Robotic Use in Inflammatory Bowel Disease
Robotic surgical approach for patients with inflammatory bowel disease (IBD) provides several potential advantages, particularly to the surgeons who are early in their robotic learning curve. Unlike the operations for malignant tumors with strict requirements for precise oncologic resection such as high ligation of the mesenteric vessels or total mesorectal excision, the operations for IBD allow some leeway for the surgeon who is just embarking on adaptation of the robotic technique. On the other hand, operations for IBD could be complex and technically challenging due to inflammation in the operative field resulting in oozing or bleeding; the tissues may be more friable due to preoperative use of steroids or biologics, and the dissection planes can be more difficult to define. Nevertheless, robotic surgery for IBD has several advantages to the patients, particularly those requiring low pelvic dissection for an ileal pouch-anal anastomosis (IPAA) procedure or patients with Crohn’s disease requiring proctectomy. This chapter will focus primarily on technique of low pelvic dissection where robotic advantages are the most pronounced.
KeywordsRobotic surgery Inflammatory bowel disease Crohn’s disease Ulcerative Colitis Proctectomy J-pouch
AP_-_Robotic_proctectomy (MP4 122,815 kb)
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