A Case of Transanal Total Mesorectal Excision Using the Senhance Digital Laparoscopy System for Rectal Cancer.

IF 0.7 Q4 SURGERY Surgical Case Reports Pub Date : 2025-01-01 Epub Date: 2025-02-01 DOI:10.70352/scrj.cr.24-0024

Yasuhiro Ishiyama, Yasumitsu Hirano, Yume Minagawa, Misuzu Yamato, Sohei Akuta, Akihito Nakanishi, Takatsugu Fujii, Naoto Okazaki, Chikashi Hiranuma, Isamu Koyama

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Abstract

Introduction: This case report presents the world's first transanal total mesorectal excision (taTME) using the Senhance Digital Laparoscopy System for rectal cancer. Senhance has been gaining attention as an advanced surgical robot, providing better visualization, stable dissection, and reduced surgeon fatigue compared to conventional methods.

Case presentation: A 68-year-old woman underwent Senhance-assisted taTME for a rectal tumor located 4 cm from the anal verge. The procedure was completed safely with a total operation time of 209 minutes, a cockpit time of 85 minutes, and a blood loss of 40 mL. Pathological evaluation confirmed complete resection (R0) with no residual cancer or lymph node metastases. The patient was discharged on postoperative day 7 without complications.

Conclusions: This case demonstrates the potential advantages of Senhance-assisted taTME, including improved visualization, stable dissection, and reduced surgeon fatigue. Further studies are needed to evaluate long-term outcomes and establish the role of this technique in rectal cancer surgery.

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应用数字腹腔镜系统经肛门直肠癌全肠系膜切除术1例。

本病例报告介绍了世界上第一例使用增强数字腹腔镜系统治疗直肠癌的经肛门全肠系膜切除术（taTME）。与传统方法相比，Senhance作为一种先进的手术机器人，提供更好的可视化，稳定的解剖，减少外科医生的疲劳，已经引起了人们的关注。病例介绍：一名68岁女性，因直肠肿瘤位于距肛门边缘4cm处，接受了senhance辅助taTME手术。手术安全完成，总手术时间209分钟，座诊时间85分钟，出血量40毫升。病理评估证实完全切除（R0），无残留癌或淋巴结转移。患者于术后第7天出院，无并发症。结论：本病例显示了senhance辅助taTME的潜在优势，包括改善可视化，稳定解剖，减少外科医生疲劳。需要进一步的研究来评估长期结果并确定该技术在直肠癌手术中的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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