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Review
, 28 (4), 220-7

How Has the Robot Contributed to Colon Cancer Surgery?

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Review

How Has the Robot Contributed to Colon Cancer Surgery?

Ozgen Isik et al. Clin Colon Rectal Surg.

Abstract

Robotic surgery is an emerging field in colorectal surgery and may overcome the limitations of conventional laparoscopic surgery, such as rigid instrumentation, poor ergonomics, and assistant-dependent camera movements and retraction. In addition, robotic-assisted colectomy appears to offer comparable outcomes to laparoscopic colectomy with limited long-term outcomes data. Prolonged operating time, increased costs and learning curve are the major drawbacks of robotic colectomy for colon cancer. Although new robotic platforms promise improved ingenuity through developing technology, the role of the robot in colon cancer surgery is still unclear.

Keywords: colectomy; colon cancer; robotic surgery.

Figures

Fig. 1
Fig. 1
The introduction of the da Vinci robotic surgical system (Intuitive Surgical, Inc., Sunnyvale, CA) has revolutionized the field of minimally invasive surgery. This robotic system provides high-definition, three-dimensional vision, surgeon-motion filtration, articulating movements of the instruments, stable camera control and retraction, and better ergonomics. The fatigue that is associated with unnatural positions during laparoscopy was eliminated by the use of robotic technology.
Fig. 2
Fig. 2
Trocar placement for robotic right colectomy.
Fig. 3
Fig. 3
Operating room design for robotic right colectomy.
Fig. 4
Fig. 4
Port placement for robotic left colectomy and rectal resections.
Fig. 5
Fig. 5
Operating room design for left colectomy and splenic flexure mobilization.
Fig. 6
Fig. 6
Operating room design for sigmoid colon and rectal resections.

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