Page 95 - World Journal of Laparoscopic Surgeons

Shalmali Alva
reported: (1) acquisition of basic robotic skills, (2) increas- 7. Huettner F, Pacheco PE, Doubet JL, Ryan MJ, Dynda DI,
ing competence and the addition of more complicated Crawford DL. One hundred and two consecutive robotic
cases, and (3) achievement of robotic mastery, including assisted minimally invasive colectomies-an outcome and
technical update. J Gastrointest Surg 2011 Jul;15(7):1195-1204.
the ability to tackle the most complicated cases. 24,32 8. Cadeddu JA, Stoianovici D, Kavoussi LR. Robotics in urologic
Robotic surgery, however, comes with higher costs surgery. Urology 1997 Apr;49(4):501-507.
than laparoscopic surgery or open surgery. 26,33-37 Of 9. Ficarra V, Cavalleri S, Novara G, Aragona M, Artibani W.
course, theoretically, potential benefits, such as func- Evidence from robot-assisted laparoscopic radical prosta-
tional and oncologic ones are better in robotic rectal tectomy: a systematic review. Eur Urol 2007 Jan;51(1):45-55,
surgery. But it may still not justify the higher costs at all discussion 56.
centers. As with all new advances in surgery, as robotics 10. Lin S, Jiang HG, Chen ZH, Zhou SY, Liu XS, Yu JR.
Meta-analysis of robotic and laparoscopic surgery for treat-
in surgery become more commonplace, the costs also ment of rectal cancer. World J Gastroenterol 2011 Dec;17(47):
are bound to come down and make it more feasible to 5214-5220.
be readily applied for a variety of procedures. As the 11. Memon S, Heriot AG, Murphy DG, Bressel M, Lynch AC.
learning curve for robotic surgery is also shorter than Robotic versus laparoscopic proctectomy for rectal cancer: a
meta-analysis. Ann Surg Oncol 2012 Jul;19(7):2095-2101.
laparoscopic surgery, a bright future awaits widespread 12. Ortiz-Oshiro E, Sanchez-Egido I, Moreno-Sierra J, Perez CF,
robotics in surgery. Diaz JS, Fernandez-Represa JA. Robotic assistance may
reduce conversion to open in rectal carcinoma laparoscopic
CONCLUSION surgery: systematic review and meta-analysis. Int J Med
Robot 2012 Sep;8(3):360-370.
Robotic and laparoscopic colectomy have comparable 13. Park JS, Choi GS, Park SY, Kim HJ, Ryuk JP. Randomized
intraoperative efficacy, with lesser conversion to open clinical trial of robot-assisted versus standard laparoscopic
surgery seen in robotic-assisted cases. The postopera- right colectomy. Br J Surg 2012 Sep;99(9):1219-1226.
tive morbidity, duration of hospital stay, and need for 14. Trastulli S, Farinella E, Cirocchi R, Cavaliere D, Avenia N,
patient-controlled analgesia are comparable in most cases Sciannameo F, Gulla N, Noya G, Boselli C. Robotic resec-
to laparoscopic surgery. In rectal cases, robotic surgery tion compared with laparoscopic rectal resection for cancer:
systematic review and meta-analysis of short-term outcome.
offers better operative expertise due to the presence Colorectal Dis 2012 Apr;14(4):e134-e156.
of narrow bony pelvis limiting laparoscopic surgery. 15. Choi GS, Park IJ, Kang BM, Lim KH, Jun SH. A novel approach
Robotic surgery has also proved effective in malignancy, of robotic-assisted anterior resection with transanal or trans-
as rates of positive circumferential margin are low and vaginal retrieval of the specimen for colorectal cancer. Surg
comparable to laparoscopic or open surgery. As the learn- Endosc 2009 Dec;23(12):2831-2835.
ing curve for robotic surgery is shorter than for laparo- 16. Antoniou SA, Antoniou GA, Koch OO, Pointner R, Grand-
erath FA. Robotic-assisted laparoscopic surgery of the colon
scopic surgery, and as the use of robotics becomes more and rectum. Surg Endosc 2012 Jan;26(1):1-11.
widespread, the cost of robotic surgery will also likely 17. Weber PA, Merola S, Wasielewski A, Ballantyne GH. Telero-
be affordable by all. botic-assisted laparoscopic right and sigmoid colectomies for
benign disease. Dis Colon Rectum 2002 Dec;45(12):1689-94;
REFERENCES discussion 1695-1696.
18. Rawlings AL, Woodland JH, Vegunta RK, Crawford DL.
1. D’Annibale A, Morpurgo E, Fiscon V, Trevisan P, Sovernigo G, Robotic versus laparoscopic colectomy. Surg Endosc 2007
Orsini C, Guidolin D. Robotic and laparoscopic surgery for Oct;21(10):1701-1708.
treatment of colorectal diseases. Dis Colon Rectum 2004 19. Park JS, Choi GS, Lim KH, Jang YS, Jun SH. S052: a compari-
Dec;47(12):2162-2168. son of robot-assisted, laparoscopic, and open surgery in the
2. Baik SH, Kwon HY, Kim JS, Hur H, Sohn SK, Cho CH, Kim H. treatment of rectal cancer. Surg Endosc 2011 Jan;25(1):240-248.
Robotic versus laparoscopic low anterior resection of rectal 20. Kim NK, Kang J. Optimal total mesorectal excision for rectal
cancer: short-term outcome of a prospective comparative cancer: the role of robotic surgery from an expert’s view.
study. Ann Surg Oncol 2009 Jun;16(6):1480-1487. J Korean Soc Coloproctol 2010 Dec;26(6):377-382.
3. Maeso S, Reza M, Mayol JA, Blasco JA, Guerra M, Andradas E, 21. Baek JH, Pastor C, Pigazzi A. Robotic and laparoscopic total
Plana MN. Efficacy of the Da Vinci surgical system in abdomi- mesorectal excision for rectal cancer: a case-matched study.
nal surgery compared with that of laparoscopy: a systematic Surg Endosc 2011 Feb;25(2):521-525.
review and meta-analysis. Ann Surg 2010 Aug;252(2):254-262. 22. Bianchi PP, Ceriani C, Locatelli A, Spinoglio G, Zampino MG,
4. Pigazzi A, Garcia-Aguilar J. Robotic colorectal surgery: for Sonzogni A, Crosta C, Andreoni B. Robotic versus laparo-
whom and for what? Dis Colon Rectum 2010 Jul;53(7):969-970. scopic total mesorectal excision for rectal cancer: a compara-
5. Rawlings AL, Woodland JH, Crawford DL. Telerobotic tive analysis of oncological safety and short-term outcomes.
surgery for right and sigmoid colectomies: 30 consecutive Surg Endosc 2010 Nov;24(11):2888-2894.
cases. Surg Endosc 2006 Nov;20(11):1713-1718. 23. Patriti A, Ceccarelli G, Bartoli A, Spaziani A, Biancafarina A,
6. de Souza SL, Prasad LM, Park JJ, Marecik SJ, Blumetti J, Casciola L. Short- and medium-term outcome of robotassisted
Abcarian H. Robotic assistance in right hemicolectomy: is and traditional laparoscopic rectal resection. JSLS 2009 Apr-
there a role? Dis colon rectum 2010 Jul;53(7):1000-1006. Jun;13(2):176-183.
46