The Emerging Role of Robotics in Pelvic Exenteration Surgery for Locally Advanced Rectal Cancer: A Narrative Review
Pelvic exenteration surgery for locally advanced rectal cancers is a complex and extensive multivisceral operation, which is associated with high perioperative morbidity and mortality rates. Significant technical challenges may arise due to inadequate access, visualisation, and characterisation of t...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-04-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/7/1518 |
| _version_ | 1797538717940842496 |
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| author | Tou Pin Chang Aik Yong Chok Dominic Tan Ailin Rogers Shahnawaz Rasheed Paris Tekkis Christos Kontovounisios |
| author_facet | Tou Pin Chang Aik Yong Chok Dominic Tan Ailin Rogers Shahnawaz Rasheed Paris Tekkis Christos Kontovounisios |
| author_sort | Tou Pin Chang |
| collection | DOAJ |
| description | Pelvic exenteration surgery for locally advanced rectal cancers is a complex and extensive multivisceral operation, which is associated with high perioperative morbidity and mortality rates. Significant technical challenges may arise due to inadequate access, visualisation, and characterisation of tissue planes and critical structures in the spatially constrained pelvis. Over the last two decades, robotic-assisted technologies have facilitated substantial advancements in the minimally invasive approach to total mesorectal excision (TME) for rectal cancers. Here, we review the emerging experience and evidence of robotic assistance in beyond TME multivisceral pelvic exenteration for locally advanced rectal cancers where heightened operative challenges and cumbersome ergonomics are likely to be encountered. |
| first_indexed | 2024-03-10T12:35:22Z |
| format | Article |
| id | doaj.art-05e671817e974709971f5905d2e9a8ca |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T12:35:22Z |
| publishDate | 2021-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-05e671817e974709971f5905d2e9a8ca2023-11-21T14:17:32ZengMDPI AGJournal of Clinical Medicine2077-03832021-04-01107151810.3390/jcm10071518The Emerging Role of Robotics in Pelvic Exenteration Surgery for Locally Advanced Rectal Cancer: A Narrative ReviewTou Pin Chang0Aik Yong Chok1Dominic Tan2Ailin Rogers3Shahnawaz Rasheed4Paris Tekkis5Christos Kontovounisios6Department of Colorectal Surgery, Royal Marsden Hospital, London SW3 6JJ, UKDepartment of Surgery and Cancer, Imperial College, London W2 1NY, UKDepartment of Surgery and Cancer, Imperial College, London W2 1NY, UKDepartment of Colorectal Surgery, Royal Marsden Hospital, London SW3 6JJ, UKDepartment of Colorectal Surgery, Royal Marsden Hospital, London SW3 6JJ, UKDepartment of Colorectal Surgery, Royal Marsden Hospital, London SW3 6JJ, UKDepartment of Colorectal Surgery, Royal Marsden Hospital, London SW3 6JJ, UKPelvic exenteration surgery for locally advanced rectal cancers is a complex and extensive multivisceral operation, which is associated with high perioperative morbidity and mortality rates. Significant technical challenges may arise due to inadequate access, visualisation, and characterisation of tissue planes and critical structures in the spatially constrained pelvis. Over the last two decades, robotic-assisted technologies have facilitated substantial advancements in the minimally invasive approach to total mesorectal excision (TME) for rectal cancers. Here, we review the emerging experience and evidence of robotic assistance in beyond TME multivisceral pelvic exenteration for locally advanced rectal cancers where heightened operative challenges and cumbersome ergonomics are likely to be encountered.https://www.mdpi.com/2077-0383/10/7/1518robotic surgerypelvic exenterationrectal cancermultivisceral resectionlocally advanced rectal cancerbeyond total mesorectal excision |
| spellingShingle | Tou Pin Chang Aik Yong Chok Dominic Tan Ailin Rogers Shahnawaz Rasheed Paris Tekkis Christos Kontovounisios The Emerging Role of Robotics in Pelvic Exenteration Surgery for Locally Advanced Rectal Cancer: A Narrative Review Journal of Clinical Medicine robotic surgery pelvic exenteration rectal cancer multivisceral resection locally advanced rectal cancer beyond total mesorectal excision |
| title | The Emerging Role of Robotics in Pelvic Exenteration Surgery for Locally Advanced Rectal Cancer: A Narrative Review |
| title_full | The Emerging Role of Robotics in Pelvic Exenteration Surgery for Locally Advanced Rectal Cancer: A Narrative Review |
| title_fullStr | The Emerging Role of Robotics in Pelvic Exenteration Surgery for Locally Advanced Rectal Cancer: A Narrative Review |
| title_full_unstemmed | The Emerging Role of Robotics in Pelvic Exenteration Surgery for Locally Advanced Rectal Cancer: A Narrative Review |
| title_short | The Emerging Role of Robotics in Pelvic Exenteration Surgery for Locally Advanced Rectal Cancer: A Narrative Review |
| title_sort | emerging role of robotics in pelvic exenteration surgery for locally advanced rectal cancer a narrative review |
| topic | robotic surgery pelvic exenteration rectal cancer multivisceral resection locally advanced rectal cancer beyond total mesorectal excision |
| url | https://www.mdpi.com/2077-0383/10/7/1518 |
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