Is robotic TME really better?


Presented by Jonathan E. Efron, MD at the SAGES 2013 Annual Meeting; SAGES/ISLCRS/ASCRS Symposium – Optimizing Outcomes in Rectal Cancer

rapid uptake–55 sec
the robot–1:17
robotic vs lap rectal surgery–2:06
when to use the robot–2:50
minimally invasive vs robotic colectomy–3:35
why use a robot?–5:01
why wouldn’t you use a r

Keyword(s): 12 mm port, 3D optics, 5 mm port, 8 mm port, anastomosis, anastomotic leak, Annals of Surgery, Annals of Surgical Oncology, anterior resection, APR, articulating stapling device, ASCRS, assistant, benign disease, bipolar cautery, bipolar coagulation, body habitus, bulky lesions, camera, camera port, case matched, circumferential margin, colon, colonic mobilization, COLOR II trial, colorectal diseases, colorectal surgeons, complication rates, console, controversy, conventional surgery, conversion rates, cost, credentialing, DCR, disease free survival, docking, electrical energy, ergonomics, evidence, extra-corporeal anastomosis, f/u, graspers, gynecologists, high ligation, hybrid approach, hybrid lap robotic proctectomy, ileocecal resection, IMA, IMV, informed consent, internal iliac vessels, intersphincteric resection, intestinal wall tears, intra-corporeal anastomosis, ISLCRS, Lancet, Lancet Oncology, lap colectomy, lap instruments, lap procedure, lap proctectomy, lap prostatectomy, lap rectal surgery, lap-assisted surgery, LAR, learning curve, lit review, LLQ, LN, local recurrence, LOS, LUQ, M&M, mesorectum, minimally invasive colectomy, MIS, monopolar, monopolar cautery, morbidly obese pt, MRC CLASICC trial, multi articulated instruments, multicentre randomised control trial, multiple quadrant surgery, obese pt, open surgery, OR staff, OR time, pelvis, perimedian port, phase 3 trial, port placement, positioning, proctectomy, proctor, prostate, rectal cx, rectal division, rectal resection, rectum, retraction, retrospective study, return of bowel function, robot-assisted lap surgery, robotic assisted TME, robotic colectomy, robotic instruments, robotic surgery, robotic TME, robotic-assisted TME, sacrum, short term outcomes, short-term endpoints, sigmoid resection, specimen, specimen length, splenic flexure mobilization, steep Trendelenburg, subtotal colectomy, surgeon fatigue, Surgical Endoscopy, suturing skills, tensile feedback, time-consuming, torque, training, tumour, undocking, urologists, vessel sealer, vessel tears, visualization

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