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Rectal Neoplasms

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Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer.

Journal of visualized experiments : JoVE
Since their approval for clinical use, da Vinci surgical robots have shown great advantages in gastrointestinal surgical operations, especially in complex procedures. The high-quality 3-D visual, multijoint arm and natural tremor filtration allow the...

Early experience with the ARTISENTIAL articulated instruments in laparoscopic low anterior resection with TME.

Techniques in coloproctology
BACKGROUND: The notion of articulation in surgery has been largely synonymous with robotics. The ARTISENTIAL instruments aim at bringing advanced articulation to laparoscopy to overcome challenges in narrow anatomical spaces. In this paper, we presen...

Initial clinical experience with a novel flexible endoscopic robot for transanal surgery.

Techniques in coloproctology
BACKGROUND: The Flex Robotic System (Medrobotics, Raynham, MA, USA) is the first miniaturised flexible endoscopic robot that aims to allow surgical manoeuvres beyond the area currently reached by transanal endoscopic microsurgery. The aim of this stu...

How to do a robotic lateral pelvic side wall dissection for rectal cancer.

ANZ journal of surgery
Our article describes the anatomy, technical steps, common pitfalls, and our recommendations for performing a successful robotic lateral pelvic side wall dissection for rectal cancer. This is supplemented with videos and an image to clearly demonstra...

Robotic Versus Laparoscopic Surgery for Rectal Cancer: A Comprehensive Review of Oncological Outcomes.

The Permanente journal
The treatment of rectal cancer is complex and involves specialized multidisciplinary care, although the tenet is still rooted in a high-quality total mesorectal excision. The robotic platform is one of many tools in the arsenal to assist dissection i...

Comparison of the short-term efficacy of two types of robotic total mesorectal excision for rectal cancer.

Techniques in coloproctology
BACKGROUND: The advantages and disadvantages of robotic technology compared with conventional surgery for low rectal cancer have been discussed extensively. However, a few studies on the efficacy of total mesorectal excision (TME) with different robo...

Reducing retraction forces with tactile feedback during robotic total mesorectal excision in a porcine model.

Journal of robotic surgery
Excessive tissue-instrument interaction forces during robotic surgery have the potential for causing iatrogenic tissue damages. The current in vivo study seeks to assess whether tactile feedback could reduce intraoperative tissue-instrument interacti...

A comparative study of auto-contouring softwares in delineation of organs at risk in lung cancer and rectal cancer.

Scientific reports
Radiotherapy requires the target area and the organs at risk to be contoured on the CT image of the patient. During the process of organs-at-Risk (OAR) of the chest and abdomen, the doctor needs to contour at each CT image. The delineations of large ...

Refining the art of the robotic TAMIS - A video vignette.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

A blind randomized validated convolutional neural network for auto-segmentation of clinical target volume in rectal cancer patients receiving neoadjuvant radiotherapy.

Cancer medicine
BACKGROUND: Delineation of clinical target volume (CTV) for radiotherapy is a time-consuming and labor-intensive work. This study aims to propose a novel convolutional neural network (CNN)-based model for fast auto-segmentation of CTV. To evaluate it...