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[Robotic surgery in colorectal cancer: present and future]
Qingyang Feng1, Ye Wei, Jianmin Xu
1Department of General Surgery, Zhongshan Hospital, Fudan University; Institute of General Surgery, Fudan University; Colorectal Cancer Research Center, Fudan University, Shanghai 200032, China. xujmin@aliyun.com.
Summary
Robotic surgery is established for rectal cancer, offering enhanced precision and nerve preservation. Robotic right hemicolectomy is emerging, with future systems aiming to overcome current limitations like cost and tactile feedback.
Area of Science:
- Minimally Invasive Surgery
- Surgical Robotics
- Colorectal Cancer Treatment
Background:
- Robotic rectal cancer surgery has been developed for over a decade.
- Robotic right hemicolectomy is a newer application of surgical robotics.
- The Da Vinci system offers advantages over traditional laparoscopy in rectal cancer surgery.
Purpose of the Study:
- To evaluate the established role of robotic surgery in rectal cancer.
- To introduce the emerging application of robotic right hemicolectomy.
- To discuss the benefits, limitations, and future directions of robotic surgery in colorectal cancer.
Main Methods:
- Review of established robotic rectal cancer surgery outcomes.
- Description of the application and improvements in robotic right hemicolectomy.
- Analysis of Da Vinci system's performance, including flexibility, accuracy, and stability.
Main Results:
- Robotic rectal cancer surgery demonstrates safety, efficiency, and better pelvic autonomic nerve function protection.
- Robotic right hemicolectomy shows improved surgical suitability with the Da Vinci system.
- Limitations include high cost, lack of tactile feedback, and limited robotic arm mobility.
Conclusions:
- Robotic surgery is a safe and effective option for rectal cancer, with benefits in nerve preservation.
- Robotic right hemicolectomy is a developing field with potential for improved outcomes.
- Future robotic systems incorporating new technologies are expected to address current limitations and expand applications in colorectal cancer surgery.
