nach oben

Journal of Gastrointestinal Surgery

Erschienen in:

01.04.2014 | Original Article

Outcomes of Robotic-Assisted Colorectal Surgery Compared with Laparoscopic and Open Surgery: a Systematic Review

verfasst von: Chang Woo Kim, Chang Hee Kim, Seung Hyuk Baik

Erschienen in: Journal of Gastrointestinal Surgery | Ausgabe 4/2014

Einloggen, um Zugang zu erhalten

Abstract

Background

Robotic technology has been applied to colorectal surgery over the last decade. The aim of this review is to analyze the outcomes of robotic colorectal surgery systematically and to provide objective information to surgeons.

Methods

Studies were searched and identified using PubMed and Google Scholar from Jan 2001 to Feb 2013 with the search terms “robot,” “robotic,” “colon,” “rectum,” “colorectal,” and “colectomy.” Appropriate data in the studies about the outcomes of robotic colorectal surgery were analyzed.

Results

Sixty-nine publications were included in this review and composed of 39 case series, 29 comparative studies, and 1 randomized controlled trial. Most of the studies reported that robotic surgery showed a longer operation time, less estimated blood loss, shorter length of hospital stay, lower complication and conversion rates, and comparable oncologic outcomes compared to laparoscopic or open surgery.

Conclusion

Robotic colorectal surgery is a safe and feasible option. Robotic surgery showed comparable short-term outcomes compared to laparoscopic surgery or open surgery. However, the long operation time and high cost are the limitations of robotic surgery.

Jacobs M, Verdeja JC, Goldstein HS. Minimally invasive colon resection (laparoscopic colectomy). Surg Laparosc Endosc 1991;1(3):144–150.PubMed

Jaeck D, Oussoultzoglou E, Rosso E, Greget M, Weber JC, Bachellier P. A two-stage hepatectomy procedure combined with portal vein embolization to achieve curative resection for initially unresectable multiple and bilobar colorectal liver metastases. Ann Surg 2004;240(6):1037–1049; discussion 1049–1051.PubMedCentralPubMedCrossRef

Guillou PJ, Quirke P, Thorpe H, Walker J, Jayne DG, Smith Am, Heath RM, Brown JM; MRC CLASSICC trial group. Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. Lancet 2005;365(9472):1718–1726.PubMedCrossRef

Jayne DG, Thorpe HC, Copeland J, Quirke P, Brown JM, Guillou PJ. Five-year follow-up of the Medical Research Council CLASICC trial of laparoscopically assisted versus open surgery for colorectal cancer. Br J Surg 2010;97(11):1638–1645.PubMedCrossRef

Kang SB, Park JW, Jeong SY, Nam BH, Choi HS, Kim DW, Lim SB, Lee TG, Kim DY, Kim JS, Chang HJ, Lee HS, Kim SY, Jung KH, Hong YS, Kim JH, Sohn DK, Kim DH, Oh JH. Open versus laparoscopic surgery for mid or low rectal cancer after neoadjuvant chemoradiotherapy (COREAN trial): short-term outcomes of an open-label randomised controlled trial. Lancet Oncol 2010;11(7):637–645.PubMedCrossRef

Makin GB, Breen DJ, Monson JR. The impact of new technology on surgery for colorectal cancer. World J Gastroenterol 2001;7(5):612–621.PubMed

Rockall TA, Darzi A. Robot-assisted laparoscopic colorectal surgery. Surg Clin North Am 2003;83(6):1463–1468, xi.

Hance J, Rockall T, Darzi A. Robotics in colorectal surgery. Dig Surg 2004;21(5–6):339–343.PubMedCrossRef

Pigazzi A, Ellenhorn JD, Ballantyne GH, Paz IB. Robotic-assisted laparoscopic low anterior resection with total mesorectal excision for rectal cancer. Surg Endosc 2006;20(10):1521–1525.PubMedCrossRef

10.

