Rectal Cancer

The robotic technique allows nerve-sparing dissection in the narrow pelvic region, with lower blood loss and a higher rate of sphincter preservation. In locally advanced cases, neoadjuvant chemoradiotherapy is planned.

• Those with complaints of blood in the stool and a change in bowel habits
• Patients diagnosed with rectal cancer by endoscopic biopsy
• Those diagnosed with locally advanced disease for whom surgery is planned after neoadjuvant treatment
• Cases of recurrent rectal tumours deemed suitable by a multidisciplinary board

1. 1

   Pre-Assessment & Diagnosis

   The diagnosis is confirmed and the stage of the disease clarified through a detailed history, physical examination and the necessary imaging and laboratory tests.

2. 2

   Planning & Preparation

   An anaesthesia consultation, bleeding profile and review of any accompanying conditions are carried out; a multidisciplinary council decision is taken when needed.

3. 3

   Procedure / Operation

   The procedure is performed with the technique most suitable for the patient (laparoscopic, robotic or open); tissue integrity and oncological principles are preserved.

4. 4

   Follow-up & Monitoring

   Early mobilization, pain control and wound monitoring are provided; suture removal and a general assessment check-up are planned after discharge.

With robotic TME the rate of sphincter preservation is high; for some low tumours, a temporary protective ileostomy may be planned.