Robotic assisted surgical techniques have been a breakthrough in minimally invasive surgery. The division’s surgeons have kept abreast of these pioneering changes and have vast experience in this technique. Using robotics for colorectal surgery is a very new approach to treatment that only a few institutions in the New York tri-state area offer.
Robotic surgery is especially advantageous in treating rectal cancer. Years of studies have shown the importance of a total mesorectal excision (TME). TME consists of a removal of all the rectal cancer and the fat surrounding the rectum where the lymph nodes reside (this is sometimes referred to as mesorectal compartment). This approach, coupled with a reconstruction of the rectum, significantly reduces the risk of cancer recurrence while preserving the sphincter and muscles around the anus, which maximizes functional outcomes.
Because of the anatomy of the rectum (the pelvis is narrow and the angles are sharp), TME is challenging to do in a minimally invasive way. Traditionally, TME was done with open techniques, a big incision and considerable stress to the body. That is, before robotics was introduced to the field of colorectal surgery.
Beth Israel’s da Vinci® robot combines 3D high definition vision with multiple instruments that have a complete range of subtle movement and rotations in the body, allowing for enhanced dexterity, precision and control. In rectal surgery, the division’s surgeons have found that using the robot has allowed the thoroughness of TME to be performed in a minimally invasive manner.
Watch and overview of the da Vinci® S Surgical System
For more information or to make an appointment with a colorectal surgeon at Mount Sinai Beth Israel, please call 212.420.3960