Our Summary

This research paper discusses the role of robotics in surgeries related to the colon and rectum. The advanced technologies that come with these robots have made surgeries less invasive, more precise, and easier for the surgeon. They have proven to be particularly helpful in complex procedures like joining two parts of the intestine together during a right colectomy and in dissecting the lower part of the pelvis for both benign and malignant diseases.

FAQs

  1. How has the use of robotics improved colorectal surgeries?
  2. What complex procedures in colorectal surgery have benefited from the use of robotics?
  3. What are the advantages of using robotic technology in surgeries for both benign and malignant diseases in the lower part of the pelvis?

Doctor’s Tip

One helpful tip a doctor might tell a patient about colorectal surgery is to follow post-operative care instructions carefully to ensure a smooth recovery. This may include taking prescribed medications, avoiding heavy lifting or strenuous activity, eating a healthy diet high in fiber to prevent constipation, and attending follow-up appointments to monitor healing progress. It is important for patients to communicate any concerns or changes in symptoms to their healthcare provider promptly.

Suitable For

Patients who are typically recommended colorectal surgery include those with:

  1. Colon cancer: Surgery is often the primary treatment for colon cancer, and may involve removing part or all of the colon depending on the stage of the cancer.

  2. Rectal cancer: Surgery is also a common treatment for rectal cancer, and may involve removing part of the rectum or the entire rectum.

  3. Inflammatory bowel disease (such as Crohn’s disease or ulcerative colitis): Surgery may be recommended for patients with severe symptoms that do not respond to other treatments, or for complications such as strictures or fistulas.

  4. Diverticulitis: Surgery may be necessary for patients with severe or recurrent diverticulitis that does not respond to other treatments, or for complications such as abscesses or fistulas.

  5. Polyps: Large or precancerous polyps may need to be removed surgically to prevent the development of colon cancer.

  6. Bowel obstruction: Surgery may be necessary to remove a blockage in the colon or rectum that is causing symptoms such as severe pain, vomiting, or inability to pass stool.

  7. Anal fistulas or abscesses: Surgery may be recommended for patients with chronic or recurrent anal fistulas or abscesses that do not respond to other treatments.

Overall, patients who are recommended colorectal surgery are those who have conditions that cannot be effectively treated with medication or other non-invasive treatments, or those who have complications that require surgical intervention. The use of robotics in colorectal surgery has improved outcomes for many of these patients, making the procedures safer and more effective.

Timeline

Before Colorectal Surgery:

  1. Consultation with a colorectal surgeon to discuss the need for surgery and potential risks and benefits.
  2. Preoperative testing, such as blood work, imaging studies, and possibly a colonoscopy.
  3. Bowel preparation to empty the colon before surgery.
  4. Meeting with an anesthesiologist to discuss anesthesia options and any potential concerns.
  5. Admittance to the hospital on the day of surgery.

During Colorectal Surgery:

  1. General anesthesia is administered to put the patient to sleep.
  2. The surgeon makes small incisions in the abdomen and inserts a laparoscope and robotic instruments to perform the surgery.
  3. The diseased portion of the colon or rectum is removed, and the remaining healthy sections are connected.
  4. The incisions are closed, and the patient is taken to the recovery room.

After Colorectal Surgery:

  1. The patient wakes up in the recovery room and is monitored for any complications.
  2. Pain management is provided to control postoperative discomfort.
  3. The patient is encouraged to start moving and walking to prevent blood clots and promote healing.
  4. A liquid diet is gradually introduced, followed by a soft diet as tolerated.
  5. The patient may be discharged from the hospital within a few days or stay longer depending on their recovery progress.
  6. Follow-up appointments with the surgeon are scheduled to monitor healing and address any concerns.

What to Ask Your Doctor

  1. What specific type of colorectal surgery is recommended for my condition?
  2. What are the potential risks and complications associated with this surgery?
  3. How long is the recovery period and what can I expect during the recovery process?
  4. Are there any alternative treatment options to consider before opting for surgery?
  5. What experience does the surgeon have with performing robotic colorectal surgeries?
  6. How will the robotic technology benefit me during the surgery compared to traditional methods?
  7. What is the success rate of robotic colorectal surgeries for my specific condition?
  8. Will I need any additional treatments or therapies following the surgery?
  9. How long will I need to stay in the hospital after the surgery?
  10. What lifestyle changes or precautions should I take post-surgery to promote healing and prevent complications?

Reference

Authors: Addison P, Agnew JL, Martz J. Journal: Surg Clin North Am. 2020 Apr;100(2):337-360. doi: 10.1016/j.suc.2019.12.012. Epub 2020 Feb 19. PMID: 32169183