Uterine Anastomosis with Low Anterior Resection

In this surgical teaching video, we demonstrate thetechnique of robot-assisted uterine anastomosis combinedwith low anterior resection in a 27-year-old patient with T2node-positive rectal cancer. The patient had undergone uterinetransposition for fertility preservation prior to upfrontchemotherapy and radiation therapy for rectal cancer. In thisvideo, we review the key steps of both surgical procedures.We emphasize robot trocar placement and docking, demonstrateoptimal organ manipulation and tissue handling, andinclude key operative modifications and pearls for successfulperioperative management.