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Technical aspects of robotic proctectomy. Surg Laparosc Endosc Percutan Tech 2012 Jun;22(3):189-93

Date

06/09/2012

Pubmed ID

22678311

DOI

10.1097/SLE.0b013e31824be924

Scopus ID

2-s2.0-84862513294   5 Citations

Abstract

Robotic proctectomy is at the forefront of surgical innovation, and interest in this technique is rapidly increasing. The advantages of robotic techniques, such as enhanced visualization and improved dexterity along with tireless retraction and the addition of a "fourth arm" are reported to confer an advantage in the pelvis. It is unknown what long-term outcomes may emerge from ongoing clinical trials; however, early studies suggest improved perioperative and oncologic outcomes. Proponents of robotics suggest that robot-assisted procedures are associated with decreased complication rates and fewer conversions to open. This article reviews the pertinent literature on robotic total mesorectal excision and the early reported outcomes. The 3-arm, 4-arm laparoscopic-assisted, and the 4-arm totally robotic techniques for performing robotic proctectomy are described in detail, including port placement and patient position as well as robot docking.

Author List

Peterson CY, McLemore EC, Horgan S, Talamini MA, Ramamoorthy SL

Author

Carrie Peterson MD, MS, FACS, FASCRS Associate Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Humans
Laparoscopy
Length of Stay
Postoperative Complications
Randomized Controlled Trials as Topic
Rectal Neoplasms
Rectum
Robotics
Treatment Outcome