Hybrid Abdominal Robotic Approach Using the hinotori™ Surgical Robot System with Transanal Total Mesorectal Excision for Rectal Cancer: The First Ever Case Report for Rectal Cancer

Masayuki Ishii; Koichi Okuya; Emi Akizuki; Tatsuya Ito; Ai Noda; Tadashi Ogawa; Masaaki Miyo; Ryo Miura; Momoko Ichihara; Takahiro Korai; Maho Toyota; Ichiro Takemasa

doi:10.23922/jarc.2023-045

Case Report

Hybrid Abdominal Robotic Approach Using the hinotori™ Surgical Robot System with Transanal Total Mesorectal Excision for Rectal Cancer: The First Ever Case Report for Rectal Cancer

Masayuki Ishii, Koichi Okuya, Emi Akizuki, Tatsuya Ito, Ai Noda, Tadashi Ogawa, Masaaki Miyo, Ryo Miura, Momoko Ichihara, Takahiro Korai, Maho Toyota, Ichiro Takemasa

Author information

Masayuki Ishii
Department of Surgery, Surgical Oncology and Science, Sapporo Medical University
Koichi Okuya
Department of Surgery, Surgical Oncology and Science, Sapporo Medical University
Emi Akizuki
Department of Surgery, Surgical Oncology and Science, Sapporo Medical University
Tatsuya Ito
Department of Surgery, Surgical Oncology and Science, Sapporo Medical University
Ai Noda
Department of Surgery, Surgical Oncology and Science, Sapporo Medical University
Tadashi Ogawa
Department of Surgery, Surgical Oncology and Science, Sapporo Medical University
Masaaki Miyo
Department of Surgery, Surgical Oncology and Science, Sapporo Medical University
Ryo Miura
Department of Surgery, Surgical Oncology and Science, Sapporo Medical University
Momoko Ichihara
Department of Surgery, Surgical Oncology and Science, Sapporo Medical University
Takahiro Korai
Department of Surgery, Surgical Oncology and Science, Sapporo Medical University
Maho Toyota
Department of Surgery, Surgical Oncology and Science, Sapporo Medical University
Ichiro Takemasa
Department of Surgery, Surgical Oncology and Science, Sapporo Medical University

Keywords: rectal cancer, hybrid surgery, TaTME

JOURNAL OPEN ACCESS

2024 Volume 8 Issue 3 Pages 253-258

DOI https://doi.org/10.23922/jarc.2023-045

Details

Abstract

In Japan, the hinotori™ Surgical Robot System obtained pharmaceutical approval for use in colorectal cancer surgery in October 2022. This system has an operating arm with eight axes, adjustable arm base, and flexible three-dimensional viewer, which are expected to be advantageous in colorectal cancer surgery. A 55-year-old man presented to our hospital with melena and was diagnosed with cStage IIA (cT3N0M0) rectal cancer. The patient underwent intersphincteric resection using hinotori™ Surgical Robot System. Appropriate port placement was available for rectal manipulation, lymph node dissection, and arm base angle adjustment. Herein, we report the world's first rectal cancer surgery using the hinotori™ Surgical Robot System with TaTME by two teams.

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