Baik SH, Ko YT, Kang CM, Lee WJ, Kim, NK, Sohn SK, Chi HS, Cho CH. Robotic tumor-specific mesorectal excision of rectal cancer: short-term outcome of a pilot randomized trial. Surg Endosc 2008;22(7):1601–1608.PubMedCrossRef

11.

Hashizume M, Shimada M, Tomikawa M, Ikeda Y, Takahashi I, Abe R, Koga F, Gotoh N, Konishi K, Maehara S, Sugimachi K. Early experiences of endoscopic procedures in general surgery assisted by a computer-enhanced surgical system. Surg Endosc 2002;16(8):1187–1191.PubMedCrossRef

12.

Weber PA, Merola S, Wasielewski A, Ballantyne GH. Telerobotic-assisted laparoscopic right and sigmoid colectomies for benign disease. Dis Colon Rectum 2002;45(12):1689–1694; discussion 1695–1686.PubMedCrossRef

13.

Talamini M, Campbell K, Stanfield C. Robotic gastrointestinal surgery: early experience and system description. J Laparoendosc Adv Surg Tech A 2002;12(4):225–232.PubMedCrossRef

14.

Delaney CP, Lynch AC, Senagore AJ, Fazio VW. Comparison of robotically performed and traditional laparoscopic colorectal surgery. Dis Colon Rectum 2003;46(12):1633–1639.PubMedCrossRef

15.

Giulianotti PC, Coratti A, Angelini M, Sbrana F, Cecconi S, Balestracci T, Caravaglios G. Robotics in general surgery: personal experience in a large community hospital. Arch Surg 2003;138(7):777–784.PubMedCrossRef

16.

Vibert E, Denet C, Gayet B. Major digestive surgery using a remote-controlled robot: the next revolution. Arch Surg 2003;138(9):1002–1006.PubMedCrossRef

17.

Anvari M, Birch DW, Bamehriz F, Gryfe R, Chapman T. Robotic-assisted laparoscopic colorectal surgery. Surg Laparosc Endosc Percutan Tech 2004;14(6):311–315.PubMedCrossRef

18.

D’Annibale A, Morpurgo E, Fiscon V, Trevisan P, Sovernigo G, Orsini C, Guidolin D. Robotic and laparoscopic surgery for treatment of colorectal diseases. Dis Colon Rectum 2004;47(12):2162–2168.PubMedCrossRef

19.

Munz Y, Moorthy K, Kudchadkar R, Hernandez JD, Martin S, Darzi A, Rockall T. Robotic assisted rectopexy. Am J Surg 2004;187(1):88–92.PubMedCrossRef

20.

Anvari M, McKinley C, Stein H. Establishment of the world’s first telerobotic remote surgical service: for provision of advanced laparoscopic surgery in a rural community. Ann Surg 2005;241(3):460–464.PubMedCentralPubMedCrossRef

21.

Bodner J, Augustin F, Wykypiel H, Fish J, Muehlmann G, Wetscher G, Schmid T. The da Vinci robotic system for general surgical applications: a critical interim appraisal. Swiss Med Wkly 2005;135(45–46):674–678.PubMed

22.

Braumann C, Jacobi CA, Menenakos C, Borchert U, Rueckert JC, Mueller JM. Computer-assisted laparoscopic colon resection with the Da Vinci system: our first experiences. Dis Colon Rectum 2005;48(9):1820–1827.PubMedCrossRef

23.

Ruurda JP, Draaisma WA, van Hillegersberg R, Borel Rinkes IH, Gooszen HG, Janssen LW, Simmermacher RK, Broeders IA. Robot-assisted endoscopic surgery: a four-year single-center experience. Dig Surg 2005;22(5):313–320.PubMedCrossRef

24.

Woeste G, Bechstein WO, Wullstein C. Does telerobotic assistance improve laparoscopic colorectal surgery? Int J Colorectal Dis 2005;20(3):253–257.PubMedCrossRef

25.

