# Decalogue for mastering robotic transanal minimally invasive surgery (rTAMIS)

## TL;DR

This paper provides a comprehensive guide with practical tips for mastering robotic transanal minimally invasive surgery.

## Contribution

The paper introduces a structured, step-by-step approach to improve surgical outcomes in robotic transanal surgery.

## Key findings

- Proper patient positioning and trocar placement reduce instrument collisions.
- Maintaining stable pneumorectum is crucial for optimal surgical conditions.
- Camera alignment and platform positioning significantly affect surgical precision.

## Abstract

This manuscript offers a detailed description of our successful tips for mastering transanal robotic surgery. It covers various aspects, including patient positioning, management of abdominal pressures to maintain a stable pneumorectum, platform positioning, camera alignment, trocar positioning to minimize collisions, instruments used, and approaches to tumor resection.