Robotic Intersphincteric Resection for Low Rectal Cancer: Technical Controversies and a Systematic Review on the Perioperative, Oncological, and Functional Outcomes

Autor:	Guglielmo Niccolò Piozzi, Seon Hahn Kim
Jazyk:	angličtina
Rok vydání:	2021
Předmět:	intersphincteric resection robotic surgical procedures low rectal cancer surgical technique Diseases of the digestive system. Gastroenterology RC799-869
Zdroj:	Annals of Coloproctology, Vol 37, Iss 6, Pp 351-367 (2021)
Druh dokumentu:	article
ISSN:	2287-9714 2287-9722
DOI:	10.3393/ac.2021.00836.0119
Popis:	Intersphincteric resection (ISR) is the ultimate anus-sparing technique for low rectal cancer and is considered an oncologically safe alternative to abdominoperineal resection. The application of the robotic approach to ISR (RISR) has been described by few specialized surgical teams with several differences regarding approach and technique. This review aims to discuss the technical aspects of RISR by evaluating point by point each surgical controversy. Moreover, a systematic review was performed to report the perioperative, oncological, and functional outcomes of RISR. Postoperative morbidities after RISR are acceptable. RISR allows adequate surgical margins and adequate oncological outcomes. RISR may result in severe bowel and genitourinary dysfunction affecting the quality of life in a portion of patients.
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/a0875c9b6c734b11878e0077c275f041 Zobrazit plný text záznamu View record in DOAJ