Ballantyne GH, Ewing D, Pigazzi A, Wasielewski A. Telerobotic-assisted laparoscopic right hemicolectomy: lateral to medial or medial to lateral dissection? Surg Laparosc Endosc Percutan Tech 2006;16(6):406–410.PubMedCrossRef

26.

DeNoto G, Rubach E, Ravikumar TS. A standardized technique for robotically performed sigmoid colectomy. J Laparoendosc Adv Surg Tech A 2006;16(6):551–556.PubMedCrossRef

27.

Sebajang H, Trudeau P, Dougall A, Hegge S, McKinley C, Anvari M. The role of telementoring and telerobotic assistance in the provision of laparoscopic colorectal surgery in rural areas. Surg Endosc 2006;20(9):1389–1393.PubMedCrossRef

28.

Heemskerk J, de Hoog DE, van Gemert WG, Baeten CG, Greve JW, Bouvy ND. Robot-assisted vs. conventional laparoscopic rectopexy for rectal prolapse: a comparative study on costs and time. Dis Colon Rectum 2007;50(11):1825–1830.PubMedCentralPubMedCrossRef

29.

Soravia C, Schwieger I, Witzig J-A, Wassmer F-A, Vedrenne T, Sutter P, Dufour J-P, Racloz Y. Laparoscopic robotic-assisted gastrointestinal surgery: the Geneva experience. Journal of Robotic Surgery 2008;1(4):291–295.CrossRef

30.

Spinoglio G, Summa M, Priora F, Quarati R, Testa S. Robotic colorectal surgery: first 50 cases experience. Dis Colon Rectum 2008;51(11):1627–1632.PubMedCrossRef

31.

Baik SH, Kwon HY, Kim JS, Hur H, Sohn SK, Cho CH, Kim H. Robotic versus laparoscopic low anterior resection of rectal cancer: short-term outcome of a prospective comparative study. Ann Surg Oncol 2009;16(6):1480–1487.PubMedCrossRef

32.

Choi DJ, Kim SH, Lee PJ, Kim J, Woo SU. Single-stage totally robotic dissection for rectal cancer surgery: technique and short-term outcome in 50 consecutive patients. Dis Colon Rectum 2009;52(11):1824–1830.PubMedCrossRef

33.

Choi GS, Park IJ, Kang BM, Lim KH, Jun SH. A novel approach of robotic-assisted anterior resection with transanal or transvaginal retrieval of the specimen for colorectal cancer. Surg Endosc 2009;23(12):2831–2835.PubMedCrossRef

34.

de Hoog DE, Heemskerk J, Nieman FH, van Gemert WG, Baeten CG, Bouvy ND. Recurrence and functional results after open versus conventional laparoscopic versus robot-assisted laparoscopic rectopexy for rectal prolapse: a case–control study. Int J Colorectal Dis 2009;24(10):1201–1206.PubMedCentralPubMedCrossRef

35.

Luca F, Cenciarelli S, Valvo M, Pozzi S, Faso FL, Ravizza D, Zampino G, Sonzogni A, Biffi R. Full robotic left colon and rectal cancer resection: technique and early outcome. Ann Surg Oncol 2009;16(5):1274–1278.PubMedCrossRef

36.

Ng KH, Lim YK, Ho KS, Ooi BS, Eu KW. Robotic-assisted surgery for low rectal dissection: from better views to better outcome. Singapore Med J 2009;50(8):763–767.PubMed

37.

Ostrowitz MB, Eschete D, Zemon H, DeNoto G. Robotic-assisted single-incision right colectomy: early experience. Int J Med Robot 2009;5(4):465–470.PubMedCrossRef

38.

Patriti A, Ceccarelli G, Bartoli A, Spaziani A, Biancafarina A, Casciola L. Short- and medium-term outcome of robot-assisted and traditional laparoscopic rectal resection. JSLS 2009;13(2):176–183.PubMedCentralPubMed

39.

