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La chirurgie robotique dans le cancer du rectum

Robotic surgery in rectal cancer

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Oncologie

Résumé

La proctectomie laparoscopique est désormais le standard dans la prise en charge des cancers du rectum. Elle reste toutefois techniquement difficile, ce qui semble limiter sa généralisation. La chirurgie robotique a été développée pour pallier ces difficultés, mais sa place reste à définir en chirurgie rectale. Cette analyse de la littérature récente montre la faisabilité et la sécurité oncologique de la procédure robot-assistée avec des résultats comparables à la laparoscopie en termes de suites postopératoires et de survie. Elle semblerait permettre une diminution du taux de conversion et de la durée d’hospitalisation et permettrait une meilleure dissection du rectum se traduisant par de meilleurs résultats fonctionnels génito-urinaires. Ces avantages pourraient justifier le surcoût de cette procédure.

Abstract

Laparoscopic surgery is now the standard therapy for rectal cancer. It remains technically challenging which limits its application. Robotic surgery is a new technology that enables a surgeon to perform minimally invasive operations with more facilities. This review of current literature shows feasibility and oncological safety of robotic rectal cancer surgery. Robotic rectal surgery is associated with comparable postoperative and oncological results when compared with laparoscopic rectal surgery. It appears to be an effective alternative with a lower conversion rate to open surgery, and better recovery in voiding and sexual function. These potential benefits of robotic surgery could justify its costs.

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Authors and Affiliations

  1. Département de chirurgie oncologique, ICM Val d’Aurelle, F-34298, Montpellier, France

    J. Coget, P. E. Colombo, A. Mourregot, D. Traoré & P. Rouanet

Authors
  1. J. Coget
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  2. P. E. Colombo
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  3. A. Mourregot
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  4. D. Traoré
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  5. P. Rouanet
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Corresponding author

Correspondence to P. Rouanet.

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Coget, J., Colombo, P.E., Mourregot, A. et al. La chirurgie robotique dans le cancer du rectum. Oncologie 18, 305–311 (2016). https://doi.org/10.1007/s10269-016-2623-7

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  • DOI: https://doi.org/10.1007/s10269-016-2623-7

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