Robotic transanal total mesorectal excision:Is the future now?  

作　　者：Juan Carlos Sebastián-Tomás Aleix Martínez-Pérez Elías Martínez-López Nicola de'Angelis Marcos Gómez Ruiz Eduardo García-Granero 

机构地区：[1]Department of Surgery,Universidad de Valencia,Valencia 46010,Spain [2]Department of General and Digestive Surgery,Hospital Universitario Doctor Peset,Valencia 46017,Spain [3]Faculty of Health Sciences,Valencian International University,Valencia 46002,Spain [4]Minimally Invasive and Robotic Digestive Surgery Unit,Miulli Hospital,Acquaviva delle Fonti 70021,Italy [5]Department of General and Digestive Surgery,Hospital Universitario Marqués de Valdecilla,Santander 39008,Spain [6]Grupo de Investigación en Innovación Quirúrgica,Instituto de Investigación Biomédica Valdecilla(IDIVAL),Santander 39008,Spain [7]Department of General and Digestive Surgery,Hospital Universitarioy Politécnico la Fe,Valencia 46026,Spain

出　　处：《World Journal of Gastrointestinal Surgery》2021年第8期834-847,共14页世界胃肠外科杂志（英文版）（电子版）

摘　　要：Total mesorectal excision(TME)is the standard surgical treatment for the curative radical resection of rectal cancers.Minimally invasive TME has been gaining ground favored by the continuous technological advancements.New procedures,such as transanal TME(TaTME),have been introduced to overcome some technical limitations,especially in low rectal tumors,obese patients,and/or narrow pelvis.The earliest TaTME reports showed promising results when compared with the conventional laparoscopic TME.However,recent publications raised concerns regarding the high rates of anastomotic leaks or local recurrences observed in national series.Robotic TaTME(R-TaTME)has been proposed as a novel technique incorporating the potential benefits of a perineal dissection together with precise control of the distal margins,and also offers all those advantages provided by the robotic technology in terms of improved precision and dexterity.Encouraging short-term results have been reported for R-TaTME,but further studies are needed to assess the real role of the new technique in the long-term oncological or functional outcomes.The present review aims to provide a general overview of R-TaTME by analyzing the body of the available literature,with a special focus on the potential benefits,harms,and future perspectives for this novel approach.

关 键 词：Rectal cancer Minimally-invasive surgery ROBOTICS Total mesorectal excision Transanal approach Natural orifice surgery 

分 类 号：R735.37[医药卫生—肿瘤]