{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T14:29:37Z","timestamp":1789655377804,"version":"4.0.1"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2020,5,11]],"date-time":"2020-05-11T00:00:00Z","timestamp":1589155200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,5,11]],"date-time":"2020-05-11T00:00:00Z","timestamp":1589155200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Introduction<\/jats:title>\n<jats:p>Robotic single-port platforms represent a viable option for advanced surgical procedures. This preclinical study investigated the dual-field, single-port, robot-assisted transanal total mesorectal excision (taTME).<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Technique<\/jats:title>\n<jats:p>In a male human cadaver, we employed the novel da Vinci\u00ae SP\u2122 Surgical System, sequentially, to realize the transanal and abdominal parts of the taTME procedure. We evaluated the feasibility of the one-team approach.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>We showed that single-port access for the taTME was technically feasible with the current da Vinci\u00ae SP\u2122 Surgical System in both surgical fields. The total console times were 189\u00a0min for the juxta-anal purse-string suture placement, partial intersphincteric resection, and bottom-up mesorectal dissection to where it meets the peritoneal reflection and 43\u00a0min for the abdominal procedure. A good quality specimen was achieved. The surgeon comfort was high during simulated surgery. The task load was highly acceptable (NASA-TLX global score: 35), even though it was the surgeon\u2019s first use of this platform.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>This preclinical study demonstrated that the robotic, single-port taTME was feasible and could be performed with the da Vinci\u00ae SP\u2122 Surgical System, beginning at the level of the dentate line. Further simulations are necessary to confirm this promising approach.<\/jats:p>\n<\/jats:sec>","DOI":"10.1007\/s00464-020-07444-4","type":"journal-article","created":{"date-parts":[[2020,5,11]],"date-time":"2020-05-11T14:03:06Z","timestamp":1589205786000},"page":"3232-3235","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Da Vinci Single-Port robot-assisted transanal mesorectal excision: a promising preclinical experience"],"prefix":"10.1007","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7219-0523","authenticated-orcid":false,"given":"Werner","family":"Kneist","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hubert","family":"Stein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Rheinwald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,5,11]]},"reference":[{"key":"7444_CR1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-019-05049-0","author":"S Cianci","year":"2019","unstructured":"Cianci S, Rosati A, Rumolo V, Gueli Alletti S, Gallotta V, Turco LC, Corrado G, Vizzielli G, Fagotti F, Fanfani F, Scambia G, Uccella S (2019) Robotic single-port platform in general, urologic, and gynecologic surgeries: a systematic review of the literature and meta-analysis. World J Surg. https:\/\/doi.org\/10.1007\/s00268-019-05049-0","journal-title":"World J Surg"},{"key":"7444_CR2","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1097\/SLA.0000000000002794","volume":"269","author":"A Hirst","year":"2019","unstructured":"Hirst A, Philippou Y, Blazeby J, Campbell B, Campbell M, Feinberg J, Rovers M, Blencowe N, Pennell C, Quinn T, Rogers W, Cook J, Kolias AG, Agha R, Dahm P, Sedrakyan A, McCulloch P (2019) No surgical innovation without evaluation: evolution and further development of the IDEAL framework and recommendations. Ann Surg 269:211\u2013220","journal-title":"Ann Surg"},{"key":"7444_CR3","doi-asserted-by":"publisher","first-page":"e000004","DOI":"10.1136\/bmjsit-2019-000004","volume":"1","author":"SX Roodbeen","year":"2019","unstructured":"Roodbeen SX, loConte A, Hirst A, Penna M, Bemelman WA, Tanis PJ, McCulloch P, Hompes R (2019) Evolution of transanal total mesorectal excision according to the IDEAL framework. BMJ Surg Interv Health Technol 1:e000004. https:\/\/doi.org\/10.1136\/bmjsit-2019-000004","journal-title":"BMJ Surg Interv Health Technol"},{"key":"7444_CR4","doi-asserted-by":"publisher","first-page":"903","DOI":"10.1007\/s10151-019-02094-8","volume":"23","author":"JC Hol","year":"2019","unstructured":"Hol JC, van Oostendorp SE, Tuynman JB, Sietses C (2019) Long-term oncological results after transanal total mesorectal excision for rectal carcinoma. Tech Coloproctol 23:903\u2013911","journal-title":"Tech Coloproctol"},{"key":"7444_CR5","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1002\/bjs.11459","volume":"107","author":"HH Wasmuth","year":"2020","unstructured":"Wasmuth HH, Faerden AE, Myklebust T\u00c5, Pfeffer F, Norderval S, Riis R, Olsen OC, Lambrecht JR, K\u00f8rner H, Larsen SG, Norwegian TaTME Collaborative Group, on behalf of the Norwegian Colorectal Cancer Group, Forsmo HM, Baekkelund O, Lavik S, Knapp JC, Sjo O, Rashid G (2020) Transanal total mesorectal excision for rectal cancer has been suspended in Norway. Br J Surg 107:121\u2013130","journal-title":"Br J Surg"},{"key":"7444_CR6","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002862","author":"L Lee","year":"2018","unstructured":"Lee L, de Lacy B, Gomez Ruiz M, Liberman AS, Albert MR, Monson JRT, Lacy A, Kim SH, Atallah SB (2018) A multicenter matched comparison of transanal and robotic total mesorectal excision for mid and low-rectal adenocarcinoma. Ann Surg. https:\/\/doi.org\/10.1097\/SLA.0000000000002862","journal-title":"Ann Surg"},{"key":"7444_CR7","doi-asserted-by":"publisher","first-page":"455","DOI":"10.1007\/978-3-030-11572-2_44","volume-title":"Transanal minimally invasive surgery (TAMIS) and transanal total mesorectal excision (taTME)","author":"M Gomez Ruiz","year":"2019","unstructured":"Gomez Ruiz M (2019) Totally robotic taTME: experiences and challenges to date. In: Atallah S (ed) Transanal minimally invasive surgery (TAMIS) and transanal total mesorectal excision (taTME). 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Kneist reports fees, travel and accommodation costs that have been taken over as part of the referent activity from Olympus Germany GmbH, Karl Storz GmbH&Co.KG, Johnson & Johnson Medical GmbH and Merck Serono GmbH. He indicates that financial support and resources for this experimental study were provided by Intuitive Surgical Inc., Sunnyvale, CA, USA. Travel and expense allowance were not accepted. He has no direct conflicts of interest with the content discussed in this manuscript. H. Stein is the senior director of global clinical development and an employee of Intuitive Surgical, Sunnyvale, CA, USA. Dr. M. Rheinwald is the Senior Manager of Clinical Applications Europe an employee of Intuitive Surgical, Sunnyvale, CA, USA.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study on human body donor was done in accordance with ethical standards and the declaration of Helsinki 1964 and the subsequent updates of the same.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}