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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8038538/ https://www.ncbi.nlm.nih.gov/pubmed/33916490 http://dx.doi.org/10.3390/jcm10071518 |
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author | Chang, Tou Pin Chok, Aik Yong Tan, Dominic Rogers, Ailin Rasheed, Shahnawaz Tekkis, Paris Kontovounisios, Christos |
author_facet | Chang, Tou Pin Chok, Aik Yong Tan, Dominic Rogers, Ailin Rasheed, Shahnawaz Tekkis, Paris Kontovounisios, Christos |
author_sort | Chang, Tou Pin |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-8038538 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-80385382021-04-12 The Emerging Role of Robotics in Pelvic Exenteration Surgery for Locally Advanced Rectal Cancer: A Narrative Review Chang, Tou Pin Chok, Aik Yong Tan, Dominic Rogers, Ailin Rasheed, Shahnawaz Tekkis, Paris Kontovounisios, Christos J Clin Med 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 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. MDPI 2021-04-05 /pmc/articles/PMC8038538/ /pubmed/33916490 http://dx.doi.org/10.3390/jcm10071518 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Chang, Tou Pin Chok, Aik Yong Tan, Dominic Rogers, Ailin Rasheed, Shahnawaz Tekkis, Paris Kontovounisios, Christos The Emerging Role of Robotics in Pelvic Exenteration Surgery for Locally Advanced Rectal Cancer: A Narrative Review |
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 | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8038538/ https://www.ncbi.nlm.nih.gov/pubmed/33916490 http://dx.doi.org/10.3390/jcm10071518 |
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