caa a22 4500 605491127 CHVBK 20210128100508.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s10147-015-0854-z doi (NATIONALLICENCE)springer-10.1007/s10147-015-0854-z Recent advances in robotic surgery for rectal cancer [Elektronische Daten] [Soichiro Ishihara, Kensuke Otani, Koji Yasuda, Takeshi Nishikawa, Junichiro Tanaka, Toshiaki Tanaka, Tomomichi Kiyomatsu, Keisuke Hata, Kazushige Kawai, Hiroaki Nozawa, Shinsuke Kazama, Hironori Yamaguchi, Eiji Sunami, Joji Kitayama, Toshiaki Watanabe] Robotic technology, which has recently been introduced to the field of surgery, is expected to be useful, particularly in treating rectal cancer where precise manipulation is necessary in the confined pelvic cavity. Robotic surgery overcomes the technical drawbacks inherent to laparoscopic surgery for rectal cancer through the use of multi-articulated flexible tools, three-dimensional stable camera platforms, tremor filtering and motion scaling functions, and greater ergonomic and intuitive device manipulation. Assessments of the feasibility and safety of robotic surgery for rectal cancer have reported similar operation times, blood loss during surgery, rates of postoperative morbidity, and circumferential resection margin involvement when compared with laparoscopic surgery. Furthermore, rates of conversion to open surgery are reportedly lower with increased urinary and male sexual functions in the early postoperative period compared with laparoscopic surgery, demonstrating the technical advantages of robotic surgery for rectal cancer. However, long-term outcomes and the cost-effectiveness of robotic surgery for rectal cancer have not been fully evaluated yet; therefore, large-scale clinical studies are required to evaluate the efficacy of this new technology. Japan Society of Clinical Oncology, 2015 Rectal cancer nationallicence Robotic surgery nationallicence Laparoscopic surgery nationallicence Ishihara Soichiro Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut Otani Kensuke Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut Yasuda Koji Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut Nishikawa Takeshi Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut Tanaka Junichiro Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut Tanaka Toshiaki Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut Kiyomatsu Tomomichi Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut Hata Keisuke Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut Kawai Kazushige Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut Nozawa Hiroaki Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut Kazama Shinsuke Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut Yamaguchi Hironori Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut Sunami Eiji Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut Kitayama Joji Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut Watanabe Toshiaki Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut International Journal of Clinical Oncology Springer Japan 20/4(2015-08-01), 633-640 1341-9625 20:4<633 2015 20 10147 https://doi.org/10.1007/s10147-015-0854-z text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10147-015-0854-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ishihara Soichiro Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut NATIONALLICENCE 700 1- Otani Kensuke Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut NATIONALLICENCE 700 1- Yasuda Koji Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut NATIONALLICENCE 700 1- Nishikawa Takeshi Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut NATIONALLICENCE 700 1- Tanaka Junichiro Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut NATIONALLICENCE 700 1- Tanaka Toshiaki Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut NATIONALLICENCE 700 1- Kiyomatsu Tomomichi Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut NATIONALLICENCE 700 1- Hata Keisuke Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut NATIONALLICENCE 700 1- Kawai Kazushige Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut NATIONALLICENCE 700 1- Nozawa Hiroaki Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut NATIONALLICENCE 700 1- Kazama Shinsuke Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut NATIONALLICENCE 700 1- Yamaguchi Hironori Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut NATIONALLICENCE 700 1- Sunami Eiji Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut NATIONALLICENCE 700 1- Kitayama Joji Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut NATIONALLICENCE 700 1- Watanabe Toshiaki Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1, Bunkyo-ku, 113-8655, Hongo, Tokyo, Japan aut NATIONALLICENCE 773 0- International Journal of Clinical Oncology Springer Japan 20/4(2015-08-01), 633-640 1341-9625 20:4<633 2015 20 10147