Robotic colorectal surgery: hype or new hope? A systematic review of robotics in colorectal surgery

Mirnezami, A.H.; Mirnezami, R.; Venkatasubramaniam, Arcot; Chandrakumaran, K.; Cecil, T.D.; Moran, B.J.

doi:10.1111/j.1463-1318.2010.01999.x

Cited by 27 publications

(36 citation statements)

References 34 publications

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“…The laparoscopic technique offers particular advantages for older patients due to reductions in length of hospital stay [14], morbidity and mortality rates, and direct cost of care [15,17]. Robotic surgery can achieve the same results as those reported herein and as demonstrated in a review in 2009 [34]. These authors reported the results of 288 colorectal robotic procedures.…”

Section: Discussionsupporting

confidence: 84%

Safety of robotic general surgery in elderly patients

et al. 2010

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As the life expectancy of people in Western countries continues to rise, so too does the number of elderly patients. In parallel, robotic surgery continues to gain increasing acceptance, allowing for more complex operations to be performed by minimally invasive approach and extending indications for surgery to this population. The aim of this study is to assess the safety of robotic general surgery in patients 70 years and older. From April 2007 to December 2009, patients 70 years and older, who underwent various robotic procedures at our institution, were stratified into three categories of surgical complexity (low, intermediate, and high). There were 73 patients, including 39 women (53.4%) and 34 men (46.6%). The median age was 75 years (range 70-88 years). There were 7, 24, and 42 patients included, respectively, in the low, intermediate, and high surgical complexity categories. Approximately 50% of patients underwent hepatic and pancreatic resections. There was no statistically significant difference between the three groups in terms of morbidity, mortality, readmission or transfusion. Mean overall operative time was 254 ± 133 min (range 15-560 min). Perioperative mortality and morbidity was 1.4% and 15.1%, respectively. Transfusion rate was 9.6%, and median length of stay was 6 days (range 0-30 days). Robotic surgery can be performed safely in the elderly population with low mortality, acceptable morbidity, and short hospital stay. Age should not be considered as a contraindication to robotic surgery even for advanced procedures.

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Section: Discussionsupporting

confidence: 84%

Safety of robotic general surgery in elderly patients

et al. 2010

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“…19,20 In literature, there are conflicting reports about the operative time when comparing robotic surgery to laparoscopic surgery in rectal cancer patients. 14,17,21 In our series, the operative time was longer compared to that of our laparoscopic TME series. 7 Probably, the operative time would be shorter with increased experience.…”

Section: Discussioncontrasting

confidence: 60%

Robotic Surgery for Rectal Cancer: Initial Experience from 30 Consecutive Patients

Karahasanoğlu

Hamzaoğlu

Baca

et al. 2012

Journal of Gastrointestinal Surgery

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“…This includes disposable drapes, specialized device lubricant for the robotic instruments, and the need to replace the instrument working arms every 10-20 procedures [15][16][17]. Together with the Gel POINT Path Access Platform, the per-case cost of a single robotic TAMIS case is approximately $1,500 USD.…”

Section: Discussionmentioning

confidence: 99%

Robotic transanal minimally invasive surgery in a cadaveric model

et al. 2011

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The technique of TransAnal Minimally Invasive Surgery (TAMIS) was pioneered in 2009 as a hybrid approach to endoluminal resections of appropriately selected rectal lesions. There are, however, limitations to performing this type of resection. Robotic TAMIS is a novel, experimental technique and in this study was performed in a cadaveric model at a surgical education center. Various tasks were carried out using robotic TAMIS, including full-thickness sharp and cautery excision of rectal wall, as well as intra-luminal suturing of the surgical defect. It was found that for the da Vinci-trained surgeon, these tasks were simple to perform and accomplished with greater precision when compared to standard TAMIS. Our initial results indicate that robotic TAMIS overcomes the limitations of standard TAMIS and that it is a feasible platform for transanal surgery. The cost, however, of performing robotic TAMIS may limit its application to special cases in which standard TAMIS or transanal endoscopic microsurgery resections may prove difficult. Further study is necessary to validate these preliminary findings before robotic TAMIS is performed on live patients.

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Robotic colorectal surgery: hype or new hope? A systematic review of robotics in colorectal surgery

Cited by 27 publications

References 34 publications

Safety of robotic general surgery in elderly patients

Safety of robotic general surgery in elderly patients

Robotic Surgery for Rectal Cancer: Initial Experience from 30 Consecutive Patients

Robotic transanal minimally invasive surgery in a cadaveric model

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