Skip to main content
SpringerLink
Log in

Robotics in Colorectal Surgery

  • Chapter
  • First Online:
Coloproctology

  • 587 Accesses

Abstract

Robotic colorectal surgery has evolved since it was first described in 2002. The technology has improved and the applications expanded to include benign and malignant disease. Its main use in colorectal surgery is for anterior resection, where it achieves similar outcomes to laparoscopic surgery, but may facilitate resection in difficult cases (males, low cancers, the obese patient). Current capital costs mean that robotic colorectal surgery is not cost-effective, but more competition will see prices driven down, ensuring that robotic surgery continues to have a role in the surgical armamentarium.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Weber PA, Merola S, Wasielewski A, Ballantyne GH. Telerobotic-assisted laparoscopic right and sigmoid colectomies for benign disease. Dis Colon Rectum. 2002;45(12):1689–94.

    Article  PubMed  Google Scholar 

  2. D'Annibale A, Morpurgo E, Fiscon V, et al. Robotic and laparoscopic surgery for treatment of colorectal diseases. Dis Colon Rectum. 2004;47(12):2162–8.

    Article  PubMed  Google Scholar 

  3. Rawlings AL, Woodland JH, Vegunta RK, Crawford DL. Robotic versus laparoscopic colectomy. Surg Endosc. 2007;21:1701–8.

    Article  CAS  PubMed  Google Scholar 

  4. Barbash GI, Glied SA. New technology and health care costs—the case of robot-assisted surgery. N Engl J Med. 2010;363(8):701–4.

    Article  CAS  PubMed  Google Scholar 

  5. Pigazzi A, Ellenhorn JD, Ballantyne GH, et al. Robotic-assisted laparoscopic low anterior resection with total mesorectal excision for rectal cancer. Surg Endosc. 2006;20(10):1521–5.

    Article  CAS  PubMed  Google Scholar 

  6. Hellan M, Anderson C, Ellenhorn JD, et al. Short-term outcomes after robotic-assisted total mesorectal excision for rectal cancer. Ann Surg Oncol. 2007;14(11):3168–73.

    Article  PubMed  Google Scholar 

  7. Guillou PJ, Quirke P, Thorpe H, et al. Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. Lancet. 2005;365(9472):1718–26.

    Article  PubMed  Google Scholar 

  8. Kim HJ, Choi GS, Park JS, et al. Comparison of intracorporeal single-stapled and double-stapled anastomosis in laparoscopic low anterior resection for rectal cancer: a case-control study. Int J Colorectal Dis. 2013;28(1):149–56.

    Article  CAS  PubMed  Google Scholar 

  9. Antoniou SAAG, Koch OO, Pointer R, Granderath FA. Robot-assisted laparoscopic surgery of the colon and rectum. Surg Endosc. 2012;26:1–11.

    Article  PubMed  Google Scholar 

  10. Mirnezami AH, Mirnezami R, Venkatasubramaniam AK, et al. Robotic colorectal surgery: hype or new hope? A systematic review of robotics in colorectal surgery. Colorectal Dis. 2010;12(11):1084–93.

    Article  CAS  PubMed  Google Scholar 

  11. Yang Y, Wang F, Zhang P, et al. Robot-assisted versus conventional laparoscopic surgery for colorectal disease, focusing on rectal cancer: a meta-analysis. Ann Surg Oncol. 2012;19(12):3727–36.

    Article  PubMed  Google Scholar 

  12. Memon S, Heriot AG, Murphy DG, Bressel M, Lynch AC. Robotic versus laparoscopic proctectomy for rectal cancer: a mets-analysis. Ann Surg Oncol. 2012;19(7):2095–101.

    Article  PubMed  Google Scholar 

  13. Ortiz-Oshiro ES-EI, Morena-Sierra J, Perez CF, Diaz JS, Fernandez-Represa JA. Robotic assistance may reduce conversion to open in rectal carcinoma laparoscopic surgery: systematic review and meta-analysis. Int J Med Robot. 2012;8:360–70.

    Article  PubMed  Google Scholar 

  14. Keller DS, Hashemi L, Lu M, et al. Short-term outcomes for robotic colorectal surgery by provider volume. J Am Coll Surg. 2013;217(6):1063–9.e1

    Google Scholar 

  15. Hara M, Sng K, Yoo BE, et al. Robotic-assisted surgery for rectal adenocarcinoma: short-term and midterm outcomes from 200 consecutive cases at a single institution. Dis Colon Rectum. 2014;57(5):570–7.

