Minimally Invasive Robot – Assisted Colorectal Resections

摘要: Minimally invasive techniques have revolutionized general surgery, especially in the field of gastrointestinal surgery. Many authors argue that era laparoscopic technique had begun 1987, when Mouret performed first cholecystectomy (Koopmann et al., 2008; Law 2007). Since point, has become choice for a multitude surgical procedures: cholecystectomy, gastric bypass, fundoplication and its variants are some examples procedures which currently laparoscopically (Stage 1997; Lacy 2002). This spread been fostered by advantages technique: reduced postoperative pain, decreased hospital stay faster recovery, incidence complications, improved cosmetic outcome, incisional hernias 2002; Guillou 2005; Jayne 2007; Fleshman Nelson 2004; Veldkamp Ballantyne 2001). The hemicolectomy was 1990 (Weber Delaney 2003). then, introduction this colorectal disease gradual, malignancy, because early skepticism towards technique. major questions arisen about treatment malignant disease. oncological adequacy analysed terms lymph node dissection, resection margins intraoperative tumor dissemination. 2002 series randomized clinical trials compared open technique, results definitely eliminated any doubts concerning (Lacy Poulin 1999; Hasegawa 2003; Kaiser Milsom Tang 2001; Champault minimally approach cancer surgery demonstrated both pathophysiological (decreased inflammatory response → immune morbidity / comorbidity) aspects (similar survival outcome) (Leung 2000; Delgado Hu 1998; disease, however, technical "anatomical" disadvantages: need long learning curve, presence large