Robotic and Laparoscopic Surgery for Treatment of Colorectal Diseases

D’Annibale, Annibale; Morpurgo, Emilio; Fiscon, Valentino; Trevisan, P; Sovernigo, Gianna; Orsini, Camillo; Guidolin, Daniela

doi:10.1007/s10350-004-0711-z

Cited by 331 publications

(274 citation statements)

References 15 publications

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“…Robotic surgery is generally reported to take longer than conventional open or endoscopic surgery. The prolonged operation time has been attributed to the need for docking and setup of the robotic arms [20,21,35]. In the present patient series, the mean total operation time for total thyroidectomy was 132 min.…”

Section: Discussionmentioning

confidence: 77%

“…Initial clinical trials have shown that robotics can enhance the precision and accuracy of dissection and can improve handling [19]. Another major benefit of robotic surgery is the stable camera platform held by the robotic arm [20,21]. Such stability assists lymph node dissection by enabling more precise movement of instruments around the vessels and nerves.…”

Section: Discussionmentioning

confidence: 99%

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Perioperative clinical outcomes after robotic thyroidectomy for thyroid carcinoma: a multicenter study

et al. 2010

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Objectives Robotic thyroidectomy and lymph node dissection is rapidly emerging as an alternative to conventional endoscopic thyroidectomy for thyroid carcinoma. Robot techniques incorporate the advantages of endoscopic procedures while overcoming some of the problems. We present the largest multi-institution clinical study of robotic thyroidectomy for thyroid carcinomas. The robotic thyroidectomy involved gasless transaxillary approach using the da Vinci surgical robot system. Methods We reviewed a database of 1,043 consecutive patients with low-risk differentiated thyroid carcinoma who underwent robotic thyroidectomy between October 2007 and August 2009. Operations were performed by five surgeons at four academic centers. We analyzed perioperative, clinical, and pathological data. Results The study involved 71 men and 972 women, with a mean age of 39 (range, 15-70) years. All operations were performed successfully without any need for conventional open or endoscopic conversion. There were 366 total thyroidectomies and 677 subtotal thyroidectomies with cervical lymph node dissection. The mean overall operation time and console time were 132.4 and 63.9 min, respectively. There were ten (1%) major postoperative morbidities. The mean tumor size was 0.8 (range, 0.1-6.0) cm, and the mean number of retrieved central lymph nodes was 5.1 ± 3.8 (range, 0-26). The mean postoperative hospital stay was 2.9 (range, 1-8) days. Conclusions Robotic thyroidectomy using gasless transaxillary method was feasible, safe, and provided good outcomes for patients with differentiated thyroid carcinoma. Robotic technology overcame some technical limitations associated with conventional endoscopy.

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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Perioperative clinical outcomes after robotic thyroidectomy for thyroid carcinoma: a multicenter study

et al. 2010

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“…As we gain more experience, we expect the operating time to fall even further and be similar to the open method. The advanced technology in the robotic surgical system shortens the time of actual operative procedure itself, because it mimics intuitively the open procedure as opposed to the laparoscopic procedure in which surgical maneuvering is counterintuitive [4,5] The estimated blood loss was significantly less in roboticassisted surgery compared with the open method (165.14 vs 406.04 ml). Magnified vision and improved dexterity helps in better vascular control than the open method.…”

Section: Discussionmentioning

confidence: 99%

Prospective Randomized Study Comparing Robotic-Assisted Surgery with Traditional Laparotomy for Rectal Cancer—Indian Study