    Article  PubMed  Google Scholar 

  16. Luca F, Valvo M, Ghezzi TL, et al. Impact of robotic surgery on sexual and urinary functions after fully robotic nerve-sparing total mesorectal excision for rectal cancer. Ann Surg. 2013;257(4):672–8.

    Article  PubMed  Google Scholar 

  17. Kim JY, Kim NK, Lee KY, et al. A comparative study of voiding and sexual function after total mesorectal excision with autonomic nerve preservation for rectal cancer: laparoscopic versus robotic surgery. Ann Surg Oncol. 2012;19(8):2485–93.

    Article  PubMed  Google Scholar 

  18. D'Annibale A, Pernazza G, Monsellato I, et al. Total mesorectal excision: a comparison of oncological and functional outcomes between robotic and laparoscopic surgery for rectal cancer. Surg Endosc. 2013;27(6):1887–95.

    Article  PubMed  Google Scholar 

  19. Halabi WJ, Kang CY, Jafari MD, et al. Robotic-assisted colorectal surgery in the United States: a nationwide analysis of trends and outcomes. World J Surg. 2013;37(12):2782–90.

    Article  PubMed  Google Scholar 

  20. Baek SJ, Kim SH, Cho JS, et al. Robotic versus conventional laparoscopic surgery for rectal cancer: a cost analysis from a single institute in Korea. World J Surg. 2012;36(11):2722–9.

    Article  PubMed  Google Scholar 

  21. Kim CW, Baik SH, Roh YH, et al. Cost-effectiveness of robotic surgery for rectal cancer focusing on short-term outcomes: a propensity score-matching analysis. Medicine. 2015;94(22):e823.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Collinson FJ, Jayne DG, Pigazzi A, et al. An international, multicentre, prospective, randomised, controlled, unblinded, parallel-group trial of robotic-assisted versus standard laparoscopic surgery for the curative treatment of rectal cancer. Int J Colorectal Dis. 2012;27(2):233–41.

    Article  PubMed  Google Scholar 

  23. deSouza AL, Prasad LM, Park JJ, et al. Robotic assistance in right hemicolectomy: is there a role? Dis Colon Rectum. 2010;53(7):1000–6.

    Article  PubMed  Google Scholar 

  24. D'Annibale A, Pernazza G, Morpurgo E, et al. Robotic right colon resection: evaluation of first 50 consecutive cases for malignant disease. Ann Surg Oncol. 2010;17(11):2856–62.

    Article  PubMed  Google Scholar 

  25. Luca F, Ghezzi TL, Valvo M, et al. Surgical and pathological outcomes after right hemicolectomy: case-matched study comparing robotic and open surgery. Int J Med Robot. 2011;7(3):298–303.

    PubMed  Google Scholar 

  26. Park JS, Choi GS, Park SY, Kim HJ, Ryuk JP. Randomized clinical trial of robot-assisted versus standard laparoscopic right colectomy. Br J Surg. 2012;99:1219–26.

    Article  CAS  PubMed  Google Scholar 

  27. Ewing DR, Pigazzi A, D'Annibale A, et al. Telerobotic laparoscopic coloretal surgery. In: Ballantyne GH, Maresaux J, Giulianotti PC, editors. Primer of robotic and telerobotic surgery. Philadelphia, PA: Lippincott Williams and Wilkins; 2004. p. 171–80.

    Google Scholar 

  28. Rawlings AL, Woodland JH, Vegunta RK, Crawford DL. Robotic versus laparoscopic colectomy. Surg Endosc. 2007;1:1701–8.

    Article  Google Scholar 

  29. Heemskerk J, de Hoog DE, van Gemert WG, et al. Robot-assisted vs. conventional laparoscopic rectopexy for rectal prolapse: a comparative study on costs and time. Dis Colon Rectum. 2007;50(11):1825–30.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Makela-Kaikkonen J, Rautio T, Klintrup K, et al. Robotic-assisted and laparoscopic ventral rectopexy in the treatment of rectal prolapse: a matched-pairs study of operative details and complications. Tech Coloproctol. 2014;18(2):151–5.

    Article  CAS  PubMed  Google Scholar 

  31. Mehmood RK, Parker J, Bhuvimanian L, et al. Short-term outcome of laparoscopic versus robotic ventral mesh rectopexy for full-thickness rectal prolapse. Is robotic superior? Int J Colorectal Dis. 2014;29(9):1113–8.

    Article  PubMed  Google Scholar 

  32. Mantoo S, Podevin J, Regenet N, et al. Is robotic-assisted ventral mesh rectopexy superior to laparoscopic ventral mesh rectopexy in the management of obstructed defaecation? Colorectal Dis. 2013;15(8):e469–75.

