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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...

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Autores principales: Chang, Tou Pin, Chok, Aik Yong, Tan, Dominic, Rogers, Ailin, Rasheed, Shahnawaz, Tekkis, Paris, Kontovounisios, Christos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
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.
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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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