scholarly journals The Emerging Role of Robotics in Pelvic Exenteration Surgery for Locally Advanced Rectal Cancer: A Narrative Review

2021 ◽  
Vol 10 (7) ◽  
pp. 1518
Author(s):  
Tou Pin Chang ◽  
Aik Yong Chok ◽  
Dominic Tan ◽  
Ailin Rogers ◽  
Shahnawaz Rasheed ◽  
...  

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.

2010 ◽  
Vol 57 (3) ◽  
pp. 23-27 ◽  
Author(s):  
J.D. Smith ◽  
P.B. Paty

Historically, locally advanced rectal cancers with invasion of tumor into adjacent organs (T4 N1,2 tumors) have been considered poor prognosis cancers treated with palliative intent. However with the advent of multi-modality therapy and improvement in surgical reconstructive techniques, extended resections for rectal tumors are possible with acceptable patient morbidity and excellent oncological outcomes.


2019 ◽  
Vol 21 (5) ◽  
pp. 606-606 ◽  
Author(s):  
P. Kammar ◽  
S. Sasi ◽  
N. Kumar ◽  
J. Rohila ◽  
A. deSouza ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document