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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Korean+Med+Sci
2015 ; 30
(7
): 837-46
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The Role of Robotic Surgery for Rectal Cancer: Overcoming Technical Challenges in
Laparoscopic Surgery by Advanced Techniques
#MMPMID26130943
Park S
; Kim NK
J Korean Med Sci
2015[Jul]; 30
(7
): 837-46
PMID26130943
show ga
The conventional laparoscopic approach to rectal surgery has several limitations,
and therefore many colorectal surgeons have great expectations for the robotic
surgical system as an alternative modality in overcoming challenges of
laparoscopic surgery and thus enhancing oncologic and functional outcomes. This
review explores the possibility of robotic surgery as an alternative approach in
laparoscopic surgery for rectal cancer. The da Vinci® Surgical System was
developed specifically to compensate for the technical limitations of
laparoscopic instruments in rectal surgery. The robotic rectal surgery is
associated with comparable or better oncologic and pathologic outcomes, as well
as low morbidity and mortality. The robotic surgery is generally easier to learn
than laparoscopic surgery, improving the probability of autonomic nerve
preservation and genitourinary function recovery. Furthermore, in very complex
procedures such as intersphincteric dissections and transabdominal transections
of the levator muscle, the robotic approach is associated with increased
performance and safety compared to laparoscopic surgery. The robotic surgery for
rectal cancer is an advanced technique that may resolve the issues associated
with laparoscopic surgery. However, high cost of robotic surgery must be
addressed before it can become the new standard treatment.
|Digestive System Surgical Procedures/*methods
[MESH]