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Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
Robotic-assisted colon and rectal surgery: a systematic review
Aliyah Kanji1, Richdeep S Gill, Xinzhe Shi
1Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
Summary
Robotic-assisted colorectal surgery is a safe and feasible option, with low complication rates and no reported mortalities in this systematic review. This advanced minimally invasive technique is emerging in general surgery.
Area of Science:
- Minimally invasive surgery
- Surgical robotics
- Colorectal surgery
Background:
- Colorectal surgery is a common general surgery procedure.
- Laparoscopic techniques are increasingly used.
- Robotic technology represents an evolution in minimally invasive surgery.
Purpose of the Study:
- To systematically review the literature on robotic-assisted colorectal surgery.
- To assess the safety and feasibility of this surgical approach.
Main Methods:
- Comprehensive electronic database search from 2000 to 2010.
- Inclusion criteria applied by two independent reviewers.
- Data extraction from relevant studies.
Main Results:
- 20 studies including 854 patients met the criteria.
- Mean patient age was 61 years; mean BMI was 25.5 kg/m².
- Major complications included 3.5% anastomotic leaks, 1.1% post-operative bleeds, and 1.6% infections; no mortalities were reported.
Conclusions:
- Robotic-assisted colorectal surgery is an emerging and viable option.
- The review demonstrates the safety and feasibility of robotic colorectal procedures.
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