2008
Robotické výkony v kolorektální chirurgii
VLČEK, Petr; Ivan ČAPOV; Václav JEDLIČKA; Štěpán CHALUPNÍK; Jiří KORBIČKA et al.Základní údaje
Originální název
Robotické výkony v kolorektální chirurgii
Autoři
VLČEK, Petr; Ivan ČAPOV; Václav JEDLIČKA; Štěpán CHALUPNÍK; Jiří KORBIČKA; Lenka VEVERKOVÁ; Jan DOLEŽEL; Jiří JEŘÁBEK a Jan WECHSLER
Vydání
Rozhledy v chirugii, Praha, Olympia, 2008, 0035-9351
Další údaje
Typ výsledku
Článek v odborném periodiku
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Označené pro přenos do RIV
Ne
Organizační jednotka
Lékařská fakulta
Klíčová slova anglicky
Robotic Surgery –Colorectal Surgery –Rectal Cancer-Pelvic Floor Dysorders
Změněno: 13. 1. 2009 23:13, MUDr. Petr Vlček, Ph.D.
Anotace
Anglicky
Sumary: The da Vinci surgical system (Intuitive Surgical, Sunnyvale, CA, USA) was developed specifically to compensate the technical limitations of laparoscopic instruments, such as two-dimensional vision, misalignment of hands and instruments, limited dexterity of instruments inside the patient, and fixed instrument tips. The da Vinci system provides a stable camera platform, three-dimensional imaging, excellent ergonomics, tremor elimination, ambidextrous capability, motion scaling, and instruments with multiple degrees of freedom. These advantages can be applied in the field of colorectal surgery and we are reporting 45cases that underwent robotic colorectal surgery. We concluded that the da Vinci system may be useful in surgical procedures, such as splenic flexure takedown, dissection of the inferior mesenteric artery with identification of the nervous plexus, and dissection of a narrow pelvis. The major drawbacks of robotic systems are high cost, and a lack of tactile sensation and tensile feedback to the surgeon, who must depend on visual cues to estimate the tension exerted on tissue by the robotic arms. In conclusion, robotic colorectal surgery can be performed safely and effectively, using the da Vinci surgical system, because this system has more dexterity and flexibility than conventional laparoscopic instruments. However, prospective randomized studies are necessary to evaluate the preservation of sexual and voiding function, as well as the oncological and functional/pelvic floor dysorders/ outcomes of this approach.