계명대학교 의학도서관 Repository

Robotic Surgery Colon and Rectum

Metadata Downloads
Author(s)
Seong Kyu BaekJoseph C. CarmichaelAlessio Pigazzi
Keimyung Author(s)
Baek, Seong Kyu
Department
Dept. of Surgery (외과학)
Journal Title
Cancer Journal
Issued Date
2013
Volume
19
Issue
2
Abstract
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.
Keimyung Author(s)(Kor)
백성규
Publisher
School of Medicine
Citation
Seong Kyu Baek et al. (2013). Robotic Surgery
Colon and Rectum. Cancer Journal, 19(2), 140–146. doi: 10.1097/PPO.0b013e31828ba0fd
Type
Article
ISSN
1528-9117
Source
https://insights.ovid.com/pubmed?pmid=23528722
DOI
10.1097/PPO.0b013e31828ba0fd
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/35312
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
공개 및 라이선스
  • 공개 구분공개
  • 엠바고Forever
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.