J Marks1,2, S Ng3, T Mak3. 1. Division of Colorectal Surgery, Lankenau Hospital, Wynnewood, PA, USA. marksj@mlhs.org. 2. Lankenau Medical Center, Medical Sciences Building, Suite 375, 100 East Lancaster Avenue, Wynnewood, PA, 19096, USA. marksj@mlhs.org. 3. Division of Colorectal Surgery, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China.
Abstract
PURPOSE: Transanal surgery remains both an innovative approach to rectal pathology and a demonstrated technical challenge. Improved technology using a single-port system robotic platform (SPS) offers a promising option for this surgery. METHODS: SPS robotic system was utilized to perform submucosal, full-thickness and cylindrical excision on four cadavers. Operative performance and surgeon fatigue were measured. RESULTS: On all types of resections, the SPS system performed well. There were no piecemeal or fragmented resections. Closure was judged to be good to excellent in all cases. Surgeon assessment of setup and performance of the SPS was excellent in all cases. CONCLUSIONS: SPS robotic transanal surgery represents an exciting new option for transanal surgery.
PURPOSE: Transanal surgery remains both an innovative approach to rectal pathology and a demonstrated technical challenge. Improved technology using a single-port system robotic platform (SPS) offers a promising option for this surgery. METHODS: SPS robotic system was utilized to perform submucosal, full-thickness and cylindrical excision on four cadavers. Operative performance and surgeon fatigue were measured. RESULTS: On all types of resections, the SPS system performed well. There were no piecemeal or fragmented resections. Closure was judged to be good to excellent in all cases. Surgeon assessment of setup and performance of the SPS was excellent in all cases. CONCLUSIONS: SPS robotic transanal surgery represents an exciting new option for transanal surgery.
Entities:
Keywords:
Robotic TEM (RTEM); Robotic transanal surgery (RTAS); Single port surgery (SPS); Transanal endoscopic surgery (TEM); Transanal minimally invasive surgery (TAMIS)
Authors: Matthew R Albert; Sam B Atallah; Teresa C deBeche-Adams; Seema Izfar; Sergio W Larach Journal: Dis Colon Rectum Date: 2013-03 Impact factor: 4.585
Authors: John H Marks; Nicolas Lopez-Acevedo; Barath Krishnan; Matthew N Johnson; Grace A Montenegro; Gerald J Marks Journal: Surg Endosc Date: 2016-01-28 Impact factor: 4.584