Intraoperative complications and management strategies for colorectal cancer in single- incision laparoscopic and robotic-assisted surgery
10.3760/cma.j.cn441530-20250204-00047
- VernacularTitle:单孔腹腔镜和机器人辅助结直肠癌术中意外和处理对策
- Author:
Zijia SONG
1
;
Ren ZHAO
1
Author Information
1. 上海交通大学医学院附属瑞金医院普通外科，上海 200020
- Publication Type:Journal Article
- Keywords:
Colorectal neoplasms;
Laparoscopic surgery, single-incision;
Robot- assisted surgery;
Intraoperative complications;
Management strategies
- From:
Chinese Journal of Gastrointestinal Surgery
2025;28(4):362-367
- CountryChina
- Language:Chinese
-
Abstract:
With the rapid development of surgical techniques and the deepening of minimally invasive concepts, single-incision laparoscopic surgery (SILS) and robot-assisted surgery (RAS) are gaining increasing attention in the field of colorectal cancer treatment as representatives of modern surgery's move towards more minimally invasive and precise approaches. While these technologies offer advantages such as reduced trauma, less pain, and faster recovery, they also introduce unique challenges. The high technical demands of SILS, along with the lack of force feedback in robotic systems, can easily lead to unexpected injuries of blood vessels, tissues, or organs. Inappropriate handling can increase the complexity of the surgery and affect clinical outcomes. Timely identification and swift, correct responses can prevent severe consequences for patients. Based on over a decade of experience by our team in treating colorectal cancer with SILS and RAS, and incorporating the latest research advancements both domestically and internationally, this article discusses common intraoperative incidents, management strategies, and preventive measures associated with SILS and RAS. It aims to provide valuable references for surgeons performing these procedures, enhancing their capability to manage intraoperative challenges effectively.
