PMC9387366_01
Endoscopic visualization of a cecal polyp.
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F1
During the endoscopic study, we found a 30.5-cm sessile polyp in the cecum, which due to the location and size, it was determined as unresectable endoscopically (Figure 1).
Robot and endoscopist setup. View from the patient s head.
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F2
After docking the robot (Figure 2), we performed complete lateral mobilization of the ileo-cecal region and endoscopic identification and marking with methylene blue of the polyp to facilitate extraluminal identification.
Resection site.
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F3
Once the lesion was completely identified we placed two stay sutures at both ends of the marks and started the full-thickness resection with monopolar energy (Figure 3).
Complete closure of the defect.
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F4
A pneumatic test showed no evidence of leak (Figure 4).
Specimen.
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F5
The specimen was sent to pathology (Figure 5).