Journal: Annals of Coloproctology
Article Title: Robotic natural orifice specimen extraction surgery (NOSES) for anterior resection
doi: 10.3393/ac.2022.00458.0065
Figure Lengend Snippet: Robotic natural orifice specimen extraction surgery (NOSES) anterior resection technique. (A) Port placement. (B) Left colon mobilization. (C) Left ureter identification. (D) Scoring the mesentery of transection points. (E) Mesentery division with da Vinci Vessel Sealer (Intuitive Surgical Inc). (F) Vessels controlled with da Vinci Weck Hem-O-Lok (Intuitive Surgical Inc). (G, H) Bowel division. (I) Excision of distal staple line. (J) Transanal alexis retractor inserted. (K, L) Specimen removed transanally using an EndoCatch II bag (Medtronic). (M) Alexis rectractor removed. (N, O) Anvil inserted and secured. (P) Rectal stump purse string and anastomosis is performed.
Article Snippet: For malignant disease, oncological principles are observed, with high ligation of the inferior mesenteric artery and vein using the da Vinci Weck Hem-O-Lok clip applicator (Intuitive Surgical Inc) ( ).
Techniques: Extraction