Exploration and reflection on robotic complex rectal cancer surgery
10.7659/j.issn.1005-6947.250552
- VernacularTitle:机器人复杂直肠癌手术探索与思考
- Author:
Zhaodong XING
1
;
Jianqiang TANG
1
Author Information
1. 国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院 结直肠外科,北京 100021
- Publication Type:Journal Article
- Keywords:
Rectal Neoplasms;
Robotic Surgical Procedures;
Lymph Node Excision;
Pelvic Exenteration
- From:
Chinese Journal of General Surgery
2025;34(10):2068-2083
- CountryChina
- Language:Chinese
-
Abstract:
Complex rectal cancer often requires extended multivisceral resection beyond the total mesorectal excision plane or lateral lymph node dissection(LLND)beyond the conventional range.Owing to the deep pelvic location,limited operating space,and complex local anatomy,conventional open or laparoscopic surgery is associated with restricted visualization,technical difficulty,and increased surgical risk.With the advancement of robot-assisted surgical technology,its high-definition three-dimensional vision,articulated robotic arms with multiple degrees of freedom,and ergonomic improvements effectively overcome the limitations of traditional laparoscopy,allowing precise manipulation in narrow pelvic spaces.These advantages have made robotic surgery increasingly valuable in complex rectal cancer procedures such as LLND and multivisceral resection.This review summarizes recent literature and the authors'clinical experience to discuss the feasibility,advantages,and limitations of robotic-assisted rectal cancer surgery.
