Robotic Surgery Colon and Rectum

被引:73
作者
Baek, Seong Kyu [1 ]
Carmichael, Joseph C. [2 ]
Pigazzi, Alessio [2 ]
机构
[1] Keimyung Univ Coll Med, Taegu, South Korea
[2] Univ Calif Irvine, Div Colon & Rectal Surg, Orange, CA 92868 USA
关键词
Robotic surgery; colorectal and rectal surgery; TOTAL MESORECTAL EXCISION; SHORT-TERM OUTCOMES; LAPAROSCOPIC RIGHT COLECTOMY; RANDOMIZED CLINICAL-TRIAL; LOW ANTERIOR RESECTION; MRC CLASICC TRIAL; INTRACORPOREAL ANASTOMOSIS; SEXUAL FUNCTION; RIGHT HEMICOLECTOMY; COLORECTAL SURGERY;
D O I
10.1097/PPO.0b013e31828ba0fd
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Although robotic technology aims to obviate some of the limitations of conventional laparoscopic surgery, the role of robotics in colorectal surgery is still largely undefined and different with respect to its application in abdominal versus pelvic surgery. This review aims to elucidate current developments in colorectal robotic surgery. In colon surgery, robotic techniques are associated with longer operative times and higher costs compared with laparoscopic surgery. However, robotics provides a stable camera platform and articulated instruments that are not subject to human tremors. Because of these advantages, robotic systems can play a role in complex procedures such as the dissection of lymph nodes around major vessels. In addition robot-assisted hand-sewn intracorporeal anastomoses can be easily performed by the surgeon, without a substantial need for a competent assistant. At present, although the short-term outcomes and oncological adequacy of robotic colon resection have been observed to be acceptable, the long-term outcomes of robotic colon resection remain unknown. In rectal surgery, robotic-assisted surgery for rectal cancer can be carried out safely and in accordance with current oncological principles. However, to date, the impact of robotic rectal surgery on the long-term oncological outcomes of minimally invasive total mesorectal excision remains undetermined. Robotic total mesorectal excision may allow for better preservation of urinary and sexual functions, and robotic surgery may attenuate the learning curve for laparoscopic rectal resection. However, a major drawback to robotic rectal surgery is the high cost involved. Large-scale prospective randomized clinical trials such as the international randomized trial ROLARR are required to establish the benefits of robotic rectal surgery.
引用
收藏
页码:140 / 146
页数:7
相关论文
共 60 条
[1]   Meta-analysis of short-term outcomes after laparoscopic resection for colorectal cancer [J].
Abraham, NS ;
Young, JM ;
Solomon, MJ .
BRITISH JOURNAL OF SURGERY, 2004, 91 (09) :1111-1124
[2]   Successful transfer of open surgical skills to a laparoscopic environment using a robotic interface: Initial experience with laparoscopic radical prostatectomy [J].
Ahlering, TE ;
Skarecky, D ;
Lee, D ;
Clayman, RV .
JOURNAL OF UROLOGY, 2003, 170 (05) :1738-1741
[3]   Robot-assisted total mesorectal excision: is there a learning curve? [J].
Akmal, Yasir ;
Baek, Jeong-Heum ;
McKenzie, Shaun ;
Garcia-Aguilar, Julio ;
Pigazzi, Alessio .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2012, 26 (09) :2471-2476
[4]   A case-control study of extracorporeal versus intracorporeal anastomosis in patients subjected to right laparoscopic hemicolectomy [J].
Arredondo Chaves, Jorge ;
Pastor Idoate, Carlos ;
Baixauli-Fons, Jorge ;
Bellver Oliver, Manuel ;
Pedano Rodriguez, Nicolas ;
Bueno Delgado, Alvaro ;
Hernandez Lizoain, Jose Luis .
CIRUGIA ESPANOLA, 2011, 89 (01) :24-30
[5]   Impact of laparoscopic surgery on bladder and sexual function after total mesorectal excision for rectal cancer [J].
Asoglu, Oktar ;
Matlim, Tugba ;
Karanlik, Hasan ;
Atar, Murat ;
Muslumanoglu, Mahmut ;
Kapran, Yersu ;
Igci, Abdullah ;
Ozmen, Vahit ;
Kecer, Mustafa ;
Parlak, Mesut .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2009, 23 (02) :296-303
[6]   Robotic and laparoscopic total mesorectal excision for rectal cancer: a case-matched study [J].
Baek, Jeong-Heum ;
Pastor, Carlos ;
Pigazzi, Alessio .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2011, 25 (02) :521-525
[7]   Oncologic Outcomes of Robotic-Assisted Total Mesorectal Excision for the Treatment of Rectal Cancer [J].
Baek, Jeong-Heum ;
McKenzie, Shaun ;
Garcia-Aguilar, Julio ;
Pigazzi, Alessio .
ANNALS OF SURGERY, 2010, 251 (05) :882-886
[8]   Robotic versus Conventional Laparoscopic Surgery for Rectal Cancer: A Cost Analysis from A Single Institute in Korea [J].
Baek, Se-Jin ;
Kim, Seon-Hahn ;
Cho, Jae-Sung ;
Shin, Jae-Won ;
Kim, Jin .
WORLD JOURNAL OF SURGERY, 2012, 36 (11) :2722-2729
[9]   Robotic tumor-specific mesorectal excison of rectal cancer: short-term outcome of a pilot randomized trial [J].
Baik, S. H. ;
Ko, Y. T. ;
Kang, C. M. ;
Lee, W. J. ;
Kim, N. K. ;
Sohn, S. K. ;
Chi, H. S. ;
Cho, C. H. .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2008, 22 (07) :1601-1608
[10]   Robotic Versus Laparoscopic Low Anterior Resection of Rectal Cancer: Short-Term Outcome of a Prospective Comparative Study [J].
Baik, Seung Hyuk ;
Kwon, Hye Youn ;
Kim, Jin Soo ;
Hur, Hyuk ;
Sohn, Seung Kook ;
Cho, Chang Hwan ;
Kim, Hoguen .
ANNALS OF SURGICAL ONCOLOGY, 2009, 16 (06) :1480-1487