Roboterassistierte Rektumkarzinomchirurgie

Abstract

The Da Vinci Surgical System can be used safely and with a low complication rate for surgical treatment of rectal cancer. While primary evidence suggests that the outcome of robotic-assisted surgery is comparable with open and laparoscopic surgery, its definitive value has to be determined upon publication of the prospective randomized ROLARR trial. The main advantages of the Da Vinci system are its endowristed instruments with multiple degrees of freedom and its optimised visualisation (3D, stable camera platform controlled by the surgeon). Another positive feature is the significant ergonomic advantage for the surgeon.

Rectal cancer: so many surgical options. How do we choose?

“…Robotic surgery for rectal cancer is increasing in popularity (perhaps due to increasing availability of the equipment) but has not been shown to be any benefit over laparoscopic surgery and is associated with a significant cost escalation …”

Editorial

“…Gerade in den Anfangszeiten werden dazu spezielle "Roboter-Teams" bestehend aus Chirurgen und OP-Schwestern notwendig. Im Weiteren werden dann in eigenen Artikeln die Ergebnisse aus der Rektumchirurgie [2] der Pankreaschirurgie [3] und der Ösophaguschirurgie [4] vorgestellt. Die Roboter-assistierte Leberchirurgie gehört sicher in Deutschland noch zu den selten durchgeführten Eingriffen und wird von Croner et al [5] diskutiert.…”