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Erschienen in: Techniques in Coloproctology 4/2011

01.12.2011 | Technical Note

Robotic transanal minimally invasive surgery in a cadaveric model

verfasst von: S. B. Atallah, M. R. Albert, T. H. deBeche-Adams, S. W. Larach

Erschienen in: Techniques in Coloproctology | Ausgabe 4/2011

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Abstract

The technique of TransAnal Minimally Invasive Surgery (TAMIS) was pioneered in 2009 as a hybrid approach to endoluminal resections of appropriately selected rectal lesions. There are, however, limitations to performing this type of resection. Robotic TAMIS is a novel, experimental technique and in this study was performed in a cadaveric model at a surgical education center. Various tasks were carried out using robotic TAMIS, including full-thickness sharp and cautery excision of rectal wall, as well as intra-luminal suturing of the surgical defect. It was found that for the da Vinci–trained surgeon, these tasks were simple to perform and accomplished with greater precision when compared to standard TAMIS. Our initial results indicate that robotic TAMIS overcomes the limitations of standard TAMIS and that it is a feasible platform for transanal surgery. The cost, however, of performing robotic TAMIS may limit its application to special cases in which standard TAMIS or transanal endoscopic microsurgery resections may prove difficult. Further study is necessary to validate these preliminary findings before robotic TAMIS is performed on live patients.
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Metadaten
Titel
Robotic transanal minimally invasive surgery in a cadaveric model
verfasst von
S. B. Atallah
M. R. Albert
T. H. deBeche-Adams
S. W. Larach
Publikationsdatum
01.12.2011
Verlag
Springer Milan
Erschienen in
Techniques in Coloproctology / Ausgabe 4/2011
Print ISSN: 1123-6337
Elektronische ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-011-0762-9

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