Da Vinci robotic transanal minimally invasive surgery: a new technique for excision of rectal benign neoplasia

doi:10.3877/cma.j.issn.1674-6899.2022.03.013

Abstract

Abstract:

The da Vinci robot minimally invasive transanal surgery has become a popular technique for rectal benign neoplasia, but is rarely reported in China. In Jan. 2022, the first robotic transanal minimally invasive surgery for rectum polyp was performed in the PLA General Hospital, with the surgical time of approximately 40 min and an amount of blood loss of approximately 10 ml, with no perioperative complications and no postoperative pathological evidence of tumor residue. Da Vinci robotic surgical operating system has the potential to facilitate minimally invasive transanal surgery and meet the trend for anal preservation and functional surgery.

Key words: Da Vinci robotic surgery, Minimally invasive transanal surgery, Rectal benign neoplasia

Guijun Zou, Xinpu Yuan, Bing Ma, Zhou Song, Xiaotian Huang, Zhen Cao, Maihuan Wang, Chaojun Zhang. Da Vinci robotic transanal minimally invasive surgery: a new technique for excision of rectal benign neoplasia[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2022, 15(03): 187-190.

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https://zhqjwkzz.cma-cmc.com.cn/EN/Y2022/V15/I03/187

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References 35

1	Jong GM，Hugen N. Minimally invasive transanal surgery is safe after incomplete polypectomy of low risk T1 rectal cancer: a systematic review[J]. Colorectal Dis, 2019, 21(10)：1112-1119.
2	Kim MJ，Lee TG. Transanal minimally invasive surgery using laparoscopic instruments of the rectum: a review[J]. World J Gastrointest Surg, 2021, 13(10)：1149-1165.
3	Stipa F, Tierno SM, Russo G, et al. Trans-anal minimally invasive surgery (TAMIS) versus trans-anal endoscopic microsurgery (TEM): a comparative case-control matched-pairs analysis[J]. Surg Endosc, 2021，36, 2081-2086.
4	Witjes CDM, Patel AS, Shenoy A, et al. Oncological outcome after local treatment for early stage rectal cancer[J]. Surg Endosc, 2021，36, 489-497.
5	Serra-Aracil X, Badia-Closa J, Pallisera-Lloveras A, et al. Management of intra- and postoperative complications during TEM/TAMIS procedures: a systematic review[J]. Minerva Surg, 2021, 76(4)：343-349.
6	Brown CJ, Gentles JQ, Phang TP, et al. Transanal endoscopic microsurgery as day surgery - a single-centre experience with 500 patients[J]. Colorectal Dis, 2018, 20(10)：310-315.
7	Young DO, Kumar AS. Local excision of rectal cancer[J]. Surg Clin North Am, 2017, 97(3)：573-585.
8	Marks JH, Salem JF, Adams P, et al. SP rTaTME: initial clinical experience with single-port robotic transanal total mesorectal excision (SP rTaTME)[J]. Tech Coloproctol, 2021, 25(6)：721-726.
9	Hompes R, Rauh SM, Ris F, et al. Robotic transanal minimally invasive surgery for local excision of rectal neoplasms[J]. Br J Surg, 2014, 101(5)：578-581.
10	Atallah SB, Albert MR, Beche-Adams TH, et al. Robotic transanal minimally invasive surgery in a cadaveric model[J]. Tech Coloproctol, 2011, 15(4)：461-464.
11	Buchs NC, Pugin F, Volonte F, et al. Robotic transanal endoscopic microsurgery: technical details for the lateral approach[J]. Dis Colon Rectum, 2013, 56(10)：1194-1198.
12	Atallah S, Martin-Perez B, Parra-Davila E, 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[J]. Tech Coloproctol, 2015, 19(7)：401-410.
13	Tomassi MJ, Taller J, Yuhan R, et al. Robotic transanal minimally invasive surgery for the excision of rectal neoplasia: clinical experience with 58 consecutive patients[J]. Dis Colon Rectum, 2019, 62(3)：279-285.
14	Harr JN, Obias V. Robotic-assisted transanal excision of a large rectal mass--a video vignette[J]. Colorectal Dis, 2016, 18(1)：107-108.
15	Erenler I, Aytac E, Bilgin I A, et al. Robotic transanal minimally invasive surgery (R-TAMIS) with the da Vinci Xi system - a video vignette[J]. Colorectal Dis, 2017, 19(4)：401.
