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Review and update: robotic transanal surgery (RTAS).

Melissa G Medina1,2, Steven S Tsoraides1,2, Anthony M Dwyer3

  • 1University of Illinois College of Medicine at Peoria, Office of Graduate Medical Education, Peoria, IL, USA.

Updates in Surgery
|August 19, 2018
PubMed
Summary

New robotic surgery platforms enhance single-site access (SSA) transanal procedures, overcoming limitations of older endoscopic methods. While promising for advancing robotic transanal surgery, more outcome data is needed.

Keywords:
Minimally invasive surgeryRoboticsSingle siteSurgeryTransanal surgery

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Robotics
  • Transanal Surgery

Background:

  • Single-site access (SSA) surgery, including transanal procedures, has evolved with endoscopic platforms.
  • Existing endoscopic SSA platforms present limitations in access, visualization, dexterity, camera control, and instrumentation.
  • Advancements in surgical robotics offer potential solutions to these limitations.

Purpose of the Study:

  • To review current and emerging robotic surgery platforms for SSA transanal procedures.
  • To identify features, uses, and limitations of these new robotic technologies.
  • To assess the potential impact of robotic advancements on transanal surgery.

Main Methods:

  • Conducted comprehensive reviews of internet, open access, medical, and industry conference literature.
  • Searched PubMed, Medline, Journals @OVID, and open access databases.
  • Identified and reviewed 35 relevant articles on robotic surgery for transanal SSA procedures.

Main Results:

  • Several new and existing robotic platforms suitable for SSA transanal surgery were identified.
  • These platforms offer enhanced features compared to previous endoscopic technologies.
  • Robotic systems show potential for abdominal and transoral surgery applications as well.

Conclusions:

  • New robotic technologies significantly enhance surgeons' capabilities in performing SSA surgery.
  • This next generation of robotic surgery is poised to advance robotic transanal surgery.
  • Further outcome and performance data are required to fully validate these advancements.