological outcome after multimodal treatment for rectal cancer could be improved. This can be achieved with a better recognition of anatomical dissection planes, of anatomical landmarks, and of the dissection margin to the tumor to optimize resection margins and to minimize iatrogenic nerve damage. Recently, the performance of stereotactic navigation for minimally invasive transanal rectal surgery has been reported. Additionally, critical challenges related to soft-tissue stereotactic pelvic navigation were assessed. Surgical navigation systems could improve the quality of surgery for rectal cancer as shown when used in other contexts. It is likely to improve the accuracy and efficiency of pelvic surgical procedures in which it is difficult or impossible to identify and dissect along anatomical planes.

Keywords

Rectal cancer taTME Navigation system Pelvic surgery GPS intraoperative 

Notes

Acknowledgments

The authors want to thank Bernard Dallemagne for his guidance during the projects leading up to this chapter. We also thank Guy Temporal and Chris Burel for their editorial assistance.

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Luis Gustavo Capochin Romagnolo
    • 1
    • 2
  • Arthur Randolph Wijsmuller
    • 3
  • Armando Geraldo Franchini Melani
    • 1
    • 4
  1. 1.IRCAD Latin AmericaBarretosBrazil
  2. 2.Department of SurgeryBarretos Cancer HospitalBarretosBrazil
  3. 3.Department of SurgeryUniversity Medical Center GroningenGroningenThe Netherlands
  4. 4.Americas Medical CityRio de JaneiroBrazil

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