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  • 1. Introduction
  • 2. Surgical Approach
  • 3. Pfannenstiel Incision and Placement of Ports
  • 4. Robot Docking
  • 5. Lateral-to-Medial Colon Mobilization
  • 6. Total Mesorectal Excision (TME) Dissection
  • 7. Determination of Tumor Location and Level of Resection with TilePro and Flexible Sigmoidoscopy
  • 8. Complete Dissection to the Level of Resection
  • 9. Distal Rectal Division with Stapler
  • 10. Dissection of IMA Pedicle
  • 11. Determination and Preparation of Proximal Anastomosis Site
  • 12. Check Perfusion of Colon and Rectal Stump
  • 13. Specimen Extraction Through Pfannenstiel Incision and Proximal Bowel Division
  • 14. Anastomosis with EEA Stapler
  • 15. Air Leak Test for Anastomosis
  • 16. Robot Undocking and Closure
  • 17. Post-op Remarks
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Robotic Low Anterior Resection with Diverting Loop Ileostomy for Locally Advanced Rectal Cancer

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Jon Harrison, MD1; Todd Francone, MD1,2
1Massachusetts General Hospital
2Newton-Wellesley Hospital

Procedure Outline