16	Harr JN, Luka S, Kankaria A, et al. Robotic-assisted colorectal surgery in obese patients: a case-matched series[J]. Surg Endosc, 2017, 31(7)：2813-2819.
17	Arnott S, Skancke M，Obias V. Robotic transanal microsurgery for high early rectal neoplasia (T0-T1, N0 lesions), case series of 10 patients[J]. Int J Med Robot, 2018, 14(6)：1956.
18	Lo KW, Blitzer DN, Shoucair S, et al. Robotic transanal minimally invasive surgery: a case series[J]. Surg Endosc, 2022, 36(1)：793-799.
19	Fields AC, Saadat LV, Scully RE, et al. Local excision versus radical resection for 1- to 2-cm neuroendocrine tumors of the rectum: a national cancer database analysis[J]. Dis Colon Rectum, 2019, 62(4)：417-421.
20	Rai V, Mishra N. Transanal approach to rectal polyps and cancer[J]. Clin Colon Rectal Surg, 2016, 29(1)：65-70.
21	Brady JT, Sprinkle S, Izfar S, et al. Transanal minimally invasive surgery: a useful technique that continues to evolve[J]. Surg Technol Int, 2021, 39.
22	Burgess NG, Metz AJ, Williams SJ, et al. Risk factors for intraprocedural and clinically significant delayed bleeding after wide-field endoscopic mucosal resection of large colonic lesions[J]. Clin Gastroenterol Hepatol, 2014, 12(4)：651-661.
23	Huang C, Huang RX, Xiang P, et al. Current research status of endoscopic submucosal dissection for colorectal neoplasms[J]. Clin Invest Med, 2012, 35(4)：158-164.
24	Luigiano C, Consolo P, Scaffidi MG, et al. Endoscopic mucosal resection for large and giant sessile and flat colorectal polyps: a single-center experience with long-term follow-up[J]. Endoscopy, 2009, 41(10)：829-835.
25	Saito Y, Fukuzawa M, Matsuda T, et al. Clinical outcome of endoscopic submucosal dissection versus endoscopic mucosal resection of large colorectal tumors as determined by curative resection[J]. Surg Endosc, 2010, 24(2)：343-352.
26	Martin-Perez B, Andrade-Ribeiro GD, Hunter L, et al. A systematic review of transanal minimally invasive surgery (TAMIS) from 2010 to 2013[J]. Tech Coloproctol, 2014, 18(9)：775-788.
27	Lee L, Burke JP, Beche-Adams T, et al. Transanal minimally invasive surgery for local excision of benign and malignant rectal neoplasia: outcomes from 200 consecutive cases with midterm follow up[J]. Ann Surg, 2018, 267(5)：910-916.
28	Lee L, Edwards K, Hunter IA, et al. Quality of local excision for rectal neoplasms using transanal endoscopic microsurgery versus transanal minimally invasive surgery: a multi-institutional matched analysis[J]. Dis Colon Rectum, 2017, 60(9)：928-935.
29	Atallah S, BAlbert MR. Transanal minimally invasive surgery (TAMIS) versus transanal endoscopic microsurgery (TEM): is one better than the other[J]. Surg Endosc, 2013, 27(12)：4750-4751.
30	O′Neill CH, Platz J, Moore JS, et al. Transanal endoscopic microsurgery for early rectal cancer: a single-center experience[J]. Dis Colon Rectum, 2017, 60(2)：152-160.
31	Oshio H, Oshima Y, Yunome G, et al. Transanal total mesorectal excision and transabdominal robotic surgery for rectal cancer: a retrospective study[J]. Ann Med Surg (Lond), 2021, 70：102902.
32	Schatte Olivier RH, Van′t Hullenaar CD, Ruurda JP, et al. Ergonomics, user comfort, and performance in standard and robot-assisted laparoscopic surgery[J]. Surg Endosc, 2009, 23(6)：1365-1371.
33	Tarr ME, Brancato SJ, Cunkelman JA, et al. Comparison of postural ergonomics between laparoscopic and robotic sacrocolpopexy: a pilot study[J]. J Minim Invasive Gynecol, 2015, 22(2)：234-238.
34	Kajmolli A, Felsenreich DM, Javadov M, et al. Robotic tamis: a technical note comparing Si(r) versus Xi(r)[J]. Surg Technol Int, 2021, 38：169-172.
35	Gomez PP, Willis R EVan, Sickle KR. Development of a virtual reality robotic surgical curriculum using the da vinci si surgical system[J]. Surg Endosc, 2015, 29(8)：2171-2179.

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