Tech Coloproctol (2017) 21:541–545 DOI 10.1007/s10151-017-1655-3 ORIGINAL ARTICLE Robotic transanal surgery (RTAS) with utilization of a next- generation single-port system: a cadaveric feasibility study 1,3 2 2 • • J. Marks S. Ng T. Mak Received: 4 April 2017 / Accepted: 17 April 2017 / Published online: 14 July 2017 Springer International Publishing AG 2017 Abstract Introduction Purpose Transanal surgery remains both an innovative approach to rectal pathology and a demonstrated technical Conventional transanal surgery is encumbered by conﬁned challenge. Improved technology using a single-port system operative exposure, ﬁnite reach beyond the anal verge, robotic platform (SPS) offers a promising option for this limited access and retraction of the operative target, as well surgery. as limited endoluminal suturing capability to close the Methods SPS robotic system was utilized to perform defect created by local excision. These factors result in submucosal, full-thickness and cylindrical excision on four signiﬁcant impediment to successful performance of the cadavers. Operative performance and surgeon fatigue were procedure. measured. TEM surgery was ﬁrst developed by Buess in 1983 to Results On all types of resections, the SPS system per- address many of these problems . The introduction of formed well. There were no piecemeal or fragmented
Techniques in Coloproctology – Springer Journals
Published: Jul 14, 2017
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