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Chinese Journal of Colorectal Diseases(Electronic Edition) ›› 2021, Vol. 10 ›› Issue (04): 343-350. doi: 10.3877/cma.j.issn.2095-3224.2021.04.002

• Editorial • Previous Articles     Next Articles

On the superiority and limitations of applying the da Vinci robotic surgical platform to perform NOSES surgery for rectal cancer

Qingchao Tang1, Xishan Wang2,()   

  1. 1. Department of Colorectal CancerSurgery, the Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China
    2. Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center of Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
  • Received:2021-07-26 Online:2021-08-30 Published:2021-09-17
  • Contact: Xishan Wang

Abstract:

As an innovative "minimally invasive" surgical system and concept led by professor Wang Xishan, abdominal non incision natural orifice specimen extraction surgery (NOSES) has been widely used in radical resection of colorectal tumors and multiple tumors of chest, abdomen and pelvis. The laparoscopic platform is also gradually upgraded from the original 2D to 3D to today's Da Vinci robotic surgery platform. The Da Vinci robotic surgical operation system has been paid close attention to by surgeons because of its short learning curve, clear surgical field of vision and high operation accuracy. However, robot platform surgery has its own advantages and limitations as traditional laparotomy or laparoscopy. In this paper, the author will summarize the technical characteristics and skills of the team in the application of robots to carry out the three representative classic NOSES-Ⅰ, Ⅱ and Ⅳ radical resection of rectal cancer in low, medium and high rectal cancer, and objectively evaluate the advantages, limitations and key issues that need to be paid attention to, provide basis for the team carrying out NOSES surgery on the robot platform and bring greater benefits to patients.

Key words: Colorectal neoplasms, Rectal neoplasms, Robotic surgical platform, Minimally invasive, Natural orifice specimen extraction surgery (NOSES)

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