title: Robotic Surgery for Colon and Rectal Cancer.
abstract: Robotic surgery, used generally for colorectal cancer, has the advantages of a three-dimensional surgical view, steadiness, and seven degrees of robotic arms. However, there are disadvantages, such as a decreased sense of touch, extra time needed to dock the robotic cart, and high cost. Robotic surgery is performed using various techniques, with or without laparoscopic surgery. Because the results of this approach are reported to be similar to or less favorable than those of laparoscopic surgery, the learning curve for robotic colorectal surgery remains controversial. However, according to short- and long-term oncologic outcomes, robotic colorectal surgery is feasible and safe compared with conventional surgery. Advanced technologies in robotic surgery have resulted in favorable intraoperative and perioperative clinical outcomes as well as functional outcomes. As the technical advances in robotic surgery improve surgical performance as well as outcomes, it increasingly is being regarded as a treatment option for colorectal surgery. However, a multicenter, randomized clinical trial is needed to validate this approach.
authors.affiliation: Division of Colon and Rectal Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, 120-752, Republic of Korea.
authors.forename: Eun Jung
authors.initials: EJ
authors.lastname: Park
authors.affiliation: Division of Colon and Rectal Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, 120-752, Republic of Korea. whitenoja@yuhs.ac.
authors.forename: Seung Hyuk
authors.initials: SH
authors.lastname: Baik
mesh_terms: D000230:Adenocarcinoma / Q000191:economics / Q000601:surgery*; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data*; D015179:Colorectal Neoplasms / Q000191:economics / Q000601:surgery*; D003362:Cost-Benefit Analysis; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data*; D061646:Operative Time; D011183:Postoperative Complications / Q000191:economics / Q000601:surgery*; D065287:Robotic Surgical Procedures / Q000191:economics / Q000639:trends; D013997:Time Factors; D016896:Treatment Outcome
keywords: Colon cancer; Learning curve; Oncologic outcomes; Rectal cancer; Robotic surgery; Total mesorectal excision