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International Session (Symposium) 6 (JSGS・JSGE・JGES)
Fri. November 2nd   14:40 - 17:00   Room 13: Kobe International Conference Center International Conference Room
IS-S6-Keynote Lecture
The Future of Robotic Gastroenterological Surgery
Chung-Nagi Tang
Department of Surgery, Pamela Youde Nethersole Eastern Hospital
Interest in laparoscopic surgery has increased in last two decades. Previous series have demonstrated the safety and feasibility of laparoscopy for many aspects of general surgery particularly in gastroenterological procedures and this approach results in faster recovery and less surgical site infection. Laparoscopy is now considered a standard approach in many general operations like colorectal resection, cholecystectomy, adrenalectomy etc. However, there are still a lot of limitations of conventional laparoscopy for complicated situations in view of steep learning curve and limited dexterity as a result trocar location and its associated fulcrum effect.
The recent introduction of robotic surgical systems has revolutionized the field of minimally invasive surgery. It is developed to overcome the disadvantages of conventional laparoscopic surgery. Robotic surgical systems can enhance a surgeon’s dexterity in a narrow surgical field through a magnified three-dimensional view, instruments with seven degrees of freedom, and intuitive hand-control movements. The robotic devices can also shorten the learning curve of difficult laparoscopic procedures for inexperienced laparoscopic surgeons and enable expertise to conduct more complex laparoscopic procedures easily. In clinical practice, the robotic system has broadened the indications of minimally invasive surgery into the more complex procedures.
Increased surgeon familiarity with this approach will improve likely leading to greater adoption and acceptance in the future. Further improvement of instrumentation and advances in image integration allow more refined surgery can be precisely performed. Last but not least, more industry competition is crucial to enhance further popularization as a result of cost reduction.
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