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Diseases of the Colon and Rectum [journal]
- Residency programs in colon and rectal surgery. [Journal Article]
- Dis Colon Rectum 2013 Jun; 56(6):e340-2.
- Self-assessment quiz: answers, critiques, and references. [Journal Article]
- Dis Colon Rectum 2013 Jun; 56(6):e331-2.
- The authors reply. [Journal Article]
- Dis Colon Rectum 2013 Jun; 56(6):e329-30.
- Percutaneous posterior tibial nerve stimulation for fecal incontinence: are we all reading from the same page? [Journal Article]
- Dis Colon Rectum 2013 Jun; 56(6):e328-30.
- Transtar rectal prolapse excision. [Journal Article]
- Dis Colon Rectum 2013 Jun; 56(6):e327-8.
- Midterm results after perineal stapled prolapse resection for external rectal prolapse. [Journal Article]
- Dis Colon Rectum 2013 Jun; 56(6):e327.
- Robotic colonic surgery: is it advisable to commence a new learning curve? [Journal Article]
- Dis Colon Rectum 2013 Jun; 56(6):786-96.
: Robotic surgery has potential advantages in rectal and pelvic surgery, in which the dissection is performed within a confined operative field. However, the position of robotic colonic surgery remains largely undefined with limited insight of whether it offers any potential advantages over open or laparoscopic colon surgery.: The aim of this systematic review was to compare the short-term outcomes of the published robotic colonic surgery with those of laparoscopic colonic surgery.: The search was performed in September 2012 with the use of PubMed, MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials. The search terms used were "colorectal," "colon," "colectomy," and "robotic/robot.": All studies reporting outcomes on robotic colonic resection were included in the review process. Colonic robotic data were compared with data on the short-term outcomes of laparoscopic colonic surgery from a Cochrane review and 4 main randomized controlled trials.: A comparison was conducted of robotic colonic surgery vs standard laparoscopic colonic surgery.: Short-term outcomes and the complication profile of colonic robotic surgery were compared with conventional multiple-port laparoscopic colonic surgery.: Fifteen robotic colonic surgery articles with 351 patients (173 males, 178 females) were considered for analysis. The operative time and financial cost of robotic colonic surgery was greater than standard laparoscopic colonic surgery with comparable short-term outcomes and early postoperative complications profile.: The present evidence on robotic colonic surgery has shown both feasibility and a safety profile comparable to standard laparoscopic colonic surgery. However, operative time and cost were greater in robotic colonic surgery, with no difference in the length of postoperative stay in comparison with standard laparoscopic colonic surgery. Whether the general surgical community should embark on a new learning curve for robotic colonic surgery can only be answered in the light of future studies.