[Robotic colorectal surgery: current status and future developments].
Robotic assistance has the potential to compensate for the limitations inherent in standard laparoscopic surgery. The daVinci® surgical system remains the only currently available commercial robotic system. It has found popularity in rectal cancer surgery where its application has consistently been shown to reduce the need to convert to open surgery. With this exception, the technological advances of the robotic system have not so far translated into any reproducible patient benefit. The first part of this manuscript presents an overview of the current daVinci® platform, its applications, the evidence base and future developments in colorectal surgery. The second part of the manuscript looks at other robot systems in development and the different innovations and strategies taken to advance minimally invasive surgery.The English full-text version of this article is available at SpringerLink (under supplemental).
St James's University Hospital & University of Leeds, Level 7 Clinical Sciences Building, LS9 7TF, Leeds, Großbritannien. d.g.jayne@leeds.ac.uk
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D016022:Case-Control Studies; D003113:Colonoscopy / Q000295:instrumentation* / Q000639:trends; D015179:Colorectal Neoplasms / Q000601:surgery*; D004867:Equipment Design; D019317:Evidence-Based Medicine; D005544:Forecasting; D005858:Germany; D006801:Humans; D062069:Inventions; D010535:Laparoscopy / Q000295:instrumentation; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation* / Q000639:trends; D012371:Robotics / Q000295:instrumentation* / Q000639:trends; D016896:Treatment Outcome