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ESSO 44 | Robotic surgery for pelvic cancer
Gabrielle van Ramshorst, MD, PhD, Ghent University Hospital, Ghent, Germany, discusses the evolving role of robotic and minimally invasive techniques in the management and reconstruction of advanced pelvic cancers, noting a shift away from laparoscopic surgery and a rising trend in robotic surgery, particularly in the treatment of rectal cancer. Prof. van Ramshorst highlights the importance of considering factors such as patient population, tumor biology, and access to robotic technology when choosing between laparoscopic and robotic approaches. This interview took place at the 44th Congress of the European Society of Surgical Oncology (ESSO 44) in Gothenburg, Sweden.
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Transcript
Yeah, thank you. So what we’ve learned, which was a great session, by the way, because we also had some really nice videos about robotic rectal cancer, robotic liver surgery, and the use of the single port system. So personally, I’ve experienced with open laparoscopic and robotic surgery using the XI and the X system. And we’ve seen in the literature right now in the use of minimally invasive surgery for advanced pelvic cancers and I’m talking about rectal cancer specifically, that it has now shown a shift away from laparoscopic, the proportion is dropping, and the rate of robotic surgery is rising...
Yeah, thank you. So what we’ve learned, which was a great session, by the way, because we also had some really nice videos about robotic rectal cancer, robotic liver surgery, and the use of the single port system. So personally, I’ve experienced with open laparoscopic and robotic surgery using the XI and the X system. And we’ve seen in the literature right now in the use of minimally invasive surgery for advanced pelvic cancers and I’m talking about rectal cancer specifically, that it has now shown a shift away from laparoscopic, the proportion is dropping, and the rate of robotic surgery is rising. I must also say that a lot of this literature comes from Asia, where, of course, we know that there are many high-volume centers with very technically skilled surgeons, but their population usually consists of people with a lower BMI and maybe even some different biological behavior of their tumors. And, of course, the role of radiation therapy in Asia versus the Western world has been different over the course of time. So I think we will see a rise in the use of robotics. I think laparoscopic surgery for the advanced cancers can still be used. For instance, if you want to make a low anastomosis, you could do the mobilization of the left colon laparoscopically, and you could use a phantom stool or use a perineal approach, especially if you, like myself, don’t always have access to the robot as you would like to see.
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