Robotic Total Mesorectal Excision using a Wristed Suctionirrigation Device for Efficient Traction and Visualization.
10.7602/jmis.2017.20.3.120
- Author:
Sung Uk BAE
1
;
Woon Kyung JEONG
;
Seong Kyu BAEK
Author Information
1. Department of Surgery, School of Medicine, Dongsan Medical Center, Keimyung University, Daegu, Korea. sgbeak@dsmc.or.kr
- Publication Type:Case Report
- Keywords:
Robotic surgical procedures;
Laparoscopy;
Rectal neoplasms;
Lymph node excision
- MeSH:
Adenocarcinoma;
Aged;
Female;
Humans;
Laparoscopy;
Lymph Node Excision;
Lymph Nodes;
Rectal Neoplasms;
Rectum;
Robotic Surgical Procedures;
Traction*;
Wrist*
- From:Journal of Minimally Invasive Surgery
2017;20(3):120-121
- CountryRepublic of Korea
- Language:English
-
Abstract:
In rectal cancer surgery, gentle opening of the plane by continuous traction and optimized visualization is essential. Recently, a wristed robotic suction-irrigation device was developed for efficient traction of the rectum and good surgical visualization. This video shows a technique of robotic total mesorectal excision using a wristed robotic suction-irrigation device. A 74-year-old woman with rectal cancer had a biopsy-proven adenocarcinoma within 9 cm of the anal verge. She underwent totally robotic total mesorectal excision using a dual-docking technique. Total procedure time was 445 minutes. The patient was discharged on postoperative day 8 without any complications. Total number of lymph nodes harvested was 12, and proximal and distal resection margins were 11.2 and 4.7 cm, respectively. Totally robotic total mesorectal excision using a wristed robotic suctionirrigation device was an efficient and useful procedure for rectal cancer.
