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Optimizing outcomes of colorectal cancer surgery with robotic platforms

Authors
Baek, Se-JinPiozzi, Guglielmo NiccoloKim, Seon-Hahn
Issue Date
Aug-2022
Publisher
Elsevier BV
Keywords
Colorectal neoplasm; Robotic surgery; Minimally invasive surgery
Citation
Surgical Oncology, v.43
Indexed
SCIE
SCOPUS
Journal Title
Surgical Oncology
Volume
43
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/61649
DOI
10.1016/j.suronc.2022.101786
ISSN
0960-7404
1879-3320
Abstract
Advanced robotic technology may make it easier to perform total mesorectal excision procedures in the narrow pelvis for rectal cancer while maintaining the advantages of minimally invasive surgery. Robotic surgery for rectal cancer has been claimed to lower conversion rates and faster recovery of urogenital function than conventional laparoscopic surgery. However, longer operative time and high cost are major weaknesses of robotic surgery. To date, short-term surgical outcomes, pathologic outcomes, and long-term oncologic outcomes of robotic surgery have not shown significant advantages over laparoscopic surgery. However, robotic surgery is still a valid and highly anticipated surgical approach for rectal cancer because it greatly reduces the surgeon's workload and learning curve. There are also potential advantages when robotic techniques are applied to technically demanding procedures such as lateral pelvic lymph node dissection or intersphincteric resection. The introduction of new surgical robotic systems, including the da Vinci (R) SP system, is expected to expand the applications of robotic surgery and provide new advantages.
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Baek, Se Jin
Anam Hospital (Department of Colon and Rectal Surgery, Anam Hospital)
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