Robotic Colorectal Oncological Surgery: New Insights and Perspectives

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Gastroenterology & Hepatology".

Deadline for manuscript submissions: 31 July 2024 | Viewed by 2359

Special Issue Editors


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Guest Editor
Department of Colorectal Surgery, Portsmouth Hospitals University NHS Trust, Queen Alexandra Hospital, Southwick Hill Road, Cosham, Portsmouth PO6 3LY, UK
Interests: colorectal cancer; robotic surgery; intersphincteric resection; complete mesocolic excision; advanced lymphadenectomy; surgical techniques

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Guest Editor
Department General Surgery, Bogazici Academy of Clinical Sciences, Visnezade District, Acısu Street No 16, Apartment No. 5, Istanbul, Turkey
Interests: colorectal cancer; robotic surgery; laparoscopic surgery; intersphincteric resection; surgical techniques; watch-and-wait protocol

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Guest Editor
Department of Gastrointestinal Surgical Oncology, Tata Memorial Centre, Tata Memorial Hospital, Mumbai 400012, India
Interests: colorectal cancer; robotic surgery; laparoscopic surgery; intersphincteric resection; advanced lymphadenectomy; surgical techniques

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Guest Editor
Department of Colorectal Surgery, Portsmouth Hospitals University NHS Trust, Queen Alexandra Hospital, Southwick Hill Road, Cosham, Portsmouth PO6 3LY, UK
Interests: colorectal cancer; robotic surgery; surgical training; complete mesocolic excision; advanced lymphadenectomy; surgical techniques

Special Issue Information

Dear Colleagues,

Colon and rectal cancer surgery have rapidly adopted robotic platforms as substitutes for laparoscopy. This major step towards the so-called digital surgery era is of great interest to surgeons, institutions, and patients. Moreover, since the development of the da Vinci Robotic Surgical System®, the industry has introduced new robotic platforms and instruments, which are rapidly populating surgical theaters. The robotic platform was specifically developed to compensate for the technical limitations of laparoscopic instruments. Few studies have demonstrated major benefits of the robotic platform in colorectal surgery, besides better perioperative outcomes. As such, the question of why surgeons should adopt an expensive machine with a new learning curve, which is often posed by those who oppose modern surgical techniques, must be thoroughly addressed through studies conducted by robotic surgeons. 

We invite authors who are active in robotic colorectal oncological research to contribute reviews or original articles on: the adoption of modern robotic platforms (such as da Vinci SP, da Vinci Xi, Versius, Hugo, and SSI Mantra); new developments in modern robotic techniques (such as complete mesocolic excision, lateral pelvic lymphadenectomy, intersphincteric resection, abdominoperineal resection, and transanal transection and single-stapled anastomosis (TTSS)); the adoption of new robotic instruments (such as robotic staplers, cameras, energy devices); training programs for robotic colorectal surgery; the learning curve of novice surgeons ("robotic generation") and senior surgeons ("pre-robotic generation”); the adoption of robotic mimicking instruments (i.e., ArtiSential articulated instruments) for colorectal oncological surgery; the adoption of robotic platforms for resolving intraoperative complications during colorectal surgery (i.e., intraoperative bleeding); the adoption of AI in robotic colorectal surgery; the use of ICG during robotic colorectal surgery; reviews on modern colorectal robotic surgery trials; robotic surgery as the only affordable approach in a surgeon-depleted future.


Dr. Guglielmo Niccolò Piozzi
Prof. Dr. Oktar Asoglu
Prof. Dr. Avanish Saklani
Prof. Dr. Jim S. Khan
Guest Editors

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Keywords

  • colorectal cancer
  • surgical techniques
  • robotic surgery
  • robotic platform
  • intersphincteric resection
  • lateral pelvic lymphadenectomy
  • complete mesocolic excision
  • robotic mimicking instruments
  • robotic training
  • digital surgery

Published Papers (1 paper)

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Research

10 pages, 942 KiB  
Article
An Overview of Robotic Colorectal Surgery Adoption and Training in Brazil
by Bruno Augusto Alves Martins, Oswaldo de Moraes Filho, Tiago Leal Ghezzi, Armando Geraldo Franchini Melani, Luis Gustavo Capochin Romagnolo, Hélio Moreira Júnior, João Pedro Pereira de Almeida, Sérgio Eduardo Alonso Araújo, João Batista de Sousa and Romulo Medeiros de Almeida
Medicina 2023, 59(9), 1675; https://doi.org/10.3390/medicina59091675 - 17 Sep 2023
Cited by 1 | Viewed by 1467
Abstract
Background and Objectives: Robotic surgical systems have rapidly become integrated into colorectal surgery practice in recent years, particularly for rectal resections, where the advantages of robotic platforms over conventional laparoscopy are more pronounced. However, as with any technological advancement, the initial high costs [...] Read more.
Background and Objectives: Robotic surgical systems have rapidly become integrated into colorectal surgery practice in recent years, particularly for rectal resections, where the advantages of robotic platforms over conventional laparoscopy are more pronounced. However, as with any technological advancement, the initial high costs can be a limiting factor, leading to unequal health service access, especially in middle- and lower-income countries. Materials and Method: A narrative review was conducted with the objective of providing an overview of the escalating adoption, current training programmes, and certification process of robotic colorectal surgery in Brazil. Results: Brazil has witnessed a rapid increase in robotic platforms in recent years. Currently, there are 106 robotic systems installed nationwide. However, approximately 60% of the medical facilities which adopted robotic platforms are in the Southeast region, which is both the most populous and economically prosperous in the country. The Brazilian Society of Coloproctology recently established clear rules for the training programme and certification of colorectal surgeons in robotic surgery. The key components of the training encompass theoretical content, virtual robotic simulation, observation, assistance, and supervised procedures in colorectal surgery. Although the training parameters are well established, no colorectal surgery residency programme in Brazil has yet integrated the teaching and training of robotic surgery into its curriculum. Thus far, the training process has been led by private institutions and the industry. Conclusion: Despite the fast spread of robotic platforms across Brazil, several challenges still need to be addressed to democratise training and promote the widespread use of these platforms. It is crucial to tackle these obstacles to achieve greater integration of robotic technology in colorectal surgery throughout the country. Full article
(This article belongs to the Special Issue Robotic Colorectal Oncological Surgery: New Insights and Perspectives)
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