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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 837 - 846 (10page)
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The conventional laparoscopic approach to rectal surgery has several limitations, and therefore many colorectal surgeons have great expectations for the robotic surgical system as an alternative modality in overcoming challenges of laparoscopic surgery and thus enhancing oncologic and functional outcomes. This review explores the possibility of robotic surgery as an alternative approach in laparoscopic surgery for rectal cancer. The da Vinci® Surgical System was developed specifically to compensate for the technical limitations of laparoscopic instruments in rectal surgery. The robotic rectal surgery is associated with comparable or better oncologic and pathologic outcomes, as well as low morbidity and mortality. The robotic surgery is generally easier to learn than laparoscopic surgery, improving the probability of autonomic nerve preservation and genitourinary function recovery. Furthermore, in very complex procedures such as intersphincteric dissections and transabdominal transections of the levator muscle, the robotic approach is associated with increased performance and safety compared to laparoscopic surgery. The robotic surgery for rectal cancer is an advanced technique that may resolve the issues associated with laparoscopic surgery. However, high cost of robotic surgery must be addressed before it can become the new standard treatment.
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참고문헌 (68)
참고문헌 신청
김남규 / 2012 / Update and Debate Issues in Surgical Treatment of Middle and Low Rectal Cancer / Annals of Coloproctolgy 28(5):230~240
Kim NK / 2006 / Oncologic outcomes after neoadjuvant chemoradiation followed by curative resection with tumor-specific mesorectal excision for fixed locally advanced rectal cancer : Impact of postirradiated pathologic downstaging on local recurrence and survival / Ann Surg 244:1024~1030
Engstrom PF / 2009 / NCCN Clinical Practice Guidelines in Oncology : rectal cancer / J Natl Compr Canc Netw 7:838~881
van Gijn W / 2011 / Preoperative radiotherapy combined with total mesorectal excision for resectable rectal cancer: 12-year follow-up of the multicentre, randomised controlled TME trial / Lancet Oncol 12:575~582
Aly EH / 2014 / Robotic colorectal surgery: summary of the current evidence / Int J Colorectal Dis 29:1~8
Kim NK / 2006 / Oncologic outcomes after neoadjuvant chemoradiation followed by curative resection with tumor-specific mesorectal excision for fixed locally advanced rectal cancer : Impact of postirradiated pathologic downstaging on local recurrence and survival / Ann Surg 244:1024~1030
Engstrom PF / 2009 / NCCN Clinical Practice Guidelines in Oncology : rectal cancer / J Natl Compr Canc Netw 7:838~881
van Gijn W / 2011 / Preoperative radiotherapy combined with total mesorectal excision for resectable rectal cancer: 12-year follow-up of the multicentre, randomised controlled TME trial / Lancet Oncol 12:575~582
Aly EH / 2014 / Robotic colorectal surgery: summary of the current evidence / Int J Colorectal Dis 29:1~8
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