Use of the contour ® curved cutter stapler device for rectal transection during robotic assisted surgery

Surgeon. 2024 Nov 20:S1479-666X(24)00149-5. doi: 10.1016/j.surge.2024.11.007. Online ahead of print.

Abstract

Background: Rectal division during minimally invasive surgery including robotic assisted surgery remains challenging, with current techniques often requiring multiple stapler firings to achieve effective transection.

Aims: We propose a novel technique which allows the use of a Contour® Curved Cutter Stapler to achieve rectal division during robotic assisted surgery.

Methods: The stapler is inserted through the routinely made pfannenstiel incision and a glove, over an Alexis® port used to create an airtight seal.

Conclusion: This simple technique enables reliable perpendicular single stapler firing to achieve rectal transection during colorectal robotic assisted surgery without the requirement for any further incisions.

Keywords: Contour® stapler; Glove port; Rectal transection; Robotic surgery.