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ROBOTIC TRANSANAL MINIMALLY INVASIVE SURGERY (TAMIS) FOR RECTAL ADENOCARCINOMA
Sergio Eduardo Alonso Araujo, Francisco Tustumi
*, Elis Oliveira, Giovana M. Minchillo, Ana S. Portilho, Lucas de Araujo Horcel, Lucas S. Gerbasi, Rafael Vaz Pandini, Marleny N. Figueiredo, Victor Edmond Seid
Sociedade Beneficente Israelita Brasileira Albert Einstein, Sao Paulo, São Paulo, Brazil
We present a case of early rectum adenocarcinoma treated with robot-assisted TAMIS.
A 59-year-old female patient underwent a colonoscopy, which identified a rectal LST, with 35 mm and 10 cm from the anal verge. Biopsy resulted in adenocarcinoma. No signs of metastasis were found in the staging tomographic. Pelvic MRI showed a polypoid T1/T2N0 tumor with no signs of lymphatic dissemination. A robotic transanal excision was performed using the Da Vinci Xi platform. The postoperative course was uneventful. Surgical specimen examination showed an intra-mucosal adenocarcinoma with free margins.
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