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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 technology enhances surgical precision and staging accuracy.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Colorectal cancer is a leading global malignancy.
- Multidisciplinary treatments, including neoadjuvant chemoradiotherapy, are standard for rectal cancer.
- Advancements in surgical techniques and staging devices are improving patient care.
Purpose of the Study:
- To review the progression and outcomes of robotic surgery in colorectal cancer since its introduction in 2002.
- To evaluate the safety and feasibility of robotic approaches for colorectal cancer treatment.
Main Methods:
- Robotic surgery utilizes 3D magnification, stable vision, and articulated robotic arms for enhanced maneuverability.
- Features include endowrist instruments, ambidextrous capability, tremor filtering, and indocyanine green fluorescence imaging.
Main Results:
- Robotic surgery demonstrates oncological outcomes equivalent to laparoscopic approaches.
- Lower recurrence rates are observed with robotic surgery in extended lymphadenectomy (complete mesocolic excision) and total mesorectal excision for low rectal tumors.
Conclusions:
- Colorectal robotic surgery has seen significant global advancement.
- Benefits include improved oncological outcomes, enhanced detection, accurate diagnosis, and staging.
