TY - JOUR AU - Guraieb-Trueba, Montserrat; Sánchez-Robles, Juan Carlos; Navarro-Lara, Eduardo; Herrera-Virrueta, Víctor Javier TI - Robotic Transanal Surgery. Initial Experience in a Developing Country TT - Cirugía Robótica Transanal. Experiencia inicial en un País en Vías de Desarrollo SN - 2237-9363 SN - 2317-6423 PY - 2021 JF - Journal of Coloproctology LA - EN VL - 41 IS - 02 SP - 163 EP - 167 DA - 2021/05/24 KW - transanal surgery KW - robotic surgery KW - rectal cancer KW - minimally invasive KW - rectal polyps KW - TAMIS KW - R-TAMIS AB - Background Transanal minimally invasive surgery (TAMIS) is a surgical technique used for the excision of rectal neoplasia that gained popularity during the last decade.Due to the technical difficulty (non-articulated instruments, reduced workspace) and the long learning curve associated with this technique, the use of robotic platforms to improve resection results has been suggested and reported, at the same time that the learning curve decreases and the procedure is facilitatedMaterials and Methods From March 2017 to December 2019, all patients with rectal lesions eligible for TAMIS were offered the possibility to receive a robotic TAMIS (R-TAMIS). We used a transanal GelPoint Path (Applied Medical Inc., Santa Margarita, CA, USA) in the anal canal to be able to do the Da Vinci Si (Intuitive Surgical, Sunnyvale, CA, USA) robotic platform docking, which we used to perform the excision of the rectal lesion as well as the resection site defect.Results Five patients between 34 and 79 years of age underwent R-TAMIS. The mean distance to the anal verge was 8.8 cm. There were no conversions. The mean surgery time was 85 minutes, and the mean docking time was 6.6 minutes.Conclusions Robotic TAMIS is a feasible alternative to TAMIS, with a faster learning curve for experienced surgeons in transanal surgery and better ergonomics. Further studies are needed to assess the cost-benefit relationship. PB - Thieme Revinter Publicações Ltda. DO - 10.1055/s-0041-1726051 UR - http://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0041-1726051 ER -