Abstract
Robotic colorectal surgery represents a major technological advancement in the treatment of patients with colorectal disease. Several recent randomized controlled trials comparing robotic colorectal surgery with laparoscopic surgery have demonstrated improved short-term patient outcomes in the robotic group. Whilst the primary focus of research in robotic surgery has been on patient outcomes, the robotic platform also provides unparalleled benefits for the surgeon, including improved ergonomics and surgeon comfort, with the potential to reduce occupational injuries and prolong career longevity. It is becoming clear that robotic surgical systems improve patient outcomes and may provide significant benefits to the surgical workforce.
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References
Feng Q, Yuan W, Li T, Tang B, Jia B, Zhou Y et al (2022) Robotic versus laparoscopic surgery for middle and low rectal cancer (REAL): short-term outcomes of a multicentre randomised controlled trial. Lancet Gastroenterol Hepatol 7(11):991–1004
Park JS, Lee SM, Choi GS, Park SY, Kim HJ, Song SH et al (2023) Comparison of laparoscopic versus robot-assisted surgery for rectal cancers: the colrar randomized controlled trial. Ann Surg 278(1):31–38
Feng Q, Tang W, Zhang Z, Wei Y, Ren L, Chang W et al (2022) Robotic versus laparoscopic abdominoperineal resections for low rectal cancer: a single-center randomized controlled trial. J Surg Oncol 126(8):1481–1493
Yang H, Zhou L (2023) The urinary and sexual outcomes of robot-assisted versus laparoscopic rectal cancer surgery: a systematic review and meta-analysis. Surg Today. https://doi.org/10.1007/s00595-023-02671-3
Fleming CA, Cullinane C, Lynch N, Killeen S, Coffey JC, Peirce CB (2021) Urogenital function following robotic and laparoscopic rectal cancer surgery: meta-analysis. Br J Surg 108(2):128–137
Schlussel AT, Maykel JA (2019) Ergonomics and musculoskeletal health of the surgeon. Clin Colon Rectal Surg 32(6):424–434
Park A, Lee G, Seagull FJ, Meenaghan N, Dexter D (2010) Patients benefit while surgeons suffer: an impending epidemic. J Am Coll Surg 210(3):306–313
Siddiqi N, Stefan S, Jootun R, Mykoniatis I, Flashman K, Beable R et al (2021) Robotic complete mesocolic excision (CME) is a safe and feasible option for right colonic cancers: short and midterm results from a single-centre experience. Surg Endosc 35(12):6873–6881
Bianchi PP, Salaj A, Giuliani G, Ferraro L, Formisano G (2021) Feasibility of robotic right colectomy with complete mesocolic excision and intracorporeal anastomosis: short-term outcomes of 161 consecutive patients. Updates Surg 73(3):1065–1072
DeSouza A, Domajnko B, Park J, Marecik S, Prasad L, Abcarian H (2011) Incisional hernia, midline versus low transverse incision: what is the ideal incision for specimen extraction and hand-assisted laparoscopy? Surg Endosc 25(4):1031–1036
Wong SW, Ang ZH, Yang PF, Crowe P (2022) Robotic colorectal surgery and ergonomics. J Robot Surg 16(2):241–246
Wong SW, Crowe P (2023) Visualisation ergonomics and robotic surgery. J Robot Surg 17(5):1873–1878
Wee IJY, Kuo LJ, Ngu JC (2020) A systematic review of the true benefit of robotic surgery: ergonomics. Int J Med Robot 16(4):e2113
Shugaba A, Lambert JE, Bampouras TM, Nuttall HE, Gaffney CJ, Subar DA (2022) Should all minimal access surgery be robot-assisted? A systematic review into the musculoskeletal and cognitive demands of laparoscopic and robot-assisted laparoscopic surgery. J Gastrointest Surg 26(7):1520–1530
Tarr ME, Brancato SJ, Cunkelman JA, Polcari A, Nutter B, Kenton K (2015) Comparison of postural ergonomics between laparoscopic and robotic sacrocolpopexy: a pilot study. J Minim Invasive Gynecol 22(2):234–238