Baek JH, McKenzie S, Garcia-Aguilar J, Pigazzi A. Oncologic outcomes of robotic-assisted total mesorectal excision for the treatment of rectal cancer. Ann Surg 2010;251(5):882–886.PubMedCrossRef

40.

Bianchi PP, Ceriani C, Locatelli A, Spinoglio G, Zampino MG, Sonzogni A, Crosta C, Andreoni B. Robotic versus laparoscopic total mesorectal excision for rectal cancer: a comparative analysis of oncological safety and short-term outcomes. Surg Endosc 2010;24(11):2888–2894.PubMedCrossRef

41.

D’Annibale A, Pernazza G, Morpurgo E, Monsellato I, Pende V, Lucandri G, Termini B, Orsini C, Sovernigo G. Robotic right colon resection: evaluation of first 50 consecutive cases for malignant disease. Ann Surg Oncol 2010;17(11):2856–2862.PubMedCrossRef

42.

deSouza AL, Prasad LM, Marecik SJ, Blumetti J, Park JJ, Zimmern A, Abcarian H. Total mesorectal excision for rectal cancer: the potential advantage of robotic assistance. Dis Colon Rectum 2010;53(12):1611–1617.

43.

Park JS, Choi GS, Lim KH, Jang YS, Jun SH. Robotic-assisted versus laparoscopic surgery for low rectal cancer: case-matched analysis of short-term outcomes. Ann Surg Oncol 2010;17(12):3195–3202.PubMedCrossRef

44.

Park YA, Kim JM, Kim SA, Min BS, Kim NK, Sohn SK, Lee KY. Totally robotic surgery for rectal cancer: from splenic flexure to pelvic floor in one setup. Surg Endosc 2010;24(3):715–720.PubMedCrossRef

45.

Pigazzi A, Luca F, Patriti A, Valvo M, Ceccarelli G, Casciola L, Biffi R, Garcia-Aquilar J, Baek JH. Multicentric study on robotic tumor-specific mesorectal excision for the treatment of rectal cancer. Ann Surg Oncol 2010;17(6):1614–1620.PubMedCrossRef

46.

Popescu I, Vasilescu C, Tomulescu V, Vasile S, Sgarbura O. The minimally invasive approach, laparoscopic and robotic, in rectal resection for cancer. A single center experience. Acta Chir Iugosl 2010;57(3):29–35.PubMedCrossRef

47.

Zimmern A, Prasad L, Desouza A, Marecik S, Park J, Abcarian H. Robotic colon and rectal surgery: a series of 131 cases. World J Surg 2010;34(8):1954–1958.PubMedCrossRef

48.

Bertani E, Chiappa A, Biffi R, Bianchi PP, Radice D, Branchi V, Cenderelli E, Vetrano I, Cenciarelli S, Andreoni B. Assessing appropriateness for elective colorectal cancer surgery: clinical, oncological, and quality-of-life short-term outcomes employing different treatment approaches. Int J Colorectal Dis 2011;26(10):1317–1327.PubMedCrossRef

49.

Biffi R, Luca F, Pozzi S, Cenciarelli S, Valvo M, Sonzogni A, Radice D, Ghezzi TL. Operative blood loss and use of blood products after full robotic and conventional low anterior resection with total mesorectal excision for treatment of rectal cancer. J Robot Surg 2011;5(2):101–107.PubMedCentralPubMedCrossRef

50.

Bokhari MB, Patel CB, Ramos-Valadez DI, Ragupathi M, Haas EM. Learning curve for robotic-assisted laparoscopic colorectal surgery. Surg Endosc 2011;25(3):855–860.PubMedCentralPubMedCrossRef

51.

Buchs NC, Pugin F, Bucher P, Morel P. Totally robotic right colectomy: a preliminary case series and an overview of the literature. Int J Med Robot 2011;7:348–352.CrossRef

52.

