Abstract
The use of different robotic platforms in colorectal surgery allows a stereoscopic three-dimensional view, greater range of mobility thanks to its articulated instruments, less tremor and better surgical precision.
All this leads to a series of advantages applicable in colorectal surgery, such as a better and more careful dissection of the inferior mesenteric vessels, sometimes facilitating maneuvers such as sutures and others that can be anatomically complex, such as the mobilization of the splenic flexure. It also facilitates dissection maneuvers in complicated patients with narrow pelvis, helping to better dissect and mobilization of the rectum and the identification and preservation of key structures, such as the ureters, gonadal vessels and nerve plexuses. In addition, in complex cases, robotic surgery in combination with transanal approach (TaTME) can be very useful, especially in obese patients and narrow pelvises.
In this chapter we present a series of robotics guidelines, the present and future in this field; to facilitate the development of robotic colorectal surgery.
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Otero-Piñeiro, A., Bravo, R., Lacy, A. (2021). Challenges in Robotic Colorectal Surgery. In: Horgan, S., Fuchs, KH. (eds) Innovative Endoscopic and Surgical Technology in the GI Tract . Springer, Cham. https://doi.org/10.1007/978-3-030-78217-7_5
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