학술논문
Robotic endoscopic submucosal dissection and full-thickness excision for laterally spreading tumors of the rectum.
Document Type
Article
Source
Subject
*PREOPERATIVE care
*SURGICAL robots
*MINIMALLY invasive procedures
*MICROSURGERY
*DIGESTIVE system endoscopic surgery
*COLORECTAL cancer
RECTUM tumors
*
*
*
*
*
Language
ISSN
1364-5706
Abstract
Endoscopic submucosal dissection (ESD) is technically demanding and time-consuming. Moreover, it bears a high risk of adverse events compared to other endoscopic methods, due to the lack of tissue manipulation. Robotic technology can significantly reduce the time of the procedure and increase the rate of complete resection for ESD. In the case of an unclear deep margin it allows to proceed to the full-thickness excision of the bowel wall. While the gain over transanal endoscopic microsurgery (TEM) is limited today, the longer systems currently under development will allow these complex procedures to be performed at least in the left side of the colon. The shows the application of the Flex Robotic System to perform an ESD and a full-thickness excision. [ABSTRACT FROM AUTHOR]