Robotic Assisted Ultralow Anterior Resection With Colonic J Pouch-Anal Anastomosisis

Celeste Kang, MD, Alessio Pigazzi, MD. Department of Surgery, University of California, Irvine School of Medicine


A 72 year old male is newly diagnosed with low rectal adenocarcinoma. Following neoadjuvant chemoradiation therapy, a hybrid laparoscopic-robotic ultralow anterior resection with colonic J pouch-anal anastomosis performed in the lithotomy position. After the splenic flexure mobilization and high vessel ligation via the laparoscopic approach the robot is used to perform a total mesorectal excision with dissection of the rectum down to the anal canal, and stapling of the distal rectum 2 cm above the anal verge. A 6 cm J pouch is fashioned and an ultralow J pouch-anal anastomosis is performed using a circular EEA stapler. This video emphasizes the technique, feasibility and safety of this procedure.

Session Number: SS24 – Videos: Robotics
Program Number: V060

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