RECTAL ADENOCARCINOMA: CLINICAL EVALUATION AND TREATMENT THROUGH ROBOTIC SURGERY
PDF

Palavras-chave

Como Citar

Amaral, F. L. M., Ramos, J. C. de S., Costa, M. R., Rodrigues, M. C. S., Ribeiro, R. C. L., Rezende, E. H. M., Borges, L. A. G., Filho, M. D. E. C., Maciel, A. L. S., Silva, L. D. P. da, Bertin, L. M. M., & Garcia, A. S. (2024). RECTAL ADENOCARCINOMA: CLINICAL EVALUATION AND TREATMENT THROUGH ROBOTIC SURGERY. Brazilian Journal of Implantology and Health Sciences, 6(4), 565–576. https://doi.org/10.36557/2674-8169.2024v6n4p565-576

Resumo

Rectal adenocarcinoma is a malignant neoplasm that develops in the glandular cells of the rectum. Its clinical evaluation and treatment have been objects of considerable interest, especially with the advancement of robotic surgery. The introduction of the robot in colorectal surgery has provided significant advantages, such as better visualization, precision and control of movements, resulting in potential benefits for patients. However, the literature on the effectiveness and outcomes of robotic surgery in the treatment of rectal adenocarcinoma is vast and varied. Objective: to examine and synthesize the available evidence on the clinical assessment and treatment of rectal adenocarcinoma using robotic surgery, focusing on the last 10 years. Methodology: The methodology followed the PRISMA checklist guidelines. We used the PubMed, Scielo and Web of Science databases to identify relevant articles published in the last 10 years. The descriptors used were "rectal adenocarcinoma", "robotic surgery", "clinical evaluation", "treatment" and "results". The inclusion criteria were studies that evaluated robotic surgery in the treatment of rectal adenocarcinoma, published in English or Portuguese. The exclusion criteria were studies unrelated to the topic, studies without access to the full text and studies with duplicate data. Results: The results revealed an increasing trend in the use of robotic surgery for the treatment of rectal adenocarcinoma. Key topics covered included oncological outcomes, postoperative complications, post-treatment quality of life, and comparisons with other surgical approaches. Conclusion: The review highlights the growing evidence supporting the efficacy and safety of robotic surgery in the treatment of rectal adenocarcinoma. However, additional studies are needed to further understand its clinical utility and its long-term impact on patient outcomes.

https://doi.org/10.36557/2674-8169.2024v6n4p565-576
PDF

Referências

Park JS, Lee SM, Choi GS, Park SY, Kim HJ, Song SH, Min BS, Kim NK, Kim SH, Lee KY. Comparison of Laparoscopic Versus Robot-Assisted Surgery for Rectal Cancers: The COLRAR Randomized Controlled Trial. Ann Surg. 2023 Jul 1;278(1):31-38. doi: 10.1097/SLA.0000000000005788.

Emile SH, Horesh N, Freund MR, Garoufalia Z, Gefen R, Silva-Alvarenga E, Maron DJ, DaSilva G, Wexner SD. Trends in the Characteristics, Treatment, and Outcomes of Rectal Adenocarcinoma in the US From 2004 to 2019: A National Cancer Database Analysis. JAMA Oncol. 2023 Mar 1;9(3):355-364. doi: 10.1001/jamaoncol.2022.6116.

Yamanashi T, Miura H, Tanaka T, Watanabe A, Goto T, Yokoi K, Kojo K, Niihara M, Hosoda K, Kaizu T, Yamashita K, Sato T, Kumamoto Y, Hiki N, Naitoh T. Short- and long- Term outcomes of robotic-assisted laparoscopic surgery for rectal cancer: A single-center retrospective cohort study. Asian J Endosc Surg. 2022 Oct;15(4):794-804. doi: 10.1111/ases.13095.

Feroci F, Vannucchi A, Bianchi PP, Cantafio S, Garzi A, Formisano G, Scatizzi M. Total mesorectal excision for mid and low rectal cancer: Laparoscopic vs robotic surgery. World J Gastroenterol. 2016 Apr 7;22(13):3602-10. doi: 10.3748/wjg.v22.i13.3602.

Takemasa I, Hamabe A, Ito M, Matoba S, Watanabe J, Hasegawa S, Kotake M, Inomata M, Ueda K, Uehara K, Sakamoto K, Ikeda M, Hanai T, Konishi T, Yamaguchi S, Nakano D, Yamagishi S , Okita K, Ochiai A, Sakai Y, Watanabe M; Japan Society of Laparoscopic Colorectal Surgery. Japanese multicenter prospective study investigating laparoscopic surgery for locally advanced rectal cancer with evaluation of CRM and TME quality (PRODUCT trial). Ann Gastroenterol Surg. 2022 Jul 3;6(6):767-777. doi: 10.1002/ags3.12592.