Dalager T, Jensen PT, Eriksen JR, Jakobsen HL, Mogensen O, Søgaard K (2020) Surgeons’ posture and muscle strain during laparoscopic and robotic surgery. Br J Surg 107(6):756–766
Dalsgaard T, Jensen MD, Hartwell D, Mosgaard BJ, Jørgensen A, Jensen BR (2020) Robotic surgery is less physically demanding than laparoscopic surgery: paired cross sectional study. Ann Surg 271(1):106–113
O’Callaghan J, Mohan HM, Sharrock A, Gokani V, Fitzgerald JE, Williams AP et al (2017) Cross-sectional study of the financial cost of training to the surgical trainee in the UK and Ireland. BMJ Open 7(11):e018086
Larkins KM, Mohan HM, Gray M, Costello DM, Costello AJ, Heriot AG et al (2023) Transferability of robotic console skills by early robotic surgeons: a multi-platform crossover trial of simulation training. J Robot Surg 17(3):859–867
Harji D, Houston F, Burke J, Griffiths B, Tilney H, Miskovic D et al (2023) The current status of robotic colorectal surgery training programmes. J Robot Surg 17(2):251–263
Flynn J, Larach JT, Kong JCH, Waters PS, Warrier SK, Heriot A (2021) The learning curve in robotic colorectal surgery compared with laparoscopic colorectal surgery: a systematic review. Colorectal Dis 23(11):2806–2820
Gall TMH, Alrawashdeh W, Soomro N, White S, Jiao LR (2020) Shortening surgical training through robotics: randomized clinical trial of laparoscopic versus robotic surgical learning curves. BJS Open 4(6):1100–1108
Soliman MK, Tammany AJ (2021) Teaching and training surgeons in robotic colorectal surgery. Clin Colon Rectal Surg 34(5):280–285
Kim YW, Lee HM, Kim NK, Min BS, Lee KY (2012) The learning curve for robot-assisted total mesorectal excision for rectal cancer. Surg Laparosc Endosc Percutan Tech 22(5):400–405
Harji D, Aldajani N, Cauvin T, Chauvet A, Denost Q (2023) Parallel, component training in robotic total mesorectal excision. J Robot Surg 17(3):1049–1055
Panico G, Mastrovito S, Campagna G, Monterossi G, Costantini B, Gioè A et al (2023) Robotic docking time with the Hugo™ RAS system in gynecologic surgery: a procedure independent learning curve using the cumulative summation analysis (CUSUM). J Robot Surg 17(5):2547–2554
van der Schans EM, Hiep MAJ, Consten ECJ, Broeders I (2020) From Da Vinci Si to Da Vinci Xi: realistic times in draping and docking the robot. J Robot Surg 14(6):835–839
Baek SJ, Kim SH, Cho JS, Shin JW, Kim J (2012) Robotic versus conventional laparoscopic surgery for rectal cancer: a cost analysis from a single institute in Korea. World J Surg 36(11):2722–2729
Roy S, Evans C (2016) Overview of robotic colorectal surgery: current and future practical developments. World J Gastrointest Surg 8(2):143–150
Ielpo B, Duran H, Diaz E, Fabra I, Caruso R, Malavé L et al (2017) Robotic versus laparoscopic surgery for rectal cancer: a comparative study of clinical outcomes and costs. Int J Colorectal Dis 32(10):1423–1429
Hancock KJ, Klimberg VS, Nunez-Lopez O, Gajjar AH, Gomez G, Tyler DS et al (2022) Optimizing outcomes in colorectal surgery: cost and clinical analysis of robotic versus laparoscopic approaches to colon resection. J Robot Surg 16(1):107–112
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All authors contributed to the study’s conception and design. Material preparation, data collection and analysis were performed by TY. The first draft of the manuscript was written by all authors and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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Yeung, T.M., Larkins, K.M., Warrier, S.K. et al. The rise of robotic colorectal surgery: better for patients and better for surgeons. J Robotic Surg 18, 69 (2024). https://doi.org/10.1007/s11701-024-01822-z
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DOI: https://doi.org/10.1007/s11701-024-01822-z