Purpose of Review <p>The purpose of this review is to explore the evolution of robotic colorectal surgery, the current clinical record, emerging robotic platforms and the integration of artifical intelligence (AI)-enabled systems. By examining the current literature, this review aims to evaluate the present state and offer perspectives for future developments in robotic colorectal surgery.</p> Recent Findings <p>Recent randomized controlled trials and large-scale cohort studies have demonstrated that robotic colorectal surgery can offer significant advantages over laparoscopy, particularly in terms of technical feasibility, short-term recovery, and long-term oncologic and functional outcomes. Newer-generation robotic systems such as the da Vinci SP, da Vinci 5, Hugo RAS, Versius, and KangDuo have expanded the technological landscape and increased accessibility. Furthermore, AI-integrated surgical tools have enabled advances in preoperative risk stratification, intraoperative nerve and vessel identification, perfusion assessment using real-time imaging, and postoperative complication prediction, signaling a shift toward more data-driven and precision-focused colorectal surgery.</p> Summary <p>Robotic colorectal surgery continues to gain widespread adoption due to its superior imaging, improved maneuverability, and ergonomic advantages in technically challenging cases such as narrow pelvic anatomy or low rectal tumors. The emergence of next-generation robotic systems and the integration of AI-based technologies are reshaping surgical practice by improving surgical planning, intraoperative precision, and postoperative outcomes. Overall, current evidence suggests that robotic surgery represents a significant advancement beyond conventional laparoscopy and has the potential to further transform colorectal cancer care in the coming years.</p>

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Current Developments in Robotic Colorectal Cancer Surgery

  • Mert Gungor,
  • Almir Miftari,
  • Erman Aytac

摘要

Purpose of Review

The purpose of this review is to explore the evolution of robotic colorectal surgery, the current clinical record, emerging robotic platforms and the integration of artifical intelligence (AI)-enabled systems. By examining the current literature, this review aims to evaluate the present state and offer perspectives for future developments in robotic colorectal surgery.

Recent Findings

Recent randomized controlled trials and large-scale cohort studies have demonstrated that robotic colorectal surgery can offer significant advantages over laparoscopy, particularly in terms of technical feasibility, short-term recovery, and long-term oncologic and functional outcomes. Newer-generation robotic systems such as the da Vinci SP, da Vinci 5, Hugo RAS, Versius, and KangDuo have expanded the technological landscape and increased accessibility. Furthermore, AI-integrated surgical tools have enabled advances in preoperative risk stratification, intraoperative nerve and vessel identification, perfusion assessment using real-time imaging, and postoperative complication prediction, signaling a shift toward more data-driven and precision-focused colorectal surgery.

Summary

Robotic colorectal surgery continues to gain widespread adoption due to its superior imaging, improved maneuverability, and ergonomic advantages in technically challