Robotic APR: The latest and the best treatment for Low Rectal Cancer

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Robotic APR The latest and the best treatment
for Low Rectal Cancer
The most prevalent cancer in the world is
colorectal cancer (CRC). With more than 1.4
million new cancer cases each year, it is the
second most prevalent disease among women and
the third most common cancer among men. More than
half of CRC cases occur in wealthy nations,
showing a geographic variance in incidence rates.
Incidence rates in India are modest, at 7.2 per
100,000 for men and 5.1 per 100,000 for women.
The absolute number of CRC patients is high in a
nation with a population of more than a billion
people. India has one of the lowest rates of CRC
survival after five years, at less than
40. What is Rectal Cancer Cancer that starts in
the rectum is called rectal cancer. The large
intestines final few inches are known as the
rectum. Your colons final section marks the
beginning of this passageway, which stops when
it reaches the short, confined passageway leading
to the anus. Colorectal cancer, also known as
rectal cancer and colon cancer, is a term that
is frequently used interchangeably. While rectal
and colon tumours share many characteristics,
their approaches to treatment differ
greatly. This is primarily due to how closely
the rectum is located to other organs and
structures. Rectal cancer removal surgery may be
challenging due to the restricted area within the
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pelvis. Rectal cancer survival rates have
significantly increased as a result of recent
advancements in treatment. Abdominoperineal
Resection (APR) is the surgery offered for low
rectal cancers. What is APR Surgery During an
abdominoperineal resection (APR), the sigmoid
colon, rectum, and anus are surgically excised.
Rectal cancer that is very low in the rectum is
most frequently treated with this treatment. The
back canal and the bowel-controlling muscles will
both be removed. The remaining portion cannot be
repaired and the bowel reconnected. Thus a
permanent colostomy is required. One needs to
wear a bag over the colostomy. Faeces from your
body will travel through this. A stoma is the
name for the portion of the intestines that is
brought out as a conduit through the abdomen. APR
surgery is done after one has finished
chemotherapy and/or radiation treatments for most
of the rectal cancers Technological Advances in
the management of Low Rectal Cancer Abdominoperin
eal resection (APR) procedures have been much
less common over the past ten years, largely as
a result of technical developments, the
requirement for narrower distal margins, and the
development of excellent stapling
devices. Despite this, APR is still the best
course of action for older patients with poor
baseline functional and respiratory capacity who
have rectal cancer that involves the sphincter
complex or that cannot be excised with adequate
distal resection margins. After
chemoradiotherapy, APR continues to be the go-to
treatment for anal canal squamous cell carcinoma
that is persistent or recurrent. What is
Minimally Invasive Rectal Surgery The standard
procedure for rectal cancer surgery today is
minimally invasive rectal surgery (MIRS).
Although a laparoscopic technique is used in
this, new paradigms for APR have been created
with the advent of robotic systems. Some of the
drawbacks of traditional laparoscopic rectal
surgery are solved by a robotic-assisted
technique.
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What is Robotic Surgery for rectal cancer Robotic
surgery is a type of minimally invasive surgery
that is made available to remove rectal cancer.
Surgery uses small incisions, similar to other
minimally invasive procedures, which can lower
the risk of complications compared to open
surgery or large incision procedures. Robotic
surgery, however, is a more modern procedure that
involves very expensive and sophisticated
equipment. The surgeon uses a high- definition
three-dimensional camera, miniature equip ment,
and very small incisions in the abdomen to do
surgery using the robotic system. In certain
cases, skin incisions are not even necessary. The
surgeon will then control those instruments to
carry out the procedure from a nearby console.
Imagine the robotic system as a supercomputer
that translates the actions of the surgeon into
real-time, allowing for more precision. The
surgeon utilizes the master controls at the
surgeon console to operate the instruments
during the surgery when it is robotically
assisted. The instruments inside your body are
controlled by a computer that interprets the
actions of the surgeon to those of the tools. The
surgical system reacts to commands from the
surgeon, who controls the robot the entire time.
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What are the advantages of Robotic Surgery over
laparoscopic method for Rectal cancer The da
Vinci surgical robotic system provides a clear
surgical advantage over conventional
laparoscopic tools thanks to its improved
instrument stability, tridimensional vision, and
dexterity with more degrees of wristed motion.
This benefit is particularly noticeable in the
deep pelvis, where the restricted working area
and visibility make distal rectal dissection
quite difficult. Additionally, this solid
surgical platform allows for precise and fine
dissection in this area under the surgeons full
control. There are other systems too but da
Vinci system is the most popular till now. What
are the benefits of Robotic Rectal Surgery Rectal
cancer treatment using robots provides a number
of different benefits. Robotic- assisted surgery
is the best option for treating distal rectal
malignancies due to the obvious advantages of
the enlargement and visualization as well as the
enhanced dexterity in confined spaces like the
true pelvis. Short-term results, according to
recent literature, are equivalent to
laparoscopic surgery.
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A few disadvantages of Robotic Rectal Surgery The
cost and greater operating time are probably the
biggest obstacles to more widespread adoption of
robotic surgery. However, as surgeons are
becoming more efficient, robotic surgery for
certain organs offer many advantages. APR for
rectal cancer is one such organ. The surgeon is
offered a 3D vision, superb magnification in
very limited space and instrument movements which
are so precise that the surrounding structures
like prostate, seminal vesicles and nerves
controlling micturition and ejaculation are
preserved better than conventional or
laparoscopic surgery. This results in much
better outcomes and a fairly uneventful recovery
after surgery. The chances of tumor coming back
are also reduced due to this precise
surgery. Summary Thus, rectal cancer lying low
requiring APR surgery can be managed by Robotic
Surgery with lot of benefits. Since this location
is in a very small area surrounded by many vital
structures, use of robotic surgery helps in being
very precise due to a 3D view and good
magnification. Whenever possible, Robotic APR
surgery is fast becoming the surgery of
choice Dr. Rajeev Kapoor is a colorectal surgeon
based in Mohali, who performs robotic APR
surgery for low Rectal cancers. He is a highly
experienced. Contact 91-9876-507-444 to
schedule a consultation. Contact Us CONTACT
US Dr. Rajeev Kapoor Address Fortis Hospital
Sector 62, Mohali 160062 Punjab India
https//drrajeevkapoor.com/ 91 9876-507-444
rkap01_at_gmail.com