Clin Colon Rectal Surg 2015; 28(03): 152-157
DOI: 10.1055/s-0035-1558823
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Emerging and Evolving Technology in Colon and Rectal Surgery

Raul M. Bosio
1   Division of Colon and Rectal Surgery, Department of Surgery, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, Ohio
,
Alessio Pigazzi
2   Division of Colon and Rectal Surgery, Department of Surgery, University of California, Irvine, Orange, California
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Publikationsdatum:
05. Oktober 2015 (online)

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Abstract

Minimally invasive surgery has changed the way we manage many colon and rectal pathologies. Multiple techniques, from straight laparoscopic procedures, to hand-assisted and single-port techniques are available, requiring surgeons to go through various learning curves. Robotic surgery is a relatively novel technique in general surgery which appears to hold most promise for rectal resection. Laparoscopic rectal procedures are difficult, and even in experienced hands, conversion rates are around 17%. Robotic surgery may be a point of difference in these cases, despite a long learning curve and higher costs. This article will describe the role of robotics in colorectal surgery. Room set up, port placement, and docking strategies will be described for common procedures, with emphasis on a hybrid robotic low anterior resection.