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Finding out you have cancer may be one of the hardest things you’ve faced. That’s why it’s important to learn all of your options before choosing the best path forward.

Your doctor may suggest rectal surgery which is called low anterior resection or LAR. If LAR is suggested, it can be done with open surgery through a large incision (cut) or minimally invasive surgery through a few small incisions. Minimally invasive surgery can be done using traditional laparoscopy or da Vinci Surgery.

Why da Vinci Surgery?

The da Vinci System is a robotic-assisted surgical device that your surgeon is 100% in control of at all times. The da Vinci System gives surgeons a 3D HD view inside your body, tiny wristed instruments that bend and rotate far greater than the human hand, and enhanced vision, precision and control.

da Vinci Low Anterior Resection offers the following potential benefits compared to open surgery:
  • Less blood loss 1,2
  • Less pain 1,3
  • Shorter hospital stay 1,4
  • Small incisions for minimal scarring
da Vinci Low Anterior Resection offers the following potential benefits compared to traditional laparoscopy:
  • Improved cancer margins 5,6
  • Less chance of surgeon switching to open surgery 5,7,8,9
  • Shorter hospital stay 1,5,7
  • Quicker return to a soft diet 1,7

The da Vinci System has brought minimally invasive surgery to more than 3 million patients worldwide. da Vinci technology – changing the experience of surgery for people around the world.

Risks and Considerations Related to Bowel Resection and Other Colorectal Procedures (removal of all/part of the intestine): leaking and/or narrowing at the spot where two sections of bowel were reconnected, colorectal or anal dysfunction (cannot empty bowel, frequent bowel movements, leakage or constipation).

1. Kang J, Yoon KJ, Min BS, Hur H, Baik SH, Kim NK, Lee KY. The impact of robotic surgery for mid and low rectal cancer: A case-matched analysis of 3-arm comparison – open, laparoscopic, and robotic surgery. Ann Surg. 2013 Jan; 257(1):95-101.
2. deSouza AL, Prasad LM, Ricci J, Park JJ, Marecik SJ, Zimmern A, Blumetti J, Abcarian H. A comparison of open and robotic total mesorectal excision for rectal adenocarcinoma. Dis Colon Rectum. 2011 Mar;54(3):275-82.
3. Park JS, Choi GS, Lim KH, Jang YS, Jun SH. S052: a comparison of robot-assisted, laparoscopic, and open surgery in the treatment of rectal cancer. Surg Endosc. 2011 Jan;25(1):240-8. Epub 2010 Jun 15.
4. Ghezzi, TL, Luca, F, Valvo, M, Corleta OC, Zuccaro, M, Cenciarelli, S, Biffi, R. Robotic versus open total mesorectal excision for rectal cancer: Comparative study of short and long-term outcomes."European Journal of Surgical Oncology. 2014 10.1016/j.ejso.2014.02.235
5. D'Annibale A, Pernazza G, Monsellato I, Pende V, Lucandri G, Mazzocchi P, Alfano G. Total mesorectal excision: a comparison of oncological and functional outcomes betweenrobotic and laparoscopic surgery for rectal cancer. Surg Endosc. 2013 Jun;27(6):1887-95.
6. Xiong B, Ma L, Zhang C, Cheng Y. Robotic versus laparoscopic total mesorectal excision for rectal cancer: a meta-analysis. Journal of Surgical Research 2014; 188(2): 404-414.
7. Baik SH, Kwon HY, Kim JS, Hur H, Sohn SK, Cho CH, Kim H. Robotic versus laparoscopic low anterior resection of rectal cancer: short-term outcome of a prospective comparative study. Ann Surg Oncol. 2009 Jun;16(6):1480-7. Epub 2009 Mar 17.
8. Speicher PJ, Englum BR, Ganapathi AM, Nussbaum DP, Mantyh CR, Migaly J. Robotic Low Anterior Resection for Rectal Cancer: A National Perspective on Short-term Oncologic Outcomes. Ann Surg. 2014 Nov 17. [Epub ahead of print] Liao G, Zhao Z, Lin S, Li R, Yuan Y1, Du S, Chen J, Deng H. Robotic-assisted versus laparoscopic colorectal surgery: a meta-analysis of four randomized controlled trials. World J Surg Oncol. 2014 Apr 26;12:122.

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