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Artif Intell Gastrointest Endosc. Aug 28, 2021; 2(4): 110-116
Published online Aug 28, 2021. doi: 10.37126/aige.v2.i4.110
Robotic surgery in colon cancer: current evidence and future perspectives – narrative review
Fulvio Tagliabue, Morena Burati, Marco Chiarelli, Ugo Cioffi, Mauro Zago
Fulvio Tagliabue, Morena Burati, Marco Chiarelli, Mauro Zago, Department of Emergency and Robotic Surgery, A. Manzoni Hospital–ASST Lecco, Lecco 23900, Italy
Ugo Cioffi, Department of Surgery, University of Milan, Milano 20122, Italy
Author contributions: All authors participated equally in the manuscript.
Conflict-of-interest statement: The authors report no conflicts of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ugo Cioffi, MD, PhD, Full Professor, Professor, Surgeon, Department of Surgery, University of Milan, Via F. Sforza 35, Milano 20122, Italy. ugocioffi5@gmail.com
Received: March 10, 2021
Peer-review started: March 10, 2021
First decision: May 3, 2021
Revised: May 14, 2021
Accepted: August 19, 2021
Article in press: August 19, 2021
Published online: August 28, 2021
Processing time: 179 Days and 15.6 Hours
Abstract

In the last 10 years, surgery has been developing towards minimal invasiveness; therefore, robotic surgery represents the consequent evolution of laparoscopic surgery. Worldwide, surgeons’ performances have been upgraded by the ergonomic developments of robotic systems, leading to several benefits for patients. The introduction into the market of the new Da Vinci Xi system has made it possible to perform all types of surgery on the colon, an in selected cases, to combine interventions in other organs or viscera at the same time. Optimization of the suprapubic surgical approach may shorten the length of hospital stay for patients who undergo robotic colonic resection. From this perspective, single-port robotic colectomy, has reduced the number of robotic ports needed, allowing a better anesthetic outcome and faster recovery. The introduction on the market of new surgical robotic systems from multiple manufacturers is bound to change the landscape of robotic surgery and yield high-quality surgical outcomes.

Keywords: Colon cancer; Robotic surgery; Colectomy; Laparoscopy; Surgical outcomes: Robot system

Core Tip: Robotic surgery represents the natural evolution of laparoscopic surgery in the way to perform less-invasive operations. The robotic system Da Vinci Xi® with its technological innovations has made it possible to perform all types of interventions on the colon and has yielded large benefits to patients.