Robotic Low Anterior Resection and TAH+BSO with Transvaginal NOSE

Abstract

In the last century, laparoscopic interventions have been developed to minimize the somatic and phsiological effects of surgery. Laparoscopic approaches have become frequently used in colorectal surgery as well. In recent years, robotic surgery has become a recommended practice in rectum surgeries, especially due to better visualisation of the pelvis. In addition to providing a comfortable view in the pelvis, robotic surgery also provides the surgeon with the ability to perform the surgery under three-dimensional view and superior maneuverability in the narrow pelvis. Additionally removing of the specimen via natural ways, that is, transanal, transvaginal, or transgastric, without creating an incision in the abdomen during laparoscopic procedures has gained attention. This approach is called natural orifice specimen extraction (NOSE) and it has been used with increasing frequency in recent years as a preferred method in experienced centers. However, data on NOSE application in robotic rectum surgery is limited, and in this video presentation, we aimed to present a patient who underwent robotic low anterior resection and total hysterectomy for rectum cancer, in which the entire specimen was removed transvaginally (NOSE).

Keywords

• nose
• rectum cancer
• robotic lar