The Role of Robotic Surgery for Rectal Cancer: Overcoming Technical Challenges in Laparoscopic Surgery by Advanced Techniques
Identifieur interne : 000491 ( Main/Merge ); précédent : 000490; suivant : 000492The Role of Robotic Surgery for Rectal Cancer: Overcoming Technical Challenges in Laparoscopic Surgery by Advanced Techniques
Auteurs : Seungwan Park [Corée du Sud] ; Nam Kyu Kim [Corée du Sud]Source :
- Journal of Korean Medical Science [ 1011-8934 ] ; 2015.
Abstract
The conventional laparoscopic approach to rectal surgery has several limitations, and therefore many colorectal surgeons have great expectations for the robotic surgical system as an alternative modality in overcoming challenges of laparoscopic surgery and thus enhancing oncologic and functional outcomes. This review explores the possibility of robotic surgery as an alternative approach in laparoscopic surgery for rectal cancer. The da Vinci® Surgical System was developed specifically to compensate for the technical limitations of laparoscopic instruments in rectal surgery. The robotic rectal surgery is associated with comparable or better oncologic and pathologic outcomes, as well as low morbidity and mortality. The robotic surgery is generally easier to learn than laparoscopic surgery, improving the probability of autonomic nerve preservation and genitourinary function recovery. Furthermore, in very complex procedures such as intersphincteric dissections and transabdominal transections of the levator muscle, the robotic approach is associated with increased performance and safety compared to laparoscopic surgery. The robotic surgery for rectal cancer is an advanced technique that may resolve the issues associated with laparoscopic surgery. However, high cost of robotic surgery must be addressed before it can become the new standard treatment.
Url:
DOI: 10.3346/jkms.2015.30.7.837
PubMed: 26130943
PubMed Central: 4479934
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The Role of Robotic Surgery for Rectal Cancer: Overcoming Technical Challenges in Laparoscopic Surgery by Advanced Techniques</title><author><name sortKey="Park, Seungwan" sort="Park, Seungwan" uniqKey="Park S" first="Seungwan" last="Park">Seungwan Park</name><affiliation wicri:level="3"><nlm:aff id="A1">Division of Colon and Rectal Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Division of Colon and Rectal Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement></placeName></affiliation></author><author><name sortKey="Kim, Nam Kyu" sort="Kim, Nam Kyu" uniqKey="Kim N" first="Nam Kyu" last="Kim">Nam Kyu Kim</name><affiliation wicri:level="3"><nlm:aff id="A1">Division of Colon and Rectal Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Division of Colon and Rectal Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26130943</idno><idno type="pmc">4479934</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4479934</idno><idno type="RBID">PMC:4479934</idno><idno type="doi">10.3346/jkms.2015.30.7.837</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000428</idno><idno type="wicri:Area/Pmc/Curation">000428</idno><idno type="wicri:Area/Pmc/Checkpoint">000284</idno><idno type="wicri:Area/Ncbi/Merge">003A51</idno><idno type="wicri:Area/Ncbi/Curation">003A51</idno><idno type="wicri:Area/Ncbi/Checkpoint">003A51</idno><idno type="wicri:doubleKey">1011-8934:2015:Park S:the:role:of</idno><idno type="wicri:Area/Main/Merge">000491</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The Role of Robotic Surgery for Rectal Cancer: Overcoming Technical Challenges in Laparoscopic Surgery by Advanced Techniques</title><author><name sortKey="Park, Seungwan" sort="Park, Seungwan" uniqKey="Park S" first="Seungwan" last="Park">Seungwan Park</name><affiliation wicri:level="3"><nlm:aff id="A1">Division of Colon and Rectal Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Division of Colon and Rectal Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement></placeName></affiliation></author><author><name sortKey="Kim, Nam Kyu" sort="Kim, Nam Kyu" uniqKey="Kim N" first="Nam Kyu" last="Kim">Nam Kyu Kim</name><affiliation wicri:level="3"><nlm:aff id="A1">Division of Colon and Rectal Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Division of Colon and Rectal Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement></placeName></affiliation></author></analytic><series><title level="j">Journal of Korean Medical Science</title><idno type="ISSN">1011-8934</idno><idno type="eISSN">1598-6357</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The conventional laparoscopic approach to rectal surgery has several limitations, and therefore many colorectal surgeons have great expectations for the robotic surgical system as an alternative modality in overcoming challenges of laparoscopic surgery and thus enhancing oncologic and functional outcomes. This review explores the possibility of robotic surgery as an alternative approach in laparoscopic surgery for rectal cancer. The da Vinci® Surgical System was developed specifically to compensate for the technical limitations of laparoscopic instruments in rectal surgery. The robotic rectal surgery is associated with comparable or better oncologic and pathologic outcomes, as well as low morbidity and mortality. The robotic surgery is generally easier to learn than laparoscopic surgery, improving the probability of autonomic nerve preservation and genitourinary function recovery. Furthermore, in very complex procedures such as intersphincteric dissections and transabdominal transections of the levator muscle, the robotic approach is associated with increased performance and safety compared to laparoscopic surgery. The robotic surgery for rectal cancer is an advanced technique that may resolve the issues associated with laparoscopic surgery. 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sortKey="Baik, Sh" uniqKey="Baik S">SH Baik</name></author><author><name sortKey="Kim, Nk" uniqKey="Kim N">NK Kim</name></author><author><name sortKey="Min, Bs" uniqKey="Min B">BS Min</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Baek, Sj" uniqKey="Baek S">SJ Baek</name></author><author><name sortKey="Kim, Sh" uniqKey="Kim S">SH Kim</name></author><author><name sortKey="Cho, Js" uniqKey="Cho J">JS Cho</name></author><author><name sortKey="Shin, Jw" uniqKey="Shin J">JW Shin</name></author><author><name sortKey="Kim, J" uniqKey="Kim J">J Kim</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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