[Robotic-assisted surgery of rectal cancer-Technique, limitations and results].

Autor: Mann B; Klinik für Visceralchirurgie/Robotic Surgery, Augusta Kliniken Bochum, Bergstraße 26, 44791, Bochum, Deutschland. mann@augusta-bochum.de., Kukies S; Klinik für Visceralchirurgie/Robotic Surgery, Augusta Kliniken Bochum, Bergstraße 26, 44791, Bochum, Deutschland., Krogh O; Klinik für Visceralchirurgie/Robotic Surgery, Augusta Kliniken Bochum, Bergstraße 26, 44791, Bochum, Deutschland., Virakas G; Klinik für Visceralchirurgie/Robotic Surgery, Augusta Kliniken Bochum, Bergstraße 26, 44791, Bochum, Deutschland.
Jazyk: němčina
Zdroj: Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen [Chirurg] 2021 Jul; Vol. 92 (7), pp. 599-604. Date of Electronic Publication: 2021 May 18.
DOI: 10.1007/s00104-021-01424-7
Abstrakt: Background: The number of oncological robotic-assisted rectal cancer resections is rapidly increasing in Germany and worldwide; however, the indications, technique and potential limitations of this surgical technique are still discussed.
Material and Methods: The standardized modular surgical technique, the results in our clinic and the currently published evidence are presented.
Results: The procedure should be divided into seven modules in terms of standardization and teaching. After the learning curve there are principally no limitations or contraindications. The robotic-assisted approach is superior to open surgery in the following points: blood loss, lymph node harvest, negative circumferential resection margin (CRM), complication rate and length of hospital stay. In comparison to conventional laparoscopy the conversion rate and postoperative sexual and bladder function disorders are decreased. The operating time is longer.
Conclusion: Robotic-assisted rectal cancer resection is firmly established and standardized. The technique is superior to open surgery and conventional laparoscopy in some important aspects and is developing into the standard for this disease.
Databáze: MEDLINE
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