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대장암의 로봇 수술

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Author(s)
Sung Uk Bae
Keimyung Author(s)
Bae, Sung Uk
Department
Dept. of Surgery (외과학)
Journal Title
J Korean Med Assoc
Issued Date
2022
Volume
65
Issue
9
Keyword
로봇 수술대장암치료Robotic surgical proceduresColorectal neoplasmsTherapeutics
Abstract
Background:
Robotic surgical systems were created partly to solve several constraints of laparoscopic surgery and to offer technical advantages. With a substantial body of evidence demonstrating its efficacy in rectal cancer treatment, robotic surgery will soon become another conventional treatment. However, further investigations and randomized trials focusing on primary endpoints are necessary to establish some advantages of robot-assisted colon surgery.

Current Concepts:
Da Vinci Single-Site and SP platforms (Intuitive Surgical Inc.) were developed to overcome the shortcomings of single-port laparoscopic surgery. Despite the currently insufficient evidence, it seems that the SP platform addresses several limitations of single-port transabdominal or transanal surgery. Robotic transanal minimally invasive surgery and total mesorectal excision were developed to overcome conventional platforms’ limitations, using wristed instrumentation to enhance dexterity and ergonomics. Studies on the effectiveness and viability of this novel approach are ongoing. The near-infrared fluorescence technique, real-time stereotactic navigation technology, and other surgical data platforms based on artificial intelligence incorporated into the robotic system will play an important role in improving outcomes.

Discussion and Conclusion:
Robotic systems for advanced colorectal cancer offer technical advantages for complex and precise surgeries. If robotic surgery costs are reduced by expanding its indications and enhancing competition among different robotic platforms, it will provide clinical benefits to more patients and reduce social healthcare costs.
Alternative Title
Robotic surgery for colorectal cancer
Keimyung Author(s)(Kor)
배성욱
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2093-5951
Source
https://jkma.org/journal/view.php?doi=10.5124/jkma.2022.65.9.577
DOI
10.5124/jkma.2022.65.9.577
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44486
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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