Overview of robotic colorectal surgery: Current and future practical developments
Identifieur interne : 000076 ( Pmc/Checkpoint ); précédent : 000075; suivant : 000077Overview of robotic colorectal surgery: Current and future practical developments
Auteurs : Sudipta Roy ; Charles EvansSource :
- World Journal of Gastrointestinal Surgery [ 1948-9366 ] ; 2016.
Abstract
Minimal access surgery has revolutionised colorectal surgery by offering reduced morbidity and mortality over open surgery, while maintaining oncological and functional outcomes with the disadvantage of additional practical challenges. Robotic surgery aids the surgeon in overcoming these challenges. Uptake of robotic assistance has been relatively slow, mainly because of the high initial and ongoing costs of equipment but also because of limited evidence of improved patient outcomes. Advances in robotic colorectal surgery will aim to widen the scope of minimal access surgery to allow larger and more complex surgery through smaller access and natural orifices and also to make the technology more economical, allowing wider dispersal and uptake of robotic technology. Advances in robotic endoscopy will yield self-advancing endoscopes and a widening role for capsule endoscopy including the development of motile and steerable capsules able to deliver localised drug therapy and insufflation as well as being recharged from an extracorporeal power source to allow great longevity. Ultimately robotic technology may advance to the point where many conventional surgical interventions are no longer required. With respect to nanotechnology, surgery may eventually become obsolete.
Url:
DOI: 10.4240/wjgs.v8.i2.143
PubMed: 26981188
PubMed Central: 4770168
Affiliations:
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PMC:4770168Le document en format XML
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<author><name sortKey="Roy, Sudipta" sort="Roy, Sudipta" uniqKey="Roy S" first="Sudipta" last="Roy">Sudipta Roy</name>
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<author><name sortKey="Evans, Charles" sort="Evans, Charles" uniqKey="Evans C" first="Charles" last="Evans">Charles Evans</name>
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<front><div type="abstract" xml:lang="en"><p>Minimal access surgery has revolutionised colorectal surgery by offering reduced morbidity and mortality over open surgery, while maintaining oncological and functional outcomes with the disadvantage of additional practical challenges. Robotic surgery aids the surgeon in overcoming these challenges. Uptake of robotic assistance has been relatively slow, mainly because of the high initial and ongoing costs of equipment but also because of limited evidence of improved patient outcomes. Advances in robotic colorectal surgery will aim to widen the scope of minimal access surgery to allow larger and more complex surgery through smaller access and natural orifices and also to make the technology more economical, allowing wider dispersal and uptake of robotic technology. Advances in robotic endoscopy will yield self-advancing endoscopes and a widening role for capsule endoscopy including the development of motile and steerable capsules able to deliver localised drug therapy and insufflation as well as being recharged from an extracorporeal power source to allow great longevity. Ultimately robotic technology may advance to the point where many conventional surgical interventions are no longer required. With respect to nanotechnology, surgery may eventually become obsolete.</p>
</div>
</front>
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<pmc article-type="review-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">World J Gastrointest Surg</journal-id>
<journal-id journal-id-type="publisher-id">WJGS</journal-id>
<journal-title-group><journal-title>World Journal of Gastrointestinal Surgery</journal-title>
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<issn pub-type="epub">1948-9366</issn>
<publisher><publisher-name>Baishideng Publishing Group Inc</publisher-name>
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<article-meta><article-id pub-id-type="pmid">26981188</article-id>
<article-id pub-id-type="pmc">4770168</article-id>
<article-id pub-id-type="other">jWJGS.v8.i2.pg143</article-id>
<article-id pub-id-type="doi">10.4240/wjgs.v8.i2.143</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Minireviews</subject>
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<title-group><article-title>Overview of robotic colorectal surgery: Current and future practical developments</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Roy</surname>
<given-names>Sudipta</given-names>
</name>
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<contrib contrib-type="author"><name><surname>Evans</surname>
<given-names>Charles</given-names>
</name>
</contrib>
<aff>Sudipta Roy, Charles Evans, ST7 General Surgery, University Hospitals Coventry and Warwickshire NHS Trust, Coventry CV2 2DX, United Kingdom</aff>
</contrib-group>
<author-notes><fn><p>Author contributions: Roy S performed the majority of the research and writing of the paper, including photography; Evans C contributed to structuring of the paper and provided senior oversight.</p>
<p>Correspondence to: Sudipta Roy, MBChB, MRCS, MSc, ST7 General Surgery, University Hospitals Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, United Kingdom. <email>sudiptaroy@doctors.org.uk</email>
</p>
<p>Telephone: +44-784-3238617 Fax: +44-247-6966090</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><day>27</day>
<month>2</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub"><day>27</day>
<month>2</month>
<year>2016</year>
</pub-date>
<volume>8</volume>
<issue>2</issue>
<fpage>143</fpage>
<lpage>150</lpage>
<history><date date-type="received"><day>28</day>
<month>4</month>
<year>2015</year>
</date>
<date date-type="rev-recd"><day>19</day>
<month>11</month>
<year>2015</year>
</date>
<date date-type="accepted"><day>8</day>
<month>12</month>
<year>2015</year>
</date>
</history>
<permissions><copyright-statement>©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.</copyright-statement>
<copyright-year>2016</copyright-year>
</permissions>
<abstract><p>Minimal access surgery has revolutionised colorectal surgery by offering reduced morbidity and mortality over open surgery, while maintaining oncological and functional outcomes with the disadvantage of additional practical challenges. Robotic surgery aids the surgeon in overcoming these challenges. Uptake of robotic assistance has been relatively slow, mainly because of the high initial and ongoing costs of equipment but also because of limited evidence of improved patient outcomes. Advances in robotic colorectal surgery will aim to widen the scope of minimal access surgery to allow larger and more complex surgery through smaller access and natural orifices and also to make the technology more economical, allowing wider dispersal and uptake of robotic technology. Advances in robotic endoscopy will yield self-advancing endoscopes and a widening role for capsule endoscopy including the development of motile and steerable capsules able to deliver localised drug therapy and insufflation as well as being recharged from an extracorporeal power source to allow great longevity. Ultimately robotic technology may advance to the point where many conventional surgical interventions are no longer required. With respect to nanotechnology, surgery may eventually become obsolete.</p>
</abstract>
<kwd-group><kwd>Colorectal surgery</kwd>
<kwd>Robotic surgery</kwd>
<kwd>Endoscopy</kwd>
<kwd>Robotics</kwd>
<kwd>Nanotechnology</kwd>
<kwd>Microtechnology</kwd>
<kwd>Rectal neoplasms</kwd>
<kwd>Colonic neoplasms</kwd>
</kwd-group>
</article-meta>
</front>
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<affiliations><list></list>
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<name sortKey="Roy, Sudipta" sort="Roy, Sudipta" uniqKey="Roy S" first="Sudipta" last="Roy">Sudipta Roy</name>
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