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International Journal of Clinical Oncology
Published in: International Journal of Clinical Oncology 4/2015

01-08-2015 | Review Article

Recent advances in robotic surgery for rectal cancer

Authors: Soichiro Ishihara, Kensuke Otani, Koji Yasuda, Takeshi Nishikawa, Junichiro Tanaka, Toshiaki Tanaka, Tomomichi Kiyomatsu, Keisuke Hata, Kazushige Kawai, Hiroaki Nozawa, Shinsuke Kazama, Hironori Yamaguchi, Eiji Sunami, Joji Kitayama, Toshiaki Watanabe

Published in: International Journal of Clinical Oncology | Issue 4/2015

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Abstract

Robotic technology, which has recently been introduced to the field of surgery, is expected to be useful, particularly in treating rectal cancer where precise manipulation is necessary in the confined pelvic cavity. Robotic surgery overcomes the technical drawbacks inherent to laparoscopic surgery for rectal cancer through the use of multi-articulated flexible tools, three-dimensional stable camera platforms, tremor filtering and motion scaling functions, and greater ergonomic and intuitive device manipulation. Assessments of the feasibility and safety of robotic surgery for rectal cancer have reported similar operation times, blood loss during surgery, rates of postoperative morbidity, and circumferential resection margin involvement when compared with laparoscopic surgery. Furthermore, rates of conversion to open surgery are reportedly lower with increased urinary and male sexual functions in the early postoperative period compared with laparoscopic surgery, demonstrating the technical advantages of robotic surgery for rectal cancer. However, long-term outcomes and the cost-effectiveness of robotic surgery for rectal cancer have not been fully evaluated yet; therefore, large-scale clinical studies are required to evaluate the efficacy of this new technology.
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Metadata
Title
Recent advances in robotic surgery for rectal cancer
Authors
Soichiro Ishihara
Kensuke Otani
Koji Yasuda
Takeshi Nishikawa
Junichiro Tanaka
Toshiaki Tanaka
Tomomichi Kiyomatsu
Keisuke Hata
Kazushige Kawai
Hiroaki Nozawa
Shinsuke Kazama
Hironori Yamaguchi
Eiji Sunami
Joji Kitayama
Toshiaki Watanabe
Publication date
01-08-2015
Publisher
Springer Japan
Published in
International Journal of Clinical Oncology / Issue 4/2015
Print ISSN: 1341-9625
Electronic ISSN: 1437-7772
DOI
https://doi.org/10.1007/s10147-015-0854-z

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