Transanal Robot-Assisted TME with Multiport Abdominal Laparoscopy
Transanal total mesorectal excision (taTME) is a “bottom-up” rather than “top-down” approach to radical proctectomy for rectal cancer. The surgical tools utilized to perform taTME continue to evolve. This chapter will review the robotic technical approach to performing taTME and summarize the published experience to date. Lastly, the perceived benefits and drawbacks associated with robotic taTME will be discussed.
KeywordsRectal cancer Total mesorectal excision Transanal TME taTME Robotic
- 2.Marks J, Nassif G, Schoonyoung H, DeNittis A, Zeger E, Mohiuddin M, et al. Sphincter-sparing surgery for adenocarcinoma of the distal 3 cm of the true rectum: results after neoadjuvant therapy and minimally invasive radical surgery or local excision. Surg Endosc. 2013;27(12):4469–77.CrossRefPubMedGoogle Scholar
- 10.Atallah S, Martin-Perez B, Parra-Davila E, deBeche-Adams T, Nassif G, Albert M, et al. Robotic transanal surgery for local excision of rectal neoplasia, transanal total mesorectal excision, and repair of complex fistulae: clinical experience with the first 18 cases at a single institution. Tech Coloproctol. 2015;19(7):401–10.CrossRefPubMedGoogle Scholar