    Article  CAS  PubMed  Google Scholar 

  33. Ramage L, Georgiou P, Tekkis P, et al. Is robotic ventral mesh rectopexy better than laparoscopy in the treatment of rectal prolapse and obstructed defecation? A meta-analysis. Tech Coloproctol. 2015;19(7):381–9.

    Article  CAS  PubMed  Google Scholar 

  34. Barrie J, Jayne DG, Wright J, et al. Attaining surgical competency and its implications in surgical clinical trial design: a systematic review of the learning curve in laparoscopic and robot-assisted laparoscopic colorectal cancer surgery. Ann Surg Oncol. 2014;21(3):829–40.

    Article  PubMed  Google Scholar 

  35. Son GM, Kim JG, Lee JC, et al. Multidimensional analysis of the learning curve for laparoscopic rectal cancer surgery. J Laparoendosc Adv Surg Tech A. 2010;20(7):609–17.

    Article  PubMed  Google Scholar 

  36. Jimenez Rodriguez RM, De la Portilla De Juan F, Diaz Pavon JM, et al. Analysis of conversion factors in robotic-assisted rectal cancer surgery. Int J Colorectal Dis. 2014;29(6):701–8.

    Article  PubMed  Google Scholar 

  37. Jayaraman S, Davies W, Schlachta CM. Getting started with robotics in general surgery with cholecystectomy: the Canadian experience. Can J Surg. 2009;52(5):374–8.

    PubMed  PubMed Central  Google Scholar 

  38. Bell S, Carne P, Chin M, et al. Establishing a robotic colorectal surgery programme. ANZ J Surg. 2015;85(4):214–6.

    Article  PubMed  Google Scholar 

  39. Fundamentals of Robotic Surgery. http://www.frsurgery.org.

  40. European Robotic Urological Society. https://uroweb.org/section/erus/information/.

  41. European Academy for Robotic Colorectal Surgery. https://earcs.pt.

  42. LAPCO. http://lapco.nhs.uk.

  43. Arunachalam L, Hunter IA, Killeen S. A systematic review of outcomes after transanal mesorectal resection for rectal cancer. Dis Colon Rectum. 2016;59:11.

    Article  Google Scholar 

  44. Morelli L, Guadagni S, Caprili G, et al. Robotic right colectomy using the Da Vinci Single-Site platform: case report. Int J Med Robot. 2013;9(3):258–61.

    Article  PubMed  Google Scholar 

  45. Jafari MD, Wexner SD, Martz JE, et al. Perfusion assessment in laparoscopic left-sided/anterior resection (PILLAR II): a multi-institutional study. J Am Coll Surg. 2015;220(1):82–92.e1.

    Article  PubMed  Google Scholar 

  46. Jafari MD, Lee KH, Halabi WJ, et al. The use of indocyanine green fluorescence to assess anastomotic perfusion during robotic assisted laparoscopic rectal surgery. Surg Endosc. 2013;27(8):3003–8.

    Article  PubMed  Google Scholar 

  47. TransEnterix. http://www.transenterix.com.

  48. Titan Medical Inc. http://www.titanmedicalinc.com.

  49. Bogue R. Robots in healthcare. Ind Rob. 2011;38:218–23.

    Article  Google Scholar 

  50. Hagn U, Konietschke R, Tobergte A, et al. DLR MiroSurge: a versatile system for research in endoscopic telesurgery. Int J Comput Assist Radiol Surg. 2010;5(2):183–93.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Leeds Institute for Biological and Clinical Sciences, St James’s University Hospital, Leeds, LS9 7TF, UK

    David Jayne BSc, MBBCh, FRCS, MD

Authors
  1. David Jayne BSc, MBBCh, FRCS, MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to David Jayne BSc, MBBCh, FRCS, MD .

Editor information

Editors and Affiliations

  1. Colorectal Surgery, Singleton Hospital, Swansea, United Kingdom

    John Beynon

  2. Department of Colorectal Surgery, Singleton Hospital, Swansea, United Kingdom

    Dean Anthony Harris

  3. Department of Colorectal Surgery, Singleton Hospital, Swansea, United Kingdom

    Mark Davies

  4. Department of Colorectal Surgery, Singleton Hospital, Swansea, United Kingdom

    Martyn Evans

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Jayne, D. (2017). Robotics in Colorectal Surgery. In: Beynon, J., Harris, D., Davies, M., Evans, M. (eds) Coloproctology. Springer, Cham. https://doi.org/10.1007/978-3-319-55957-5_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-55957-5_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-55955-1

  • Online ISBN: 978-3-319-55957-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation