There are a number of conditions that may result in your doctor recommending rectal surgery. The most common condition is cancer, but benign (noncancerous conditions), like rectal prolapse can also result in rectal surgery.
It’s important to learn about the many options for care available. You and your doctor can discuss your choices and decide which approach is right for you. On this page, you’ll find information on rectal resection surgeries, how they are performed, questions you can ask your doctor, and how to find a surgeon who performs rectal surgery with the da Vinci system.
Rectal resection surgery is the removal of the diseased section of the rectum. If you have been diagnosed with rectal cancer your doctor may recommend a combination of options that includes rectal resection, depending on the type of cancer and how far it has advanced.1
The surgeon can perform a low anterior resection through open surgery or a minimally invasive approach. Traditional open surgery requires the surgeon to make an incision in your abdomen large enough to see the rectum and perform the procedure using hand-held tools.
There are two minimally invasive approaches for lower anterior resection: laparoscopic or robotic-assisted surgery, possibly with da Vinci technology. Both minimally invasive surgical options require a few small incisions that doctors use to insert surgical instruments and a camera for viewing. In laparoscopic surgery, doctors use special long-handled tools while viewing magnified images from the laparoscope (camera) on a video screen.
It’s important to remember that Intuitive does not provide medical advice. After discussing all options with your doctor, only you and your doctor can determine whether surgery with the da Vinci system is appropriate for your situation. You should always ask your surgeon about his or her training, experience, and patient outcomes.
Every surgeon's experience is different. Be sure to talk with your surgeon about the surgical outcomes they deliver using the da Vinci system. For example, ask about:
There are additional surgical outcomes you may want to talk about with your doctor. Please ask to discuss all important outcomes. Every surgery involves risk and you can read more about those associated with rectal resection surgery.
Risks associated with bowel resection and other colorectal procedures (removal of all/part of the intestine) include 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).
Important safety information
Patients should talk to their doctor to decide if da Vinci surgery is right for them. Patients and doctors should review all available information on non-surgical and surgical options and associated risks in order to make an informed decision.
Serious complications may occur in any surgery, including da Vinci surgery, up to and including death. Serious risks include, but are not limited to, injury to tissues and organs and conversion to other surgical techniques which could result in a longer operative time and/or increased complications. For Important Safety Information, including surgical risks, indications, and considerations and contraindications for use, please also refer to www.intuitive.com/safety.
Individuals' outcomes may depend on a number of factors, including but not limited to patient characteristics, disease characteristics and/or surgeon experience.
Da Vinci Xi system precaution statement
The demonstration of safety and effectiveness for the specific procedure(s) discussed in this material was based on evaluation of the device as a surgical tool and did not include evaluation of outcomes related to the treatment of cancer (overall survival, disease-free survival, local recurrence) or treatment of the patient’s underlying disease/condition. Device usage in all surgical procedures should be guided by the clinical judgment of an adequately trained surgeon.
Medical advice and locating a doctor
Patients should talk to their doctor to decide if da Vinci surgery is right for them. Other options may be available and appropriate. Only a doctor can determine whether da Vinci surgery is appropriate for a patient’s situation. Patients and doctors should review all available information on both non-surgical and surgical options in order to make an informed decision.
Surgeons who perform surgery using the da Vinci system can be found using the Surgeon Locator. Intuitive Surgical provides surgeons with training on the use of the da Vinci system but does not certify, credential or qualify the surgeons listed in the Surgeon Locator.
Published evidence
In order to provide benefit and risk information, Intuitive Surgical reviews the highest available level of evidence on procedures named above. Intuitive Surgical strives to provide a complete, fair and balanced view of the clinical literature. However, our materials should not be seen as a substitute for a comprehensive literature review for inclusion of all potential outcomes. We encourage patients and physicians to review the original publications and all available literature in order to make an informed decision. Clinical studies are typically available at pubmed.gov.
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