Minimally Invasive Surgery for Rectal Prolapse: Robotic Procedures
Robotic surgery is a safe technique for the treatment of rectal prolapse with specific advantages over both open abdominal and laparoscopic techniques. Robotic surgery provides high-quality, three-dimensional visualization of the pelvic anatomy while providing easier dissection of the rectovaginal septum and easier suturing in the deep pelvis compared to laparoscopic techniques. These advantages make robotic surgery ideally suited for minimally invasive ventral rectopexy; a technique with a proven low recurrence rate and excellent functional outcomes. Although robotic surgery is associated with longer operative times, recent studies have shown that the time of the procedure decreases with increased experience and there is ultimately not a significant difference between robotic and laparoscopic surgery. The major disadvantage of robotic surgery still remains a higher hospital cost compared with laparoscopy and open techniques. There is limited clinical data regarding the benefits of robotic surgery and further prospective clinical trials are needed to affirm the role of robotic surgery in the treatment of rectal prolapse.
KeywordsRectal prolapse Robotic surgery Ventral rectopexy
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