title: [Robotic technology for colorectal surgery : Procedures, current applications, and future innovative challenges - German version].
abstract: BACKGROUND
  Colorectal cancer is the third most common cancer worldwide. Current treatment approaches are multidisciplinary, including neoadjuvant chemoradiotherapy for rectal cancer. Several studies have reported an improvement in surgical techniques and in new devices facilitating better pre- and intraoperative staging.
  
  
  OBJECTIVE
  Since its first application in 2002, robotic surgery has progressed steadily, offering good surgical results and better oncological outcomes. Currently, many studies and reviews have confirmed its safety and feasibility for colorectal cancer.
  
  
  METHODS
  Robotic technology simplifies surgical maneuvers thanks to the three-dimensional magnification and stable vision, convenient mobility of the robotic arms, endowrist instruments with seven degrees of freedom, ambidextrous capability, tremor filtering and indocyanine green fluorescence imaging.
  
  
  RESULTS
  Regarding the oncological outcome, the robotic technique is equivalent to the laparoscopic approach; however, a lower recurrence rate has been achieved with the robotic approach in extended lymphadenectomy as part of complete mesocolic excision for right colonic cancer and total mesorectal excision for low rectal tumors.
  
  
  CONCLUSIONS
  Colorectal robotic surgery has progressively improved worldwide. Its advantages are related not only to better oncological outcomes, but also to improvements in terms of detection, accurate diagnosis and staging.
authors.affiliation: Proctor for robotic surgery at the Department General Surgery, AOU "Maggiore della Carità" Hospital, Corso Mazzini 18, 28100, Novara, Italy. giuseppe.spinoglio90@gmail.com.
authors.forename: G
authors.initials: G
authors.lastname: Spinoglio
authors.affiliation: Department of General Surgery, "Maggiore della Carità" Hospital, Novara, Italy.
authors.forename: P
authors.initials: P
authors.lastname: Bellora
authors.affiliation: Department of General Surgery, "Maggiore della Carità" Hospital, Novara, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Monni
mesh_terms: D059186:Chemoradiotherapy, Adjuvant; D015179:Colorectal Neoplasms / Q000473:pathology / Q000601:surgery*; D003131:Combined Modality Therapy; D004867:Equipment Design; D005240:Feasibility Studies; D007089:Image Enhancement; D021621:Imaging, Three-Dimensional; D007208:Indocyanine Green; D059032:Learning Curve; D008197:Lymph Node Excision / Q000295:instrumentation / Q000379:methods; D009364:Neoplasm Recurrence, Local / Q000517:prevention & control; D009367:Neoplasm Staging; D065287:Robotic Surgical Procedures / Q000193:education / Q000295:instrumentation* / Q000379:methods*
chemical_list: D007208:Indocyanine Green
keywords: Colectomy; Fluorescence; Lymphadenectomy; Rectal cancer; Robotics surgical procedures