Robotic Surgery for Colon Cancer: Principles and Pitfalls
Robotic surgical systems are developed to overcome the inherent limitations of traditional laparoscopic surgery, with stable camera of three-dimensional imaging, improved ergonomics, tremor elimination, ambidextrous capability, motion scaling, and flexible instruments. Several trials have showed that robotic surgery is safe and comparable, but not superior to standard laparoscopic approaches, with higher cost and longer time. Standard surgical procedures are needed for robotic colon resections. Recently several prototypes have been developed to address the current problems. And single-incision robotic surgery and natural orifice transluminal endoscopic surgery are under development now.
KeywordsRobotic colon surgery Advantages Indications Perioperative preparation Surgical procedures
- 1.Jacobs M, Verdeja JC, Goldstein HS. Minimally invasive colon resection (laparoscopic colectomy). Surg Laparosc Endosc. 1991;1(3):144–50.Google Scholar
- 7.Weber PA, Merola S, Wasielewski A, Ballantyne GH. Telerobotic-assisted laparoscopic right and sigmoid colectomies for benign disease. Dis Colon Rectum. 2002;45(12):1689–1694., 1695-6. https://doi.org/10.1097/01.DCR.0000037657.78153.A8.CrossRefPubMedGoogle Scholar
- 13.Rondelli F, Balzarotti R, Villa F, Guerra A, Avenia N, Mariani E, et al. Is robot-assisted laparoscopic right colectomy more effective than the conventional laparoscopic procedure? A meta-analysis of short-term outcomes. Int J Surg. 2015;18:75–82. https://doi.org/10.1016/j.ijsu.2015.04.044.CrossRefPubMedGoogle Scholar