Kwak Jung Myun, Kim Seon Hahn
Colorectal Division, Department of Surgery, Korea University Anam Hospital, Korea University College of Medicine, 126-1, Anam-dong 5-ga, Sungbook-gu, Seoul, 136-705, Korea.
J Robot Surg. 2011 Mar;5(1):65-72. doi: 10.1007/s11701-010-0217-8. Epub 2010 Oct 2.
To keep pace with the rapidly growing incidence of colorectal cancer, substantial progress has been made in colorectal cancer management in recent decades. Minimally invasive surgery is rapidly gaining acceptance for surgical management of colorectal cancer; however, laparoscopic colorectal surgery is technically demanding and has a steep learning curve. Although many colorectal surgeons have great expectations of the robotic surgical system to overcome the pitfalls of laparoscopic surgery, the application of robots in colorectal cancer surgery seems to be delayed when compared with other surgical fields. However, in recent years, there has been an increasing number of reports on robotic colorectal surgery and much attention is given to it in the colorectal community. Most of the interest has been in robotic total mesorectal excision for rectal cancer. In contrast, the use of robotics for colon resections does not confer significant advantages. We summarize the current evidence on clinical and oncologic outcomes of robotic colorectal surgery.
为跟上结直肠癌发病率的快速增长,近几十年来结直肠癌的管理取得了重大进展。微创手术在结直肠癌的手术治疗中迅速得到认可;然而,腹腔镜结直肠手术技术要求高,学习曲线陡峭。尽管许多结直肠外科医生对机器人手术系统寄予厚望,希望其能克服腹腔镜手术的缺陷,但与其他外科领域相比,机器人在结直肠癌手术中的应用似乎有所延迟。然而,近年来,关于机器人结直肠手术的报道越来越多,在结直肠领域也备受关注。其中大部分兴趣集中在机器人直肠癌全直肠系膜切除术上。相比之下,机器人用于结肠切除术并没有显著优势。我们总结了机器人结直肠手术临床和肿瘤学结局的现有证据。