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da Vinci® Surgery
(Rectal Cancer Surgery/Low Anterior Resection)

If you have been diagnosed with rectal cancer, your doctor may recommend surgery (known as low anterior resection). If you are facing rectal cancer surgery, ask your doctor about minimally invasive da Vinci Surgery.

Why da Vinci Surgery?

Instead of a large abdominal incision used in open surgery, da Vinci surgeons make just a few small incisions - similar to traditional laparoscopy. The da Vinci System features a magnified 3D high-definition vision system and special wristed instruments that bend and rotate far greater than the human wrist. da Vinci enables your surgeon to operate with enhanced vision, precision, dexterity and control.

As a result of da Vinci technology, da Vinci Low Anterior Resection offers precise removal of cancerous tissue, as well as the following potential benefits compared to open surgery:

  • Less blood loss2
  • Less pain3
  • Shorter hospital stay3
  • Quicker return of bowel function3
  • Quicker return to a normal diet3
  • Faster recovery3
  • Small incision for minimal scarring

As a result of da Vinci technology, da Vinci Low Anterior Resection offers the following potential benefits compared to traditional laparoscopy:

  • Lower conversion rate to open surgery4
  • Fewer major complications4
  • Shorter hospital stay4
  • Quicker return to a normal diet4
  • Quicker return of urinary function5
  • Quicker return of sexual function5

State-of-the-art da Vinci uses the latest in surgical and robotics technologies and is beneficial for performing complex surgery. Your surgeon is 100% in control of the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body. da Vinci – taking surgery beyond the limits of the human hand.

Physicians have used the da Vinci System successfully worldwide in approximately 1.5 million various surgical procedures to date. da Vinci is changing the experience of surgery for people around the world.

Risks & Considerations Related to Low Anterior Resection:

Potential risks of any low anterior resection procedure include:3

  • Anastomotic leak (intestinal fluid leak)
  • Ileus (bowel blockage)
  • Pulmonary embolism (blocked lung artery)
  • Abscess
  • Urinary problems

      1. Hellan M, Anderson C, Ellenhorn JD, Paz B, Pigazzi A. Short-term outcomes after robotic-assisted total mesorectal excision for rectal cancer. Ann Surg Oncol. 2007 Nov;14(11):3168-73. Epub 2007 Sep 1.
      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. 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.
      5. Kim JY, Kim NK, Lee KY, Hur H, Min BS, Kim JH. A comparative study of voiding and sexual function after total mesorectal excision with autonomic nerve preservation for rectal cancer: laparoscopic versus robotic surgery. Ann Surg Oncol. 2012 Aug;19(8):2485-93. Epub 2012 Mar 21.

All surgery presents risk, including da Vinci Surgery. Results, including cosmetic results, may vary. Serious complications may occur in any surgery, up to and including death. Examples of serious and life-threatening complications, which may require hospitalization, include injury to tissues or organs; bleeding; infection, and internal scarring that can cause long-lasting dysfunction or pain. Temporary pain or nerve injury has been linked to the inverted position often used during abdominal and pelvic surgery. Patients should understand that risks of surgery include potential for human error and potential for equipment failure. Risk specific to minimally invasive surgery may include: a longer operative time; the need to convert the procedure to an open approach; or the need for additional or larger incision sites. Converting the procedure to open could mean a longer operative time, long time under anesthesia, and could lead to increased complications. Research suggests that there may be an increased risk of incision-site hernia with single-incision surgery. Patients who bleed easily, have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, including da Vinci Surgery. Other surgical approaches are available. Patients should review the risks associated with all surgical approaches. They should talk to their doctors about their surgical experience and to decide if da Vinci is right for them. For more complete information on surgical risks, safety and indications for use, please refer to http://www.davincisurgery.com/da-vinci-surgery/safety-information.php.

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PN 1002391 Rev A 04/2013 U 1-11-11

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