VM12 - Single-Port Robotic-Assisted Excision of Juvenile Polyps

ONGOING VIDEOS

Location: ASCRS Connect Lounge, Hall B1/B2, Ground Level

Video Presentation(s)

Rossana Cheng He, MD

Resident
Mount Sinai Hospital
New York, NY, United States

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This individual has no financial relationships with ineligible companies.

Author(s)

Yun Hwa W. Wang, MD

Resident Physician
Mount Sinai Hospital
New York, NY, United States

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Katherine C. Lee, MD, MS

Assistant Professor
Harbor-UCLA Medical Center
Torrance, California, United States

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MP

Michael C. Plietz, MD (he/him/his)

Assistant Professor of Surgery
Icahn School of Medicine at Mount Sinai
New York, NY, United States

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Senior Author(s)

SH

Sue J. Hahn, MD

Assistant Professor
Icahn School of Medicine at Mount Sinai
New York City, New York, United States

All of the relevant financial relationships listed below have been mitigated.
This individual has no financial relationships with ineligible companies.

All of the relevant financial relationships listed below have been mitigated.

Rossana Cheng He, MD: This individual has no financial relationships with ineligible companies.

Yun Hwa W. Wang, MD: This individual has no financial relationships with ineligible companies.

Michael C. Plietz, MD: This individual has no financial relationships with ineligible companies.

Sue J. Hahn, MD: This individual has no financial relationships with ineligible companies.

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Purpose/Background: Transanal excision is indicated for removal of benign rectal polyps and selected cases of early-stage cancers that are not amenable to endoscopic resection. The single-port robotic platform is the latest development in robotic surgery that is well-suited for endoluminal surgery. We report our experience of performing single-port robotic transanal minimally invasive surgery for juvenile polypectomy.

Methods/Interventions: In this video, we present our experience using the single-port robotic platform for resection of juvenile polyps using the Da Vinci SP.

Results/Outcomes: A 13-year-old patient presented with circumferential juvenile polyps of the rectum with daily bleeding and incontinence. He underwent robotic transanal resection of the rectal polyps in a staged approach to decrease the risk of rectal stricture. The resection was completed successfully with no intraoperative complications. The patient was discharged on the same day of surgery with significant improvement of symptoms on follow-up visits. He underwent the second stage transanal resection four months later without any issues and continued endoscopic surveillance thereafter.

Conclusion/Discussion: Resection of a large amount of juvenile polyps in the rectum using a single-port robotic platform is safe and feasible. The robotic platform offers an alternative for resection of rectal polyps that are not amenable to endoscopic resection with favorable outcomes.