HYBRID ROBOTIC TAMIS APPROACH TO A LARGE, LOW LAYING, NEARLY CIRCUMFERENTIAL RECTAL POLYP.
Monika A. Krezalek*1, Nicolas Contreras-Peraza2, Maile E. Parker1, Eric Dozois1, Scott Kelley1, David W. Larson1, Kevin Behm1
1Colon and Rectal Surgery, Mayo Clinic, Rochester, MN; 2General Surgery, Mayo Clinic, Rochester, MN
Robotic transanal minimally invasive surgery (R-TAMIS) is an evolving technique for resection of low rectal pathology with the benefits of improved visualization and enhanced maneuverability within a confined space. We present a hybrid R-TAMIS approach to a nearly circumferential rectal polyp extending to within 1cm of the anal verge. Initial dissection was performed with standard trans-anal approach to provide an appropriate landing zone for the R-TAMIS platform. Dissection was completed robotically. Sleeve closure was performed utilizing a hybrid approach with robotic suture placement and closure using standard trans-anal approach.
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