Evolution of Laparoscopic Colorectal Surgery in Brazil

Campos, Fábio Guilherme; Valarini, Rubens

doi:10.1097/sle.0b013e3181a1193b

Cited by 13 publications

(4 citation statements)

References 27 publications

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“…Both laparoscopic and robotic approaches seem to have excellent short- and long-term results when compared to conventional access. Evidence suggests numerous MIS advantages, besides greater costs 26 . A meta-analysis of randomized clinical trials comparing laparoscopic and open rectal resection for cancer was performed by analyzing a total of 26 end points 27 .…”

Section: Minimally Invasive Techniquesmentioning

confidence: 99%

Current guidelines for the management of rectal cancer patients: a review of recent advances and strategies

Martinez,

Campos

2024

Rev. Assoc. Med. Bras.

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Section: Minimally Invasive Techniquesmentioning

confidence: 99%

Current guidelines for the management of rectal cancer patients: a review of recent advances and strategies

Martinez,

Campos

2024

Rev. Assoc. Med. Bras.

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“…Additionally, the incidence of inflammatory bowel disease rose from 9.4 cases per 100,000 in 2012 to 9.6 cases per 100,000 in 2020, and the prevalence increased from 30.0 to 100.1 cases per 100,000 [ 17 ]. It is also important to emphasise the high prevalence of diverticular disease and endometriosis, which account for more than 25% of surgical indications for minimally invasive colorectal operations in Brazil [ 18 ]. These figures indicate a significant health challenge and emphasise the importance of advanced surgical techniques, such as robotic-assisted procedures, to address these conditions effectively.…”

Section: Adoption Of Robotic Colorectal Surgery In Brazilmentioning

confidence: 99%

An Overview of Robotic Colorectal Surgery Adoption and Training in Brazil

Alves Martins,

Filho,

Ghezzi

et al. 2023

Medicina

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Background and Objectives: Robotic surgical systems have rapidly become integrated into colorectal surgery practice in recent years, particularly for rectal resections, where the advantages of robotic platforms over conventional laparoscopy are more pronounced. However, as with any technological advancement, the initial high costs can be a limiting factor, leading to unequal health service access, especially in middle- and lower-income countries. Materials and Method: A narrative review was conducted with the objective of providing an overview of the escalating adoption, current training programmes, and certification process of robotic colorectal surgery in Brazil. Results: Brazil has witnessed a rapid increase in robotic platforms in recent years. Currently, there are 106 robotic systems installed nationwide. However, approximately 60% of the medical facilities which adopted robotic platforms are in the Southeast region, which is both the most populous and economically prosperous in the country. The Brazilian Society of Coloproctology recently established clear rules for the training programme and certification of colorectal surgeons in robotic surgery. The key components of the training encompass theoretical content, virtual robotic simulation, observation, assistance, and supervised procedures in colorectal surgery. Although the training parameters are well established, no colorectal surgery residency programme in Brazil has yet integrated the teaching and training of robotic surgery into its curriculum. Thus far, the training process has been led by private institutions and the industry. Conclusion: Despite the fast spread of robotic platforms across Brazil, several challenges still need to be addressed to democratise training and promote the widespread use of these platforms. It is crucial to tackle these obstacles to achieve greater integration of robotic technology in colorectal surgery throughout the country.

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“…After this, the technique was analyzed for a long period of time to assess its oncological safety 1 , 20 . After 10 years of studies, laparoscopic colectomy was accepted as an alternative surgery for colorectal cancer 2 , 12 , 13 .…”

Section: Introductionmentioning

confidence: 99%

Adequate lymphadenectomy for colorectal cancer: a comparative analysis between open and laparoscopic surgery

Batista

Iglesias

Madureira

et al. 2015

ABCD, arq. bras. cir. dig.

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BackgroundIn the surgical treatment of colorectal cancer, a lymphadenectomy is considered adequate when at least 12 lymph nodes are removed.AimTo evaluate whether videolaparoscopic surgery positively affects the rates of adequate lymphadenectomy.MethodsAn observational study was conducted with patients undergoing either open or videolaparoscopic surgery for colorectal cancer between 2008 and 2013. The following variables were collected: gender, age, tumor site, histology, degree of differentiation, tumor stage, number of lymph nodes removed, and number of lymph nodes affected by the disease.ResultsA total of 62 patients with colorectal cancer were included; 42 (67.7%) received open surgery, and 20 (32.3%) laparoscopic surgery. Regarding lymphadenectomy, a mean of 13 lymph nodes (95% CI: 10-16) were removed in the group that received open surgery, while 19 lymph nodes were removed (95% CI: 14-24) in the laparoscopic surgery group (p=0.021). Adequate lymphadenectomy (removal of at least 12 lymph nodes) was achieved in 58.1% of the total cases, in 50.0% of the patients who received open surgery, and in 75% of those who received laparoscopic surgery. Non-elderly patients and those with an advanced disease stage were more likely to receive an adequate lymphadenectomy (p=0.004 and p=0.035, respectively).ConclusionDisease stage and patient age were the factors that had the greatest influence on achieving an adequate lymphadenectomy. The type of surgery did not affect the number of lymph nodes removed.

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Evolution of Laparoscopic Colorectal Surgery in Brazil

Cited by 13 publications

References 27 publications

Current guidelines for the management of rectal cancer patients: a review of recent advances and strategies

Current guidelines for the management of rectal cancer patients: a review of recent advances and strategies

An Overview of Robotic Colorectal Surgery Adoption and Training in Brazil

Adequate lymphadenectomy for colorectal cancer: a comparative analysis between open and laparoscopic surgery

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