New Trends in Robotic Colorectal Surgery

How Has the Robot Contributed to Colon Cancer Surgery?

“…Fluorescence imaging has been shown to reduce the anastomotic leak rate after low anterior resection and may also help to identify sentinel lymph nodes. 30 No severe complications or mortalities were reported after robotic anterior resection for sigmoid colon cancer, and postoperative morbidity and mortality rates were similar to those of the laparoscopy group. 28 Similarly, a 92% overall and an 89% disease-free 3-year survival rate were reported after robotic sigmoid colectomy, which were comparable to those in the laparoscopy group.…”

Robotic rectal surgery

“…Near‐infrared camera of the robotic platform allows visualizing the vascular structure of the colon after indocyanine green injection. It was reported that fluorescence imaging reduced anastomotic leak rate after low‐anterior resection and may also help to identify sentinel lymph node .…”

“…Each parameter of the cost analysis was presented as a ratio between the actual value of presented value and actual mean value of the open surgery in the same time period. anastomotic leak rate after low-anterior resection and may also help to identify sentinel lymph node [28]. New technology offers numerous advantages including simpler docking, end-mounted camera aiming better-qualified vision, autofocus, and well-designed arms [29].…”

Image-guided surgery

“…In digestive surgery, anastomotic leakage remains one of the most dreadful complications, especially in colorectal surgery. 112,113 Among the different risk factors for anastomotic leak, the perfusion of the intestinal stump is crucial. 114 Different methods have been tried: subjective assessment (color of the bowel and pulsation in the mesentery), Doppler evaluation, oxymetry, and fluorescence of course.…”

“…172 New developments in this field include the use of fluorescent stents, 95 use of specific fluorescent dye, 172 and use of augmented reality. 112,173 The use of augmented reality and fluorescence to assess the intestinal perfusion is also gaining an increased interest. 121,122 Further clinical work is required to confirm the encouraging results obtained in animal-model.…”