Ravendran Kapilraj, Abiola Emmanuel, Balagumar Kowthaman, Raja Ahsan Z, Flaih Mohammed, Vaja Sonny P, Muhidin Alhad O, Madouros Nikolaos
Medicine, Gradscape, London, GBR.
Surgery Working Group, Society of Junior Doctors, Athens, GRC.
Cureus. 2023 Apr 9;15(4):e37337. doi: 10.7759/cureus.37337. eCollection 2023 Apr.
Colorectal surgery is a treatment for colorectal lesions. Technological advancements have given the rise to robotic colorectal surgery, a procedure that limits excessive blood loss via 3D pin-point precision capabilities during surgeries. The aim of this study is to review robotic surgery in colorectal treatment procedures in order to dictate its ultimate merits. This is a literature review utilising PubMed and Google Scholar; it only includes case studies and case reviews related to robotic colorectal surgeries. Literature reviews are excluded. We incorporated abstracts from all articles and full publications were examined to compare the benefits of robotic surgery in colorectal treatments. The number of articles reviewed was 41 literature spanning from 2003 to 2022. We found that robotic surgeries yielded finer marginal resections, greater amounts of lymph node resections and earlier recovery of bowel functions. The patients also spent less time in hospital after surgery. The obstacles on the other hand are it costs longer operative hours and further training, which is expensive. Studies show robotic approach is a choice for treating rectal cancer. However further studies would be needed to conclude the best approach. This is especially true with patients treated for anterior colorectal resections. Based on the evidence it's safe to say that the upsides outweigh the downsides, but advancements and further research in robotic colorectal surgeries are still necessary to reduce operative hours and cost. Surgical societies should also take the initiative and set up effective training programmes for colorectal robotic surgeries, as trained physicians result in better treatment outcomes.
结直肠手术是一种针对结直肠病变的治疗方法。技术进步催生了机器人结直肠手术，这一手术通过手术过程中的3D精准定位功能来减少过多的失血。本研究的目的是回顾机器人手术在结直肠治疗过程中的应用，以确定其最终优点。这是一项利用PubMed和谷歌学术进行的文献综述；仅纳入与机器人结直肠手术相关的病例研究和病例回顾。排除文献综述。我们纳入了所有文章的摘要，并对全文进行了审查，以比较机器人手术在结直肠治疗中的益处。审查的文章数量为41篇，涵盖2003年至2022年的文献。我们发现，机器人手术能实现更精细的边缘切除、更多的淋巴结切除以及更快的肠功能恢复。患者术后住院时间也更短。另一方面，障碍在于手术时间更长且需要进一步培训，而这成本高昂。研究表明，机器人手术方法是治疗直肠癌的一种选择。然而，需要进一步研究以确定最佳方法。对于接受结直肠前切除术的患者尤其如此。基于现有证据，可以有把握地说其优点大于缺点，但机器人结直肠手术仍需进一步发展和研究，以减少手术时间和成本。外科协会也应主动为结直肠机器人手术设立有效的培训项目，因为训练有素的医生会带来更好的治疗效果。
