Four-arm single docking full robotic surgery for low rectal cancer: technique standardization
The authors present the four-arm single docking full robotic surgery to treat low rectal cancer. The eight main operative steps are: 1- patient positioning; 2- trocars set-up and robot docking; 3- sigmoid colon, left colon and splenic flexure mobilization (lateral-to-medial approach); 4-Inferior mes...
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| Format: | Article |
| Language: | English |
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Colégio Brasileiro de Cirurgiões
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| Series: | Revista do Colégio Brasileiro de Cirurgiões |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912014000300216&lng=en&tlng=en |
| _version_ | 1818274634231971840 |
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| author | José Reinan Ramos Eduardo Parra-Davila |
| author_facet | José Reinan Ramos Eduardo Parra-Davila |
| author_sort | José Reinan Ramos |
| collection | DOAJ |
| description | The authors present the four-arm single docking full robotic surgery to treat low rectal cancer. The eight main operative steps are: 1- patient positioning; 2- trocars set-up and robot docking; 3- sigmoid colon, left colon and splenic flexure mobilization (lateral-to-medial approach); 4-Inferior mesenteric artery and vein ligation (medial-to-lateral approach); 5- total mesorectum excision and preservation of hypogastric and pelvic autonomic nerves (sacral dissection, lateral dissection, pelvic dissection); 6- division of the rectum using an endo roticulator stapler for the laparoscopic performance of a double-stapled coloanal anastomosis (type I tumor); 7- intersphincteric resection, extraction of the specimen through the anus and lateral-to-end hand sewn coloanal anastomosis (type II tumor); 8- cylindric abdominoperineal resection, with transabdominal section of the levator muscles (type IV tumor). The techniques employed were safe and have presented low rates of complication and no mortality. |
| first_indexed | 2024-12-12T22:16:58Z |
| format | Article |
| id | doaj.art-5a2ec4cb53324ab6bc05488fa688b1a3 |
| institution | Directory Open Access Journal |
| issn | 1809-4546 |
| language | English |
| last_indexed | 2024-12-12T22:16:58Z |
| publisher | Colégio Brasileiro de Cirurgiões |
| record_format | Article |
| series | Revista do Colégio Brasileiro de Cirurgiões |
| spelling | doaj.art-5a2ec4cb53324ab6bc05488fa688b1a32022-12-22T00:10:04ZengColégio Brasileiro de CirurgiõesRevista do Colégio Brasileiro de Cirurgiões1809-454641321622310.1590/S0100-69912014000300014S0100-69912014000300216Four-arm single docking full robotic surgery for low rectal cancer: technique standardizationJosé Reinan RamosEduardo Parra-DavilaThe authors present the four-arm single docking full robotic surgery to treat low rectal cancer. The eight main operative steps are: 1- patient positioning; 2- trocars set-up and robot docking; 3- sigmoid colon, left colon and splenic flexure mobilization (lateral-to-medial approach); 4-Inferior mesenteric artery and vein ligation (medial-to-lateral approach); 5- total mesorectum excision and preservation of hypogastric and pelvic autonomic nerves (sacral dissection, lateral dissection, pelvic dissection); 6- division of the rectum using an endo roticulator stapler for the laparoscopic performance of a double-stapled coloanal anastomosis (type I tumor); 7- intersphincteric resection, extraction of the specimen through the anus and lateral-to-end hand sewn coloanal anastomosis (type II tumor); 8- cylindric abdominoperineal resection, with transabdominal section of the levator muscles (type IV tumor). The techniques employed were safe and have presented low rates of complication and no mortality.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912014000300216&lng=en&tlng=enRectal neoplasmsTreatmentSurgeryTechniquesRobotics |
| spellingShingle | José Reinan Ramos Eduardo Parra-Davila Four-arm single docking full robotic surgery for low rectal cancer: technique standardization Revista do Colégio Brasileiro de Cirurgiões Rectal neoplasms Treatment Surgery Techniques Robotics |
| title | Four-arm single docking full robotic surgery for low rectal cancer: technique standardization |
| title_full | Four-arm single docking full robotic surgery for low rectal cancer: technique standardization |
| title_fullStr | Four-arm single docking full robotic surgery for low rectal cancer: technique standardization |
| title_full_unstemmed | Four-arm single docking full robotic surgery for low rectal cancer: technique standardization |
| title_short | Four-arm single docking full robotic surgery for low rectal cancer: technique standardization |
| title_sort | four arm single docking full robotic surgery for low rectal cancer technique standardization |
| topic | Rectal neoplasms Treatment Surgery Techniques Robotics |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912014000300216&lng=en&tlng=en |
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