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Da Vinci Robotic Surgery Better for Rectal Anastomosis
Thu - June 30, 2016 10:13 am  |  Article Hits:2181  |  A+ | a-
Robotic surgery is increasingly used in the field of rectal cancer surgery. Since miles introduced the technique in 1908, abdominoperineal resection (APR) has been the gold standard treatment option for distal rectal cancer. However, improved surgical techniques, better instrumentation, and increased understanding that a tumour- free margin of 1-2 cm is ontologically safe, together with advances in preoperative chemo radiation therapy, have led to a shift in the treatment of rectal cancer to sphincter –preserving surusinga double-stapling technique after ultralow (ISR) has been adopted as an alternative to abdominoperineal excision for very low rectal tumours. Since its introduction [4]. Some papers have reported that this operative technique is a safe procedure for splinter- saving rectal surgery in selected patients that yields acceptable functional and oncologic outcomes. In the last decade, laparoscopic surgery has been popular for rectal cancer surgery, including cava, as in other fields of surgery, with its use conferring advantages such as a magnified view, better cosmetic, shorter recovery times and hospital stays, and comparable long-term oncologic outcome. However, limitations such as two- dimensional visualization, the fulcrum effect, restricted degrees of motion of the laparoscopic instrument and amplification of physiologic tremors continue to be drawbacks, and laparoscopic rectal cancer surgery still poses a significant challenge for surgeons
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