Huettner F, Pacheco PE, Doubet JL, Ryan MJ, Dynda DI, Crawford DL. One hundred and two consecutive robotic-assisted minimally invasive colectomies--an outcome and technical update. J Gastrointest Surg 2011;15(7):1195–1204.

53.

Koh DC, Tsang CB, Kim SH. A new application of the four-arm standard da Vinci(R) surgical system: totally robotic-assisted left-sided colon or rectal resection. Surg Endosc 2011;25(6):1945–1952.PubMedCrossRef

54.

Luca F, Ghezzi TL, Valvo M, Cenciarelli S, Pozzi S, Radice D, Crosta C, Biffi R. Surgical and pathological outcomes after right hemicolectomy: case-matched study comparing robotic and open surgery. Int J Med Robot 2011;7:298–303.

55.

Marecik SJ, Zawadzki M, Desouza AL, Park JJ, Abcarian H, Prasad LM. Robotic cylindrical abdominoperineal resection with transabdominal levator transection. Dis Colon Rectum 2011;54(10):1320–1325.PubMedCrossRef

56.

Patel CB, Ragupathi M, Ramos-Valadez DI, Haas EM. A three-arm (laparoscopic, hand-assisted, and robotic) matched-case analysis of intraoperative and postoperative outcomes in minimally invasive colorectal surgery. Dis Colon Rectum 2011;54(2):144–150.PubMedCrossRef

57.

Pedraza R, Patel CB, Ramos-Valadez DI, Haas EM. Robotic-assisted laparoscopic surgery for restorative proctocolectomy with ileal J pouch-anal anastomosis. Minim Invasive Ther Allied Technol 2011;20(4):234–239.PubMedCrossRef

58.

Ragupathi M, Ramos-Valadez DI, Patel CB, Haas EM. Robotic-assisted laparoscopic surgery for recurrent diverticulitis: experience in consecutive cases and a review of the literature. Surg Endosc 2011;25(1):199–206.PubMedCrossRef

59.

Wong MT, Meurette G, Rigaud J, Regenet N, Lehur PA. Robotic versus laparoscopic rectopexy for complex rectocele: a prospective comparison of short-term outcomes. Dis Colon Rectum 2011;54(3):342–346.PubMedCrossRef

60.

Akmal Y, Baek JH, McKenzie S, Garcia-Aguilar J, Pigazzi A. Robot-assisted total mesorectal excision: is there a learning curve? Surg Endosc 2012;26(9):2471–2476.PubMedCrossRef

61.

Alimoglu O, Atak I, Kilic A, Caliskan M. Robot-assisted laparoscopic abdominoperineal resection for low rectal cancer. Int J Med Robot 2012;8(3):371–374.PubMedCrossRef

62.

Baek SJ, Kim SH, Cho JS, Shin JW, Kim J. Robotic versus conventional laparoscopic surgery for rectal cancer: a cost analysis from a single institute in Korea. World J Surg 2012;36(11):2722–2729.PubMedCrossRef

63.

Deutsch GB, Sathyanarayana SA, Gunabushanam V, Mishra N, Rubach E, Zemon H, Klein JD, Denoto G 3rd. Robotic vs. laparoscopic colorectal surgery: an institutional experience. Surg Endosc 2012;26(4):956–963.PubMedCrossRef

64.

Kang CY, Carmichael JC, Friesen J, Stamos MJ, Mills S, Pigazzi A. Robotic-assisted extralevator abdominoperineal resection in the lithotomy position: technique and early outcomes. Am Surg 2012;78(10):1033–1037.PubMed

65.

Kang J, Yoon KJ, Min BS, Hur H, Baik SH, Kim, NK, Lee KY. The impact of robotic surgery for mid and low rectal cancer: a case-matched analysis of a 3-arm comparison--open, laparoscopic, and robotic surgery. Ann Surg 2013;257(1):95–101.

66.

