Formisano Giampaolo, Ferraro Luca, Salaj Adelona, Giuratrabocchetta Simona, Piccolo Gaetano, Di Raimondo Giulia, Bianchi Paolo Pietro
Department of Surgery, Asst Santi Paolo e Carlo, Dipartimento di Scienze della Salute, University of Milan, 20122 Milan, Italy.
Department of General Surgery, Asst Santi Paolo e Carlo, 20142 Milan, Italy.
J Clin Med. 2023 Jul 24;12(14):4859. doi: 10.3390/jcm12144859.
Robotic surgery may offer significant advantages for treating extraperitoneal rectal cancer. Although laparoscopy has been shown to be safe and effective, laparoscopic total mesorectal excision (TME) remains technically challenging and is still performed in selected centers. Robotic anterior resection (RAR) may overcome the drawback of conventional laparoscopy, providing high-quality surgery with favorable oncological outcomes. Moreover, recent data show how RAR offers clinical and oncological benefits when affording difficult TMEs, such as low and advanced rectal tumors, in terms of complication rate, specimen quality, recurrence rate, and survival. This series aims to review the most recent and relevant literature, reporting mid- and long-term oncological outcomes and focusing on minimally invasive RAR for low rectal cancer.
机器人手术在治疗腹膜外直肠癌方面可能具有显著优势。尽管腹腔镜手术已被证明是安全有效的，但腹腔镜全直肠系膜切除术（TME）在技术上仍然具有挑战性，并且仍仅在特定中心开展。机器人前切除术（RAR）可能克服传统腹腔镜手术的缺点，提供具有良好肿瘤学结局的高质量手术。此外，近期数据表明，在处理困难的TME，如低位和进展期直肠肿瘤时，RAR在并发症发生率、标本质量、复发率和生存率方面具有临床和肿瘤学益处。本系列旨在回顾最新的相关文献，报告中长期肿瘤学结局，并重点关注低位直肠癌的微创RAR。
