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Robotic rectal surgery: what are the benefits?

Authors
 Kim C. W.  ;  Baik S. H. 
Citation
 MINERVA CHIRURGICA, Vol.68(5) : 457-469, 2013 
Journal Title
 MINERVA CHIRURGICA 
ISSN
 0026-4733 
Issue Date
2013
MeSH
Blood Loss, Surgical ; Carcinoma/surgery ; Cost Control ; Disease-Free Survival ; Erectile Dysfunction/epidemiology ; Erectile Dysfunction/etiology ; Forecasting ; Humans ; Laparoscopy/economics ; Laparoscopy/methods* ; Length of Stay ; Lymph Node Excision/methods ; Male ; Pain, Postoperative/epidemiology ; Postoperative Complications/epidemiology ; Recovery of Function ; Rectal Neoplasms/surgery ; Rectum/surgery* ; Robotics/economics ; Robotics/instrumentation ; Robotics/methods* ; Time Factors ; Treatment Outcome ; Urination Disorders/epidemiology ; Urination Disorders/etiology
Keywords
Blood Loss, Surgical ; Carcinoma/surgery ; Cost Control ; Disease-Free Survival ; Erectile Dysfunction/epidemiology ; Erectile Dysfunction/etiology ; Forecasting ; Humans ; Laparoscopy/economics ; Laparoscopy/methods* ; Length of Stay ; Lymph Node Excision/methods ; Male ; Pain, Postoperative/epidemiology ; Postoperative Complications/epidemiology ; Recovery of Function ; Rectal Neoplasms/surgery ; Rectum/surgery* ; Robotics/economics ; Robotics/instrumentation ; Robotics/methods* ; Time Factors ; Treatment Outcome ; Urination Disorders/epidemiology ; Urination Disorders/etiology
Abstract
Robotic rectal surgery is not a rare event for colorectal surgeons any more. Even patients with colorectal diseases obtain information through the mass media and are asking surgeons about robotic surgery. Since laparoscopic rectal surgery has proved to have some benefits compared to open rectal surgery, many surgeons became interested in robotic rectal surgery. Some of them have reported the advantages and disadvantages of robotic rectal surgery over the last decade. This review will report on the outcomes of robotic rectal surgery. Robotic rectal surgery requires a longer operation time than laparoscopic or open surgery, but many authors reduced the gap as they were accustomed to the robotic system and used various additional techniques. The high cost for purchasing and maintaining the robotic system is still a problem, though. However, except for this reason, robotic rectal surgery shows comparable and even superior results in some parameters than laparoscopic or open surgery. They include pathologic and functional outcomes as well as short-term outcomes such as complication rates, length of hospital stay, time to recover normal bowel function or first flatus, time to start diet, and postoperative pain. Moreover, studies on oncologic outcomes show acceptable results. Robotic rectal surgery is safe and feasible and has a number of benefits. Therefore, it can be an alternative option to conventional laparoscopic and open surgery with strict indications.
Full Text
http://www.minervamedica.it/en/journals/minerva-chirurgica/article.php?cod=R06Y2013N05A0457
DOI
24101003
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Chang Woo(김창우)
Baik, Seung Hyuk(백승혁) ORCID logo https://orcid.org/0000-0003-4183-2332
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/88688
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