Robotics in Advanced Gastrointestinal Surgery

Abstract

Robotic surgery for laparoscopic procedures such as advanced gastrointestinal surgery and abdominal malignancies is currently on the rise. The first robotic systems have been used since the 1990s with increasing number of clinical cases and broader clinical applications each year. Although high-evidence-level data are scarce, studies suggest that the technical advantages of robotic surgery result in a clinical value for procedures of advanced complexity such as Roux-en-Y gastric bypass and revisional bariatric surgery. Ultimately, the digital interface of the robotic system with the option to integrate augmented reality and real-time imaging will allow advanced applications particularly in the field of gastrointestinal surgery for malignancies.

Robotic versus open liver resections: A case‐matched comparison

“…Software features include motion scaling and tremor filtration. Strict hand–eye‐alignment facilitates precise instrument control for advanced surgical maneuvers . As a result, robotics is believed to have the potential to overcome the technical limitations of conventional laparoscopy, and to expand the indications for minimally invasive surgery to more complex procedures.…”

Laparoscopic Versus Robotic Roux-En-Y Gastric Bypass: Lessons and Long-Term Follow-Up Learned From a Large Prospective Monocentric Study

“…In bariatric surgery, the robotic technology has been introduced successfully, as reported by several centers [11][12][13][14][15]. Specifically for RYGB, the experience is also positive with a possible reduction of anastomotic complications, as confirmed in recent systematic reviews [16][17][18]. However, the interest remains relatively limited to a few centers, possibly due to the lack of large comparative studies.…”

Resultados iniciais da primeira série de casos brasileira de cirurgia bariátrica totalmente robótica

“…Since its military applicability did not develop as initially expected, robotic surgery technology was modified towards the development of equipment which could align the excellent quality of high definition 3-D image, the intuitive movements of the open surgery and the precision, refinement and minimally invasive aspects of laparoscopic surgery. This combination seems to be very useful and beneficial in advanced and complex gastrointestinal surgeries, such as bariatric surgery 14,29 . The first reports on the use of robotic technology in surgery encompassed the hybrid technique ("robot-assisted") where the robot was used in only part in the conventional laparoscopy, mainly in the anastomoses.…”