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Academic Surgical Congress Abstracts Archive. Minjares-Granillo 1 , B. Dimas 1 , J. LeFave 1,2 , E. Introduction : Numerous studies have confirmed significant benefits of intracorporeal anastomosis ICA following colorectal procedures however technical challenges have limited this approach following conventional laparoscopic surgery.

The robotic Xi platform serves as an enabling technology and has resulted in a surge of reports for right-sided intracorporeal anastomosis, however, there are no reports involving more complex left-sided procedures such as for diverticulitis.

Furthermore, there are no reports of natural orifice assisted techniques using robotic Xi in which the specimen can be removed and the anvil can be placed thereby completely eliminating the need for an abdominal wall incision other than the port sites.

We present a pilot study to investigate the safety, feasibility and short term outcomes of robotic Natural orifice-assisted IntraCorporeal anastomosis with transrectal Extraction of specimen, called the robotic NICE procedure.