Safe Introduction of New Technologies and Techniques in Minimally Invasive Colorectal Surgery

Abstract

In the past 20 years, colorectal surgery has experienced important advances as a result of new technologies that have increasingly transformed conventional open surgery into maximal usage of minimally invasive approaches. While many tools are being developed to change the way that operations are being performed, quality must not suffer. We describe here some of the aspects to pursue to achieve optimal and safe outcomes while utilizing minimally invasive techniques such as robotic surgery, transanal total mesorectal excision, as well as the role of immunofluorescence.

Keywords

colorectal surgery - robotic surgery - new technologies - navigation - immunofluorescence

Publication History

Article published online:
29 March 2021

• References

• 1 Franchini Melani AG, Diana M, Marescaux J. The quest for precision in transanal total mesorectal excision. Tech Coloproctol 2016; 20 (01) 11-18
• 2 Marescaux J, Diana M. Inventing the future of surgery. World J Surg 2015; 39 (03) 615-622
• 3 Heald RJ, Husband EM, Ryall RD. The mesorectum in rectal cancer surgery–the clue to pelvic recurrence?. Br J Surg 1982; 69 (10) 613-616
• 4 Bonjer HJ, Deijen CL, Abis GA. et al; COLOR II Study Group. A randomized trial of laparoscopic versus open surgery for rectal cancer. N Engl J Med 2015; 372 (14) 1324-1332
• 5 Pascual M, Salvans S, Pera M. Laparoscopic colorectal surgery: current status and implementation of the latest technological innovations. World J Gastroenterol 2016; 22 (02) 704-717
• 6 Atallah S, Tilahun Y, Monson JR. Real-time stereotactic navigation for the laparoscopic excision of a pelvic neoplasm. Tech Coloproctol 2016; 20 (08) 599-600
• 7 Donati M, Basile F, Stavrou GA, Oldhafer KJ. Navigation systems in liver surgery: the new challenge for surgical research. J Laparoendosc Adv Surg Tech A 2013; 23 (04) 372-375
• 8 Atallah S, Martin-Perez B, Larach S. Image-guided real-time navigation for transanal total mesorectal excision: a pilot study. Tech Coloproctol 2015; 19 (11) 679-684
• 9 Wijsmuller AR, Giraudeau C, Leroy J. et al. A step towards stereotactic navigation during pelvic surgery: 3D nerve topography. Surg Endosc 2018; 32 (08) 3582-3591
• 10 Atallah S, Larach SW, Monson JR. Stereotactic navigation for TAMIS-TME. Minim Invasive Ther Allied Technol 2016; 25 (05) 271-277
• 11 Kawada K, Hasegawa S, Okada T, Hida K, Okamoto T, Sakai Y. Stereotactic navigation during laparoscopic surgery for locally recurrent rectal cancer. Tech Coloproctol 2017; 21 (12) 977-978
• 12 Boni L, David G, Dionigi G, Rausei S, Cassinotti E, Fingerhut A. Indocyanine green-enhanced fluorescence to assess bowel perfusion during laparoscopic colorectal resection. Surg Endosc 2016; 30 (07) 2736-2742
• 13 Kingham TP, Pachter HL. Colonic anastomotic leak: risk factors, diagnosis, and treatment. J Am Coll Surg 2009; 208 (02) 269-278
• 14 Frasson M, Flor-Lorente B, Rodríguez JL. et al; ANACO Study Group. Risk factors for anastomotic leak after colon resection for cancer: multivariate analysis and nomogram from a multicentric, prospective, national study with 3193 patients. Ann Surg 2015; 262 (02) 321-330
• 15 Markus PM, Martell J, Leister I, Horstmann O, Brinker J, Becker H. Predicting postoperative morbidity by clinical assessment. Br J Surg 2005; 92 (01) 101-106
• 16 Karliczek A, Harlaar NJ, Zeebregts CJ, Wiggers T, Baas PC, van Dam GM. Surgeons lack predictive accuracy for anastomotic leakage in gastrointestinal surgery. Int J Colorectal Dis 2009; 24 (05) 569-576
• 17 Luo S, Zhang E, Su Y, Cheng T, Shi C. A review of NIR dyes in cancer targeting and imaging. Biomaterials 2011; 32 (29) 7127-7138
• 18 Mizrahi I, Wexner SD. Clinical role of fluorescence imaging in colorectal surgery - a review. Expert Rev Med Devices 2017; 14 (01) 75-82
• 19 Keller DS, Ishizawa T, Cohen R, Chand M. Indocyanine green fluorescence imaging in colorectal surgery: overview, applications, and future directions. Lancet Gastroenterol Hepatol 2017; 2 (10) 757-766
• 20 Watanabe J, Ishibe A, Suwa Y. et al. Real-time indocyanine green fluorescence imaging-guided laparoscopic right hemicolectomy in hepatic flexural colon cancer. Dis Colon Rectum 2018; 61 (11) 1333-1334
• 21 Board of Governors of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) in August 2014. SAGES Guidelines Committee
• 22 Sylla P, Rattner DW, Delgado S, Lacy AM. NOTES transanal rectal cancer resection using transanal endoscopic microsurgery and laparoscopic assistance. Surg Endosc 2010; 24 (05) 1205-1210
• 23 Sylla P, Willingham FF, Sohn DK, Gee D, Brugge WR, Rattner DW. NOTES rectosigmoid resection using transanal endoscopic microsurgery (TEM) with transgastric endoscopic assistance: a pilot study in swine. J Gastrointest Surg 2008; 12 (10) 1717-1723