Seminars in Colon and Rectal Surgery 
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The introduction of robotic surgery has the potential to change colorectal surgery. Though the benefits of this instrument are still being evaluated, many hospitals have already started using it, so as not to be left behind in the competition for patients. While there are benefits in decreased conversion rates and possibly better long-term functional outcomes, there has yet to be published evidence that the use of a robot is cost effective in colorectal surgery. Given the high cost of investment, further work needs to be done in high-volume centers to identify a cost-effective strategy to implement this technology. (Source...
Source: Seminars in Colon and Rectal Surgery - April 18, 2016 Category: Gastroenterology Authors: Vikram Attaluri, Elisabeth C. McLemore Source Type: research
Robotic approach to colon resection
Robotic surgical techniques are being increasingly adopted as a tool in the minimally invasive armamentarium of the colorectal surgeon. These platforms present numerous potential advantages in visualization, precise dissection, and tissue manipulation while potentially reducing operator fatigue. They may also reduce the learning curve and rate of conversion, though the short- and long-term benefits of this approach in non-pelvic colorectal surgery, and the cost –benefit balance remain an ongoing debate. (Source: Seminars in Colon and Rectal Surgery)
Source: Seminars in Colon and Rectal Surgery - April 18, 2016 Category: Gastroenterology Authors: Joshua A. Waters, Todd D. Francone Source Type: research
The future of robotic instruments in colon and rectal surgery
Robotic surgery began approximately 30 years ago, growing steadily, and has now become one of the mainstream topics within the surgical literature across multiple surgical disciplines. More recently, robotic use has expanded to colorectal surgery, demonstrating increased usage in the more difficult operations involved. As competition in the marketplace and technology increase and improve, the size and cost of these systems may progressively decrease, and their presence will likely grow. With that, innovative and novel concepts are being introduced at a rapid pace. (Source: Seminars in Colon and Rectal Surgery)
Source: Seminars in Colon and Rectal Surgery - April 18, 2016 Category: Gastroenterology Authors: Avery S. Walker, Scott R. Steele Source Type: research
Robotic low anterior resection
The surgical robot is an ideal instrument for use in the pelvis and on the rectum. A low anterior resection can be performed using a totally robotic technique or a laparoscopic hybrid approach. The pre-operative planning for a robotic approach is similar to that of a laparoscopic or traditional open approach. The robotic approach is ideally suited for patients with low or middle rectum pathology, and the only absolute contraindication is inability to tolerate pneumoperitoneum. The operation is performed using four robotic trocar sites, as well as camera and assistant ports. (Source: Seminars in Colon and Rectal Surgery)
Source: Seminars in Colon and Rectal Surgery - April 18, 2016 Category: Gastroenterology Authors: John V. Gahagan, Alessio Pigazzi Source Type: research
Robotic abdominoperineal resection
In comparison to laparoscopic, robotic surgery for rectal cancer has not been studied as extensively, though multiple small studies have shown safety and feasibility. Robotic surgery addresses laparoscopic limitations by providing high-resolution magnified 3-dimensional imaging, articulating instruments that mimic the movement of a hand with 7 degrees of motion, superior ergonomics, and the ability to retract and control the camera without an assistant. Some robotic studies have shown lower rates of conversion, issues with sexual function, and positive circumferential resection margins. (Source: Seminars in Colon and Rectal Surgery)
Source: Seminars in Colon and Rectal Surgery - April 18, 2016 Category: Gastroenterology Authors: Scott R. Kelley, David W. Larson Source Type: research
Robotic ventral rectopexy
Robotic surgery is a safe technique for the treatment of rectal prolapse with specific advantages over both open abdominal and laparoscopic techniques. Robotic surgery provides high-quality, three-dimensional visualization of the pelvic anatomy while facilitating the dissection of the rectovaginal septum and suturing in the deep pelvis compared to laparoscopic techniques. These advantages make robotic surgery ideally suited for minimally invasive ventral rectopexy, a technique with a proven low recurrence rate and excellent functional outcomes. (Source: Seminars in Colon and Rectal Surgery)
Source: Seminars in Colon and Rectal Surgery - April 18, 2016 Category: Gastroenterology Authors: Matthew D. Whealon, Zhobin Moghadamyeghaneh, Joseph C. Carmichael Source Type: research
Single incision robotic colorectal surgery: History, indications, and techniques for success with single incision colectomy
Colorectal surgery has made significant strides in the past decade progressing from laparoscopy to robotics and from multiple to single-port implementations. In selected demographics, single incision robotic colectomy (SIRC) can be an effective tool in providing an oncologic resection with excellent cosmesis. We reviewed the current state of single incision robotic colorectal surgery incorporating our institutions retrospective database for single incision robotic surgery from 2010 to 2014 to assess the viability of SIRC. (Source: Seminars in Colon and Rectal Surgery)
Source: Seminars in Colon and Rectal Surgery - April 18, 2016 Category: Gastroenterology Authors: Matthew Skancke, Vincent Obias Source Type: research
Introduction: Robotics
The minimally invasive phase of colorectal surgery can be traced to 1991 when the first laparoscopic colectomy was reported. Since then, many natural advances have occurred to organ and disease specific uses of minimally invasive techniques. The majority of colorectal surgeons have been trained in the use of minimally invasive techniques and it is typical to find most major institutions using these techniques to improve the short term outcomes of patients with colorectal diseases. It is difficult to estimate the percentage use of laparoscopic techniques for routine elective cases for colectomy unless one divides the medica...
