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Low Anterior Resection

Overview

da Vinci® Low Anterior Resection maintains the oncologic principles of open low anterior resection while also providing the potential benefits of a minimally invasive approach.

The da Vinci System's 3D visualization, wristed instrumentation and intuitive movement help provide the ultimate, precise, minimally invasive approach for low anterior resection.

Potential Surgeon Benefits
The unsurpassed visualization, precision, dexterity and control provided by the da Vinci Surgical System offers the following potential surgeon benefits:

  • Lower circumferential positive margin rates1,2
  • Fewer anastomotic leaks and fewer conversions to open surgery, as compared to laparoscopy1,2
  • Superior exposure, countertraction and dissection of the rectum1,2
  • Improved autonomic nerve identification and preservation1,2
  • Unsurpassed ergonomics with equal access to left and right rectal sidewalls1,2
  • Faster takedown of the splenic flexure1  


Potential Patient Benefits
da Vinci Low Anterior Resection offers patients numerous potential benefits:
  • Better clinical outcomes for cancer control in many cases1
  • Quicker return to bowel function1
  • Quicker time to normal diet1
  • Significantly less pain
  • Less blood loss
  • Less risk of wound infection
  • Shorter hospital stay1
  • Shorter recovery time1


Suggested Patient Selection Criteria for Early Cases
  • Good performance status
  • Non-obese patients (BMI <30)
  • Healthy: age <70, few co-morbidities
  • No previous intra-abdominal or pelvic surgery
  • No prior chemotherapy or pelvic radiotherapy
  • Low volume disease (non-bulky tumors)
  • Avoid patients with moderate to severe cardiopulmonary compromise. Prolonged operative times and steep Trendelenburg positioning may be poorly tolerated by patients with cardiopulmonary disease.


Next: OR Setup & Patient Prep

 

1 Hellan M, Anderson C, Ellenhorn JD, Paz B, Pigazzi A. Short-Term Outcomes After Robotic-Assisted Total Mesorectal Excision for Rectal Cancer. Annals of Surgical Oncology. 2007 10;1245
2 Pigazzi A, Ellenhorn JD, Ballantyne GH, Paz IB. Robotic-assisted laparoscopic resection with total mesorectal excision for rectal cancer. Surg Endosc. 2006 20;1521-1525