[Rectal Cancer - Robotic Setup, Port Placement, Structured Surgical Steps].

[Rectal Cancer - Robotic Setup, Port Placement, Structured Surgical Steps].
Zentralbl Chir. 2020 Jun;145(3):225-233
Authors: Türler A, Loriz HL, Schröder T, Cerasani N
Abstract
Robotic low anterior resection in rectal carcinoma is becoming increasing common in Europe. There may be oncological and functional advantages as compared to laparoscopic approaches. The new generation of surgical robots, such as the Da Vinci Xi systems from Intuitive, enlarges the range of robotic access, especially in the mobilisation of the left flexure. Thus, robotic low anterior resection can now be performed safely, with low morbidity and without hybrid support. In this paper, the setup of the robotic system, port placement and surgical steps of robotic low anterior rectal resection are explained. Special features of Da Vinci Xi- and -X-systems are emphasised. Potential advantages of the robotic access - such as 3-dimensional visualisation of the surgical field, wrist-like movements of instruments and increased precision - may provide better results in rectal surgery than with laparoscopic access. Nevertheless, the evidence is still too weak to recommend robotic low anterior resection as the standard procedure in rectal cancer.
PMID: 32498104 [PubMed - in process]

Source: Zentralblatt fur Chirurgie - May 31, 2020 Category: Surgery Authors: Türler A, Loriz HL, Schröder T, Cerasani N Tags: Zentralbl Chir Source Type: research