Karahasanoglu T, Hamzaoglu I, Baca B, Aytac E, Erguner I, Uras C. Robotic surgery for rectal cancer: initial experience from 30 consecutive patients. J Gastrointest Surg 2012;16(2):401–407.PubMedCrossRef

67.

Kim JC, Yang SS, Jang TY, Kwak JY, Yun MJ, Lim SB. Open versus robot-assisted sphincter-saving operations in rectal cancer patients: techniques and comparison of outcomes between groups of 100 matched patients. Int J Med Robot 2012;8(4):468–475.PubMedCrossRef

68.

Kim YW, Lee HM, Kim NK, Min BS, Lee KY. The learning curve for robot-assisted total mesorectal excision for rectal cancer. Surg Laparosc Endosc Percutan Tech 2012;22(5):400–405.PubMedCrossRef

69.

Lim DR, Min BS, Kim MS, Alasari S, Kim G, Hur H, Baik SH, Lee KY, Kim NK. Robotic versus laparoscopic anterior resection of sigmoid colon cancer: comparative study of long-term oncologic outcomes. Surg Endosc 2013;27(4):1379–1385.PubMedCentralPubMedCrossRef

70.

Lim MS, Melich G, Min BS. Robotic single-incision anterior resection for sigmoid colon cancer: access port creation and operative technique. Surg Endosc 2013;27(3):1021.PubMedCrossRef

71.

Miller AT, Berian JR, Rubin M, Hurst RD, Fichera A, Umanskiy K. Robotic-assisted proctectomy for inflammatory bowel disease: a case-matched comparison of laparoscopic and robotic technique. J Gastrointest Surg 2012;16(3):587–594.PubMedCrossRef

72.

Park IJ, You YN, Schlette E, Nguyen S, Skibber JM, RodriguezBigas MA, Chang GJ. Reverse-hybrid robotic mesorectal excision for rectal cancer. Dis Colon Rectum 2012;55(2):228–233.PubMedCentralPubMedCrossRef

73.

Park JS, Choi GS, Park SY, Kim HJ, Ryuk JP. Randomized clinical trial of robot-assisted versus standard laparoscopic right colectomy. Br J Surg 2012;99(9):1219–1226.PubMedCrossRef

74.

Park SY, Choi GS, Park JS, Kim HJ, Ryuk JP. Short-term clinical outcome of robot-assisted intersphincteric resection for low rectal cancer: a retrospective comparison with conventional laparoscopy. Surg Endosc 2013;27(1):48–55.PubMedCrossRef

75.

Shin JY. Comparison of short-term surgical outcomes between a robotic colectomy and a laparoscopic colectomy during early experience. J Korean Soc Coloproctol 2012;28(1):19–26.PubMedCentralPubMedCrossRef

76.

Trastulli S, Desiderio J, Farinacci F, Ricci F, Listorti C, Cirocchi R, Boselli C, Nova G, Parisi A. Robotic right colectomy for cancer with intracorporeal anastomosis: short-term outcomes from a single institution. Int J Colorectal Dis 2013;28(6):807–814.PubMedCrossRef

77.

D’Annibale A, Pernazza G, Monsellato I, Pende V, Lucandri G, Mazzocchi P, Alfano G. Total mesorectal excision: a comparison of oncological and functional outcomes between robotic and laparoscopic surgery for rectal cancer. Surg Endosc 2013;27(6):1887–1895.PubMedCrossRef

78.

Du XH, Shen D, Li R, Li S, Ning N, Zhao YS, Zou ZY, Liu N. Robotic anterior resection of rectal cancer: technique and early outcome. Chin Med J (Engl) 2013;126(1):51–54.

79.

Helvind NM, Eriksen JR, Mogensen A, Tas B, Olsen J, Bundgaard M, Jakobsen HL, Gögenür I. No differences in short-term morbidity and mortality after robot-assisted laparoscopic versus laparoscopic resection for colonic cancer: a case–control study of 263 patients. Surg Endosc 2013;27(7):2575–2580.PubMedCrossRef

80.

