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[Robotic technology for colorectal surgery : Procedures, current applications, and future innovative challenges -
G Spinoglio1, P Bellora2, M Monni2
1Proctor for robotic surgery at the Department General Surgery, AOU "Maggiore della Carità" Hospital, Corso Mazzini 18, 28100, Novara, Italy. giuseppe.spinoglio90@gmail.com.
Summary
Robotic surgery offers improved oncological outcomes for colorectal cancer, including lower recurrence rates in specific procedures. This advanced approach enhances detection, diagnosis, and staging for better patient results.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Colorectal cancer is a leading global malignancy.
- Multidisciplinary treatments include neoadjuvant chemoradiotherapy for rectal cancer.
- Advancements in surgical techniques and staging devices are improving patient care.
Purpose of the Study:
- To evaluate the progression and outcomes of robotic surgery in colorectal cancer since its inception in 2002.
- To confirm the safety and feasibility of robotic approaches for colorectal cancer treatment.
- To highlight the benefits of robotic surgery in improving oncological results.
Main Methods:
- Robotic surgery utilizes 3D magnification, stable vision, and articulated robotic arms for enhanced surgical precision.
- Features include endowrist instruments with extensive degrees of freedom, tremor filtering, and indocyanine green fluorescence imaging.
- These technological advantages simplify complex surgical maneuvers.
Main Results:
- Robotic surgery demonstrates oncological outcomes equivalent to laparoscopic approaches.
- A reduced recurrence rate is observed with robotic surgery in extended lymphadenectomy for right colon cancer.
- Total mesorectal excision for low rectal tumors shows improved outcomes with robotic assistance.
Conclusions:
- Colorectal robotic surgery has seen significant worldwide advancement and adoption.
- Benefits extend beyond oncological outcomes to improved detection, diagnosis, and staging.
- Robotic surgery represents a key innovation in managing colorectal cancer.