Source: Seminars in Colon and Rectal Surgery - April 18, 2016 Category: Gastroenterology Authors: James Fleshman Source Type: research
Robotic Colorectal Surgery: Evolution and Future
The introduction of laparoscopic cholecystectomy changed the approach to abdominal surgery revealing the patient specific advantages of minimally invasive approaches to gastrointestinal diseases. Unfortunately, inherent limitations of laparoscopy impeded widespread utilization of laparoscopic surgery in advanced procedures such as laparoscopic colectomy. Even as prospective and randomized trials demonstrated outcomes advantages for the patient, few surgeons introduced laparoscopic colectomy into their practice. (Source: Seminars in Colon and Rectal Surgery)
Source: Seminars in Colon and Rectal Surgery - April 18, 2016 Category: Gastroenterology Authors: Evan Weitman, Mona Saleh, Jacques Marescaux, Terri R. Martin, Garth Ballantyne Source Type: research
The Cost of Robotic Surgery
The introduction of robotic surgery has the potential to change colorectal surgery. Though the benefits of this instrument are still being evaluated, many hospitals have already started using it so as not be left behind in the competition for patients. While there are benefits in decreased conversion rates and possibly better long-term functional outcomes, there has yet to be published evidence that the use of a robot is cost effective in colorectal surgery. Given the high cost of investment, further work needs to be done in high volume centers to identify a cost-effective strategy to implement this technology. (Source: Se...
Source: Seminars in Colon and Rectal Surgery - April 18, 2016 Category: Gastroenterology Authors: Vikram Attaluri, Elisabeth C. McLemore Source Type: research
Robotic Approach to Colon Resection
Robotic surgical techniques are being increasingly adopted as a tool in the minimally invasive armamentarium of the colorectal surgeon. These platforms present numerous potential advantages in visualization, precise dissection, and tissue manipulation while potentially reducing operator fatigue. They may also reduce the learning curve and rate of conversion, though the short and long-term benefits of this approach in non-pelvic colorectal surgery, and the cost-benefit balance remain an ongoing debate. (Source: Seminars in Colon and Rectal Surgery)
Source: Seminars in Colon and Rectal Surgery - April 18, 2016 Category: Gastroenterology Authors: Joshua A. Waters, Todd D. Francone Source Type: research
The Future of Robotic Instruments in Colon and Rectal Surgery
Robotic surgery began approximately 30 years ago, growing steadily, and has now become one of the mainstream topics within the surgical literature across multiple surgical disciplines. More recently, robotic use has expanded to colorectal surgery, demonstrating increased usage in the more difficult operations involved. As competition in the marketplace and technology increase and improve, the size and cost of these systems may progressively decrease, and their presence will likely grow. With that, innovative and novel concepts are being introduced at a rapid pace. (Source: Seminars in Colon and Rectal Surgery)
Source: Seminars in Colon and Rectal Surgery - April 18, 2016 Category: Gastroenterology Authors: Avery S. Walker, Scott R. Steele Source Type: research
Robotic Low Anterior Resection
The surgical robot is an ideal instrument for use in the pelvis and on the rectum. A low anterior resection can be performed using a totally robotic technique or a laparoscopic hybrid approach. The preoperative planning for a robotic approach is similar to that of a laparoscopic or traditional open approach. The robotic approach is ideally suited for patients with low or middle rectum pathology, and the only absolute contraindication is inability to tolerate pneumoperitoneum. The operation is performed using 4 robotic trocar sites, as well as camera and assistant ports. (Source: Seminars in Colon and Rectal Surgery)
Source: Seminars in Colon and Rectal Surgery - April 18, 2016 Category: Gastroenterology Authors: John V. Gahagan, Alessio Pigazzi Source Type: research
Robotic Abdominoperineal Resection
In comparison to laparoscopic, robotic surgery for rectal cancer has not been studied as extensively, though multiple small studies have shown safety and feasibility. Robotic surgery addresses laparoscopic limitations by providing high resolution magnified 3-dimensional imaging, articulating instruments that mimic the movement of a hand with 7 degrees of motion, superior ergonomics, and the ability to retract and control the camera without an assistant. Some robotic studies have shown lower rates of conversion, issues with sexual function, and positive circumferential resection margins. (Source: Seminars in Colon and Rectal Surgery)
Source: Seminars in Colon and Rectal Surgery - April 18, 2016 Category: Gastroenterology Authors: Scott R. Kelley, David W. Larson Source Type: research
Robotic Ventral Rectopexy
Robotic surgery is a safe technique for the treatment of rectal prolapse with specific advantages over both open abdominal and laparoscopic techniques. Robotic surgery provides high-quality, three-dimensional visualization of the pelvic anatomy while facilitating the dissection of the rectovaginal septum and suturing in the deep pelvis compared to laparoscopic techniques. These advantages make robotic surgery ideally suited for minimally invasive ventral rectopexy, a technique with a proven low recurrence rate and excellent functional outcomes. (Source: Seminars in Colon and Rectal Surgery)
Source: Seminars in Colon and Rectal Surgery - April 18, 2016 Category: Gastroenterology Authors: Matthew D. Whealon, Zhobin Moghadamyeghaneh, Joseph C. Carmichael Source Type: research