Alasari S, Min BS. Robotic colorectal surgery: a systematic review. ISRN Surg 2012;2012:293894.PubMedCentralPubMedCrossRef

81.

Antoniou SA, Antoniou GA, Koch OO, Pointner R, Granderath FA. Robot-assisted laparoscopic surgery of the colon and rectum. Surg Endosc 2012;26(1):1–11.PubMedCrossRef

82.

Kanji A, Gill RS, Shi X, Birch DW, Karmali S. Robotic-assisted colon and rectal surgery: a systematic review. Int J Med Robot 2011;7(4):401–407.PubMedCrossRef

83.

Mirnezami AH, Mirnezami R, Venkatasubramaniam AK, Chandrakumaran K, Cecil TD, Moran BJ. Robotic colorectal surgery: hype or new hope? A systematic review of robotics in colorectal surgery. Colorectal Dis 2010;12(11):1084–1093.PubMedCrossRef

84.

Lin S, Jiang HG, Chen ZH, Zhou SY, Liu XS, Yu JR. Meta-analysis of robotic and laparoscopic surgery for treatment of rectal cancer. World J Gastroenterol 2011;17(47):5214–5220.PubMedCentralPubMedCrossRef

85.

Ortiz-Oshiro E, Sanchez-Egido I, Moreno-Sierra J, Perez CF, Diaz JS, Fernandez-Represa JA. Robotic assistance may reduce conversion to open in rectal carcinoma laparoscopic surgery: systematic review and meta-analysis. Int J Med Robot 2012;8(3):360–370.PubMedCrossRef

86.

Yang Y, Wang F, Zhang P, Shi C, Zou Y, Qin H, Ma Y. Robot-assisted versus conventional laparoscopic surgery for colorectal disease, focusing on rectal cancer: a meta-analysis. Ann Surg Oncol 2012;19(12):3727–3736.PubMedCrossRef

87.

Memon S, Heriot AG, Murphy DG, Bressel M, Lynch AC. Robotic versus laparoscopic proctectomy for rectal cancer: a meta-analysis. Ann Surg Oncol 2012;19(7):2095–2101.PubMedCrossRef

88.

Trastulli S, Farinella E, Cirocchi R, Cavaliere D, Avenia N, Sciannameo F, Gullà N, Noya G, Boselli C. Robotic resection compared with laparoscopic rectal resection for cancer: systematic review and meta-analysis of short-term outcome. Colorectal Dis 2012;14(4):e134-156.PubMedCrossRef

89.

Jimenez-Rodriguez RM, Diaz-Pavon JM, de la Portilla de Juan F, Prendes-Sillero E, Dussort HC, Padillo J. Learning curve for robotic-assisted laparoscopic rectal cancer surgery. Int J Colorectal Dis 2013;28(6):815–821.PubMedCrossRef

90.

Ragupathi M, Ramos-Valadez DI, Pedraza R, Haas EM. Robotic-assisted single-incision laparoscopic partial cecectomy. Int J Med Robot 2010;6(3):362–367.PubMedCrossRef

91.

Singh J, Podolsky ER, Castellanos AE, Stein DE. Optimizing single port surgery: a case report and review of technique in colon resection. Int J Med Robot 2011;7(2):127–130.PubMedCrossRef

92.

Rodriguez RM, Pavon JM, de la Portilla F, Sillero EP, Dussort JM, Padillo J. Robotic-assisted total mesorectal excision with the aid of a single-port device. Surg Innov 2013;20(4):NP3-5.PubMedCrossRef

93.

Kim JY, Kim NK, Lee KY, Hur H, Min BS, Kim JH. A comparative study of voiding and sexual function after total mesorectal excision with autonomic nerve preservation for rectal cancer: laparoscopic versus robotic surgery. Ann Surg Oncol 2012;19(8):2485–2493.PubMedCrossRef

94.