Somashekhar

Ashwin²,

Rajashekhar

et al. 2013

Indian J Surg

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Rectal cancer is one of the common cancers in India. Surgical management is the mainstay of initial treatment for majority of patients. Minimally invasive surgery has gained acceptance for the surgical treatment of rectal cancer because, compared with laparotomy, it is associated with fewer complications, shorter hospitalization, and faster recovery. The aim of this study is to evaluate the safety, feasibility, technique, and outcomes (postoperative, oncological, and functional) of robotic-assisted rectal surgery in comparison with open surgery in the Indian population. A prospective randomized study was undertaken from August 2011 to December 2012. Fifty patients who presented with rectal carcinoma were randomized to either robotic arm (RA) or open arm (OA) group. Both groups were matched for clinical stage and operation type. Technique and feasibility of roboticassisted surgery in terms of operating time, estimated blood loss, margins status, total number of lymph nodes retrieved, hospital stay, conversion to open procedure, complications, and functional outcomes were analyzed. The mean operative time was significantly longer in the RA than in the OA group (310 vs 246 min, P <0.001) but was significantly reduced in the latter part of the robotic-assisted patients compared with the initial patients. The mean estimated blood loss was significantly less in the RA compared with the OA group (165.14 vs 406.04 ml, P <0.001). None of the patients had margin positivity. The mean distal resection margin was significantly longer in the RA than in the OA group (3.6 vs 2.4 cm, P < 0.001). A total of 100 % of patients in the RA group had complete mesorectal excision while two patients in the OA group had incomplete mesorectal excision. The average number of retrieved lymph nodes was adequate for accurate staging. The number of lymph nodes removed by robotic method is slightly higher than the open method (16.88 vs 15.20) but with no statistical significance. Conversion rate was nil. The mean hospital stay was significantly shorter in the RA group (7.52 vs 13.24 days, P <0.001). Postoperative and functional outcomes were comparable between the two groups. Roboticassisted surgery is an emerging technique in our country. Robotic-assisted rectal cancer surgery is safe with low conversion rates and acceptable morbidity and is oncologically feasible.

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“…Предыдущие клинические иссле-дования показали техническую выполнимость и безопасность данной операции не только при доброкачественных, но и при злокачественных новообразованиях толстой кишки [18].…”

Section: роботизированные операции на ободочной кишкеunclassified

“…Роботическая низкая передняя резекция -относительно редкая операция по сравнению с остальными вмешательствами на толстой кишке [15,18,[19][20][21][22]24,25,32,33]. Хирургиче-ская техника при операциях на прямой киш-ке является наиболее сложной по сравнению с другими вмешательствами, что обусловлено ограниченностью пространства полости мало-го таза и наличием большого количества важ-ных анатомических структур в этой области.…”

Section: роботизированные операции на прямой кишкеunclassified

History of robotic surgery and its place in modern coloproctology: literature review

Атрощенко¹,

Поздняков²

2015

Zlokač. opuholi

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История развития роботизированной хирургии и ее место в современной колопроктологии: обзор литературы АТРОЩЕНКО А.О., ПОЗДНЯКОВ С.В.Сегодня, роботизированная хирургия является революционной технологией, которая открывает качественно но-вый этап в развитии хирургии 21-го века. Высокий уровень точности, надежности и функциональности робото-технических систем расширяет технические возможности хирургов и улучшает качество медицинской помощи. Современную колоректальную хирургию уже невозможно представить без новейших технологий и качество жизни после операции напрямую зависит от этого.Today, the robotic surgery is a modern revolutionary technology which is opened a qualitatively new stage in the surgery development in 21-st Century. High level of precision, reliability, functionality of robotic systems can extend the technical capabilities of the surgeons and improve quality of care. Contemporary colorectal surgery couldn't exist without new technology and the quality of life after surgery directly depends on the quality of surgical care.Ключевые слова: роботическая хирургия, лапароскопическая хирургия, онкохирургия, рак прямой кишки, рак ободочной кишки.

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Robotic and Laparoscopic Surgery for Treatment of Colorectal Diseases

Cited by 331 publications

References 15 publications

Perioperative clinical outcomes after robotic thyroidectomy for thyroid carcinoma: a multicenter study

Perioperative clinical outcomes after robotic thyroidectomy for thyroid carcinoma: a multicenter study

Prospective Randomized Study Comparing Robotic-Assisted Surgery with Traditional Laparotomy for Rectal Cancer—Indian Study

History of robotic surgery and its place in modern coloproctology: literature review

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