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Robotic approach for rectal cancer

Defense Thèse de privat-docent : Univ. Genève, 2015
Abstract Although laparoscopic low anterior resection (LAR) remains a challenging procedure, perioperative and oncological data have been shown it to be at least similar (if not better) than open surgery. Robotics has been recently developed to overcome the limitations associated to laparoscopy. Selected comparative studies between robotic and laparoscopic LAR have shown encouraging outcomes in favor of robotics: a reduction in conversion rate, better oncological margins, better functional outcomes, a shorter learning curve, and better ergonomics. However, robotic surgery for LAR has several drawbacks (size of the system, cost, longer operative time, lack of tactile feedback), which might explain why colorectal surgeons remain circumspect; probably awaiting for larger randomized studies and better meta-analyses. The aim of this study is to review the current literature focusing on robotic rectal resection for cancer. In addition, potential future developments are evaluated and analyzed.
Keywords SurgeryRoboticsRectal cancerLaparoscopyOutcomes
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Thesis (442 Kb) - public document Free access
Research groups Chirurgie viscérale (104)
Chirurgie viscérale (HUG)
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BUCHS, Nicolas. Robotic approach for rectal cancer. Université de Genève. Thèse de privat-docent, 2015. doi: 10.13097/archive-ouverte/unige:74891 https://archive-ouverte.unige.ch/unige:74891

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Deposited on : 2015-08-31

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