Technical aspects of robotic proctectomy

Carrie Y. Peterson, Elisabeth C. McLemore, Santiago Horgan, Mark A. Talamini, Sonia L. Ramamoorthy

Research output: Contribution to journalArticle

Abstract

Robotic proctectomy is at the forefront of surgical innovation, and interest in this technique is rapidly increasing. The advantages of robotic techniques, such as enhanced visualization and improved dexterity along with tireless retraction and the addition of a "fourth arm" are reported to confer an advantage in the pelvis. It is unknown what long-term outcomes may emerge from ongoing clinical trials; however, early studies suggest improved perioperative and oncologic outcomes. Proponents of robotics suggest that robot-assisted procedures are associated with decreased complication rates and fewer conversions to open. This article reviews the pertinent literature on robotic total mesorectal excision and the early reported outcomes. The 3-arm, 4-arm laparoscopic-assisted, and the 4-arm totally robotic techniques for performing robotic proctectomy are described in detail, including port placement and patient position as well as robot docking.

Original languageEnglish (US)
Pages (from-to)189-193
Number of pages5
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume22
Issue number3
DOIs
StatePublished - Jun 1 2012

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Keywords

  • colorectal cancer
  • excision
  • proctectomy
  • robotic
  • total mesorectal

ASJC Scopus subject areas

  • Surgery

Cite this

Peterson, C. Y., McLemore, E. C., Horgan, S., Talamini, M. A., & Ramamoorthy, S. L. (2012). Technical aspects of robotic proctectomy. Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, 22(3), 189-193. https://doi.org/10.1097/SLE.0b013e31824be924