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Varlamova A.V.

Botkin Moscow Multi-Field Scientific Clinical Center

Tatarova A.A.

Botkin Moscow Multi-Field Scientific Clinical Center

Bagatelia Z.A.

Botkin Moscow Multidisciplinary Scientific and Clinical Center;
Russian Medical Academy for Continuous Professional Education

Lebedev S.S.

Botkin Moscow Multi-Field Scientific Clinical Center;
Russian Medical Academy of Continuous Professional Education

Kulushev V.M.

Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin

Lukin A.YU.

Botkin Moscow Multi-Field Scientific Clinical Center;
Russian Medical Academy of Continuous Professional Education

Lebedko M.S.

Botkin Moscow Multi-Field Scientific Clinical Center

Maksimkin A.I.

Botkin Moscow Multi-Field Scientific Clinical Center

Nakashidze E.R.

Botkin Moscow Multi-Field Scientific Clinical Center

Semenycheva N.V.

Botkin Moscow Multi-Field Scientific Clinical Center

Transanal endoscopic and robot-assisted microsurgery for rectal tumors

Authors:

Varlamova A.V., Tatarova A.A., Bagatelia Z.A., Lebedev S.S., Kulushev V.M., Lukin A.YU., Lebedko M.S., Maksimkin A.I., Nakashidze E.R., Semenycheva N.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2026;(1): 26‑32

DOI: 10.17116/hirurgia202601126

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Table of contents

TRANSANAL ENDOSCOPIC AND ROBOT-ASSISTED MICROSURGERY FOR RECTAL TUMORS
TRANSANAL ENDOSCOPIC AND ROBOT-ASSISTED MICROSURGERY FOR RECTAL TUMORS

To cite this article:

Varlamova AV, Tatarova AA, Bagatelia ZA, et al. Transanal endoscopic and robot-assisted microsurgery for rectal tumors. Pirogov Russian Journal of Surgery. 2026;(1):26‑32. (In Russ.)
https://doi.org/10.17116/hirurgia202601126

 
Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To analyze the results of transanal endoscopic and robotic microsurgery for rectal neoplasms.

MATERIAL AND METHODS

A retrospective cohort study enrolled 84 patients. We considered clinical and anamnestic data, anatomical characteristics of tumors, intraoperative and histological data. Postoperative complications, data on disease progression and recurrence were analyzed.

RESULTS

Transanal endoscopic surgery was performed in 82 patients; da Vinci Xi robotic complex was used in 2 patients. In 2% of patients, intraoperative complication occurred (full-thickness rectal wall defect with penetration into abdominal cavity). Postoperative complications were observed in 10% of patients: Clavien-Dindo class I — 1%, class IIIB — 7%, class V — 1%. Progression of cancer was observed in 13% of patients with malignant neoplasms. Local recurrence was observed in 4% of patients with benign neoplasms.

CONCLUSION

Transanal microsurgery, including robotic microsurgery, is effective for rectal tumors. Further research is required to clarify the indications for this treatment option. Patients need for long-term postoperative follow-up regarding complications and recurrence of disease.

Keywords:

colorectal cancer
early rectal cancer
benign tumors
transanal endoscopic surgery
robot-assisted endoscopic microsurgery

Authors:

Varlamova A.V.

Botkin Moscow Multi-Field Scientific Clinical Center

Tatarova A.A.

Botkin Moscow Multi-Field Scientific Clinical Center

Bagatelia Z.A.

Botkin Moscow Multidisciplinary Scientific and Clinical Center;
Russian Medical Academy for Continuous Professional Education

Lebedev S.S.

Botkin Moscow Multi-Field Scientific Clinical Center;
Russian Medical Academy of Continuous Professional Education

Kulushev V.M.

Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin

Lukin A.YU.

Botkin Moscow Multi-Field Scientific Clinical Center;
Russian Medical Academy of Continuous Professional Education

Lebedko M.S.

Botkin Moscow Multi-Field Scientific Clinical Center

Maksimkin A.I.

Botkin Moscow Multi-Field Scientific Clinical Center

Nakashidze E.R.

Botkin Moscow Multi-Field Scientific Clinical Center

Semenycheva N.V.

Botkin Moscow Multi-Field Scientific Clinical Center

Received:

06.08.2025

Accepted:

08.10.2025

Close metadata

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