Robotic transanal minimally invasive surgery (TAMIS) with the newest robotic surgical platform: a multi-institutional North American experience

Surgical Endoscopy
Shanglei LiuSamuel Eisenstein

Abstract

Transanal minimally invasive surgery (TAMIS) offers intra-luminal full-thickness excision of rectal neoplasia. Robotic TAMIS (RT) allows for greater versatility in motion while operating in the limited space of the rectum. We present our experience with this technique in practice using the DaVinci Xi™ platform. This is a multi-institutional retrospective analysis for patient undergoing Robotic TAMIS for resection of rectal lesions at two tertiary referral hospitals in the United States. Morbidity, mortality, anatomic measurement, and final pathology were analyzed. Thirty-four patients planned for Robotic TAMIS were identified. Average follow-up was 188 days. The average BMI was 29.5 ± 5.9. All patients had an American Society of Anesthesiologist (ASA) Class of 2 or greater and 21 (62%) were ASA 3 or greater. Rectal lesions located from 2 to 15 cm from the dentate line were successfully resected. Lesions up to 4.5 cm in the longest dimension were successfully resected. The average operative time was 100 ± 70 min, which correlated to a robotic console time of 76 ± 67 min. Patients were placed in Lithotomy in 32 (94%) cases and were prone in only 2 (6%) cases. There were no intraoperative complications or conversions to another te...Continue Reading

References

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Citations

Mar 25, 2019·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·D De FreitasS Atallah
Sep 29, 2019·Journal of the Anus, Rectum and Colon·Suguru HasegawaRyuji Kajitani
Jun 5, 2020·Diseases of the Colon and Rectum·Monika A KrezalekKevin T Behm
Mar 22, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·E J BakerC Lynch
May 13, 2021·Irish Journal of Medical Science·Enda HannanColin Peirce
Sep 3, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Gerard FeeneyColin Peirce
May 5, 2021·Surgical Technology International·Agon KajmolliRoberto Bergamaschi

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