Robotic total mesorectal excision using Versius surgical system – A Video Vignette

Abstract

Video S1 demonstrates total mesorectal excision as part of an extralevator abdominoperineal excision using the Versius Robotic Surgical System in a 56-year-old woman with locally advanced rectal cancer involving the lower rectum and anus with bilateral external sphincter involvement. The radiological staging was T4bN2M0. Multidisciplinary team recommendation was to give total neoadjuvant chemoradiotherapy (TNT). Post-TNT MRI showed significant downsizing of the tumour. The patient had an uneventful postoperative course and was discharged from the hospital on postoperative day 4. Final histological staging showed moderately differentiated residual adenocarcinoma ypT3N0, R0 resection, EMVI (−ve), perineural invasion (−ve) and lymphatic invasion (−ve). All the authors made substantial contributions to the conception of the work; AM and BA drafted the work and revised it for important content; AM, BA, and MA approved the version to be published; AM, BA, and MA agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy of any part of the work are investigated and resolved. The authors declare that they have no conflict of interest. This manuscript adheres to the ethical principles outlined in the declaration of Helsinki, including the protection of patient privacy and confidentiality. Prior to recording the surgical procedure for use in the video vignette, informed verbal consent was obtained from the patient, with clear explanations provided regarding the nature and purpose of the video and that any identifiable information would be removed from the video. No data to share. Data S1: Video S1: Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.