Laparoscopic and robotic colorectal resection for cancer: Current concepts and trends (review)

Emilio Bertani, Carlo Corbellini, Antonio Chiappa, Paolo Ubiali, Maria Laura Cossu, Bruno Andreoni

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

More than 20 years ago the introduction of laparoscopic surgery represented a paradigm shift in the management of colorectal cancer. In most recent years robotic surgery is becoming a viable alternative to laparoscopic and traditional open surgery. The major clear advantages of robotic surgery in comparison with laparoscopy are the lower conversion to open surgery rates and the shorter learning curve. However, the role of robotics in colorectal surgery is still largely undefined and different with respect to its application in abdominal versus pelvic surgery. In rectal cancer surgery robotic surgery seems particularly appealing because nerve-sparing mesorectal excision remains significantly challenging when performed laparoscopically. As for colon cancer there are emerging data that laparoscopic and robotic surgery have the same advantages in terms of faster recovery, although robotic-assisted colectomy is associated with costs increase of care without providing clear reductions in overall morbidity or length of stay. Long-term outcomes for laparoscopic vs robotic colon and rectal resections remain still largely undetermined and randomized controlled clinical trials are required to establish a possible difference in outcomes. Interesting issues for the educational aspects are associated with robotic surgery, as the double console allows the resident to take part actively at the surgical procedure since the beginning of his surgical experience.

Original languageEnglish
Title of host publicationMinimally Invasive Surgery: Evolution of Operative Techniques, Safety & Effectiveness and Long-Term Clinical Outcomes
PublisherNova Science Publishers, Inc.
Pages67-92
Number of pages26
ISBN (Print)9781629488394, 9781629488387
Publication statusPublished - Jan 1 2014

ASJC Scopus subject areas

  • Medicine(all)

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