World Journal of Laparoscopic Surgery

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VOLUME 5 , ISSUE 1 ( January-April, 2012 ) > List of Articles

REVIEW ARTICLE

Robotic Colorectal Surgery

Hossam Eldin Abdel Razik Ibrahim Aldakony

Citation Information : Aldakony HE. Robotic Colorectal Surgery. World J Lap Surg 2012; 5 (1):33-38.

DOI: 10.5005/jp-journals-10007-1145

Published Online: 01-04-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

Studies reporting outcomes of robotic colorectal surgery were identified by systematic searches of electronic databases. Outcomes examined included operating time, length of stay, blood loss, complications and cost and conversion rates.

Results

Fifteen studies (nine case series, four comparative studies, two randomized controlled trial) describing 420 procedures were identified and reviewed. Robotic procedures tend to take longer and cost more, but may reduce the length of stay, blood loss and conversion rates. Complication profiles and short-term outcomes are similar to laparoscopic surgery.

Conclusion

Robotic colorectal surgery is a promising field and may provide a powerful additional tool for optimal management of more challenging pathology, including rectal cancer. Current evidence suggests that the safety and feasibility of robotic colorectal surgery has been established. The advantages conferred by the robot are particularly useful for rectal dissection. Although the majority of published studies are case series or nonrandomized comparative studies, data show equivalent clinical short-term outcomes except for longer operating times and lower conversion rates compared with laparoscopic surgery. However, the lack of prospective randomized studies precludes definitive conclusions. Multicenter, prospective randomized controlled trials designed to evaluate safety, feasibility, costeffectiveness and long-term outcomes will provide crucial information on the practice of robotic colorectal surgery.

How to cite this article

Aldakony HEARI. Robotic Colorectal Surgery. World J Lap Surg 2012;5(1):33-38.


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