Robotic natural-orifice IntraCorporeal anastomosis with Extraction (NICE procedure) for complicated diverticulitis.

Journal: Surgical endoscopy
Published Date: Jun 1, 2021

Abstract

BACKGROUND: Totally intracorporeal surgery for left-sided resection carries numerous potential advantages by avoiding crossing staple lines and eliminating the need for an abdominal incision. For those with complicated diverticulitis, minimally invasive surgery is known to be technically challenging due to inflamed tissue, distorted pelvic anatomy, and obliterated tissue planes, resulting in high conversion rates. We aim to illustrate the stepwise approach and modifications required to successful complete the robotic Natural-orifice IntraCorporeal anastomosis with transrectal specimen Extraction (NICE) procedure in this cohort.

Authors

  • Eric M Haas
    Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Tex.; Department of Plastic Surgery, Ohio State University Medical Center, Columbus, Ohio; Department of Surgery, Houston Methodist Hospital, Houston, Tex.; Department of Surgery, University of Tennessee Graduate School of Medicine, Knoxville, Tenn.; Department of Obstetrics and Gynecology and Geriatrics, University of Oklahoma College of Medicine, Oklahoma City, Okla.; and Department of Surgery, Houston Methodist Institute for Technology, Innovation, and Education, Houston, Tex.
  • Thais Reif de Paula
    Houston Colon PLLC, Houston, TX, USA.
  • Roberto Luna-Saracho
    Houston Colon PLLC, Houston, TX, USA.
  • Melissa Sara Smith
    Houston Colon PLLC, Houston, TX, USA.
  • Jean-Paul J LeFave
    Houston Colon PLLC, Houston, TX, USA.

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