Total mesorectal excision (TME) is the gold standard technique for the surgical management of rectal cancer. The transanal approach to the mesorectum was introduced to overcome the technical difficulties related to the distal rectal dissection. Since its inception, interest in transanal mesorectal excision has grown exponentially and it appears that the benefits are maximal in patients with mid-low rectal cancer where anatomical and pathological features represent the greatest challenges. Current evidence demonstrates that this approach is safe and feasible, with oncological and functional outcome comparable to conventional approaches, but with specific complications related to the technique. Robotics might potentially simplify the technical steps of distal rectal dissection, with a shorter learning curve compared to the laparoscopic transanal approach, but with higher costs. The objective of this review is to critically analyze the available literature concerning robotic transanal TME in order to define its role in the management of rectal cancer and to depict future perspectives in this field of research.

Robotic Transanal Total Mesorectal Excision (RTaTME): State of the Art / Rondelli, Fabio; Sanguinetti, Alessandro; Polistena, Andrea; Avenia, Stefano; Marcacci, Claudio; Ceccarelli, Graziano; Bugiantella, Walter; De Rosa, Michele. - 11:6(2021). [10.3390/jpm11060584]

Robotic Transanal Total Mesorectal Excision (RTaTME): State of the Art

Polistena, Andrea;Avenia, Stefano;Ceccarelli, Graziano;
2021

Abstract

Total mesorectal excision (TME) is the gold standard technique for the surgical management of rectal cancer. The transanal approach to the mesorectum was introduced to overcome the technical difficulties related to the distal rectal dissection. Since its inception, interest in transanal mesorectal excision has grown exponentially and it appears that the benefits are maximal in patients with mid-low rectal cancer where anatomical and pathological features represent the greatest challenges. Current evidence demonstrates that this approach is safe and feasible, with oncological and functional outcome comparable to conventional approaches, but with specific complications related to the technique. Robotics might potentially simplify the technical steps of distal rectal dissection, with a shorter learning curve compared to the laparoscopic transanal approach, but with higher costs. The objective of this review is to critically analyze the available literature concerning robotic transanal TME in order to define its role in the management of rectal cancer and to depict future perspectives in this field of research.
2021
rectal cancer; robotic; robotic transanal total mesorectal excision (RTaTme); total mesorectal excision (TME); transanal surgery; transanal total mesorectal excision (TaTME)
01 Pubblicazione su rivista::01g Articolo di rassegna (Review)
Robotic Transanal Total Mesorectal Excision (RTaTME): State of the Art / Rondelli, Fabio; Sanguinetti, Alessandro; Polistena, Andrea; Avenia, Stefano; Marcacci, Claudio; Ceccarelli, Graziano; Bugiantella, Walter; De Rosa, Michele. - 11:6(2021). [10.3390/jpm11060584]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1680194
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