Wishner JD, Baker JW, Jr., Hoffman GC, Hubbard GW 2nd, Gould RJ, Wohlgemuth SD, Ruffin WK, Melick CF. Laparoscopic-assisted colectomy. The learning curve. Surg Endosc 1995;9(11):1179–1183.PubMedCrossRef

95.

Baik SH. Robotic total mesorectal excision for rectal cancer: it may improve survival as well as quality of life. Surg Endosc 2008;22(6):1556.PubMedCrossRef

96.

Nagtegaal ID, van de Velde CJ, van der Worp E, Kapiteijn E, Quirke P, van Krieken JH. Macroscopic evaluation of rectal cancer resection specimen: clinical significance of the pathologist in quality control. J Clin Oncol 2002;20(7):1729–1734.PubMedCrossRef

97.

Baik SH, Kim NK, Lim DR, Hur H, Min BS, Lee KY. Oncologic Outcomes and Perioperative Clinicopathologic Results after Robot-assisted Tumor-specific Mesorectal Excision for Rectal Cancer. Ann Surg Oncol 2013;20(8):2625–2632PubMedCrossRef

Titel: Outcomes of Robotic-Assisted Colorectal Surgery Compared with Laparoscopic and Open Surgery: a Systematic Review
verfasst von: Chang Woo Kim
Chang Hee Kim
Seung Hyuk Baik
Publikationsdatum: 01.04.2014
Verlag: Springer US
Erschienen in: Journal of Gastrointestinal Surgery / Ausgabe 4/2014
Print ISSN: 1091-255X
Elektronische ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-014-2469-5

Neu im Fachgebiet Chirurgie

Wie erfolgreich ist eine Re-Ablation nach Rezidiv?

23.04.2024 Ablationstherapie Nachrichten

Nach der Katheterablation von Vorhofflimmern kommt es bei etwa einem Drittel der Patienten zu Rezidiven, meist binnen eines Jahres. Wie sich spätere Rückfälle auf die Erfolgschancen einer erneuten Ablation auswirken, haben Schweizer Kardiologen erforscht.

Hinter dieser Appendizitis steckte ein Erreger

23.04.2024 Appendizitis Nachrichten

Schmerzen im Unterbauch, aber sonst nicht viel, was auf eine Appendizitis hindeutete: Ein junger Mann hatte Glück, dass trotzdem eine Laparoskopie mit Appendektomie durchgeführt und der Wurmfortsatz histologisch untersucht wurde.

Mehr Schaden als Nutzen durch präoperatives Aussetzen von GLP-1-Agonisten?

23.04.2024 Operationsvorbereitung Nachrichten

Derzeit wird empfohlen, eine Therapie mit GLP-1-Rezeptoragonisten präoperativ zu unterbrechen. Eine neue Studie nährt jedoch Zweifel an der Notwendigkeit der Maßnahme.

Ureterstriktur: Innovative OP-Technik bewährt sich

19.04.2024 EAU 2024 Kongressbericht

Die Ureterstriktur ist eine relativ seltene Komplikation, trotzdem bedarf sie einer differenzierten Versorgung. In komplexen Fällen wird dies durch die roboterassistierte OP-Technik gewährleistet. Erste Resultate ermutigen.

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Aktuelle BDC Leitlinien-Webinare

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare

CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare

CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske

Dr. med. Benjamin Meyknecht

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare

CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric

Springer Medizin

Abstract

Background

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2014

Surgery for Giant Primary Neuroendocrine Carcinoma of the Liver

Colorectal Emergencies: Perforated Diverticulitis (Operative and Nonoperative Management)

Pancreaticoduodenectomy After Bariatric Surgery: Challenges and Available Techniques for Reconstruction

Comparison of Laparoscopy-Assisted and Open Donor Right Hepatectomy: a Prospective Case-Matched Study from China

Portal Venous Thrombosis After Distal Pancreatectomy: Clinical Outcomes

Letter to Editor

Update Chirurgie