Marks JH, Yang J, Spitz EM, Salem J, Agarwal S, de Paula TR, Schoonyoung HP, Keller DS. A prospective phase II clinical trial/IDEAL Stage 2a series of single-port robotic colorectal surgery for abdominal and transanal cases. Colorectal Dis. 2023 Dec;25(12):2335-2345. doi: 10.1111/codi.16788.

Horsey ML, Lai D, Sparks AD, Herur-Raman A, Borum M, Rao S, Ng M, Obias VJ. Disparities in utilization of robotic surgery for colon cancer: an evaluation of the US National Cancer Database. J Robot Surg. 2022 Dec;16(6):1299-1306. doi: 10.1007/s11701-022-01371-3.

Cochetti G, Tiezzi A, Spizzirri A, Giuliani D, Rossi de Vermandois JA, Maiolino G, Coccetta M, Napolitano V, Pennetti Pennella F, Francesconi S, Mearini E. Simultaneous totally robotic rectal resection and partial nephrectomy: case report and review of literature. World J Surg Oncol. 2020 May 4;18(1):86. doi: 10.1186/s12957-020-01864-1.

Shiber M, Anteby R, Russell B, Zager Y, Gutman M, Nachmany I, Horesh N, Khaikin M. Seniority of the assistant surgeon and perioperative outcomes in robotic-assisted proctectomy for rectal cancer. J Robot Surg. 2023 Jun;17(3):1097-1104. doi: 10.1007/s11701-022-01515-5.

Marks JH, Kunkel E, Salem JF, Martin CT, Anderson B, Agarwal S. First Clinical Experience With Single-Port Robotic Transanal Minimally Invasive Surgery: Phase II Trial of the Initial 26 Cases. Dis Colon Rectum. 2021 Aug 1;64(8):1003-1013. doi: 10.1097/DCR.0000000000001999.

Yamanashi T, Miura H, Tanaka T, Watanabe A, Yokoi K, Kojo K, Niihara M, Yamashita K, Sato T, Kumamoto Y, Hiki N, Naitoh T. Short-term outcomes of robot-assisted versus conventional laparoscopic surgery for midsection and lower rectal cancer after neoadjuvant chemoradiotherapy: a propensity score-matched analysis. J Robot Surg. 2023 Jun;17(3):959-969. doi: 10.1007/s11701-022-01498-3.

Felli E, Brunetti F, Disabato M, Salloum C, Azoulay D, De'angelis N. Robotic right colectomy for hemorrhagic right colon cancer: a case report and review of the literature of minimally invasive urgent colectomy. World J Emerg Surg. 2014 Apr 26;9:32. doi: 10.1186/1749-7922-9-32.

Yoo BE, Cho JS, Shin JW, Lee DW, Kwak JM, Kim J, Kim SH. Robotic versus laparoscopic intersphincteric resection for low rectal cancer: comparison of the operative, oncological, and functional outcomes. Ann Surg Oncol. 2015 Apr;22(4):1219-25. doi: 10.1245/s10434-014-4177-5.

Park EJ, Cho MS, Baek SJ, Hur H, Min BS, Baik SH, Lee KY, Kim NK. Long-term oncologic outcomes of robotic low anterior resection for rectal cancer: a comparative study with laparoscopic surgery. Ann Surg. 2015 Jan;261(1):129-37. doi: 10.1097/SLA.0000000000000613.

Luca F, Valvo M, Guerra-Cogorno M, Simo D, Blesa-Sierra E, Biffi R, Garberoglio C. Functional results of robotic total intersphincteric resection with hand-sewn coloanal anastomosis. Eur J Surg Oncol. 2016 Jun;42(6):841-7. doi: 10.1016/j.ejso.2016.03.007.

Creative Commons License
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.

Copyright (c) 2024 Felipe Leão Martins Amaral, Júlia Cristina de Sousa Ramos, Mariany Rodrigues Costa, Maria Clara Silva Rodrigues, Roberta Cristina Lourençoni Ribeiro, Eduardo Henrique Mendes Rezende, Luiz Augusto Germano Borges, Murilo Dell Eugenio Costa Filho, Ana Luisa Silva Maciel, Luana Dutra Pinheiro da Silva, Lethícia Mariah Marchi Bertin, Ariane Simião Garcia

Downloads

Não há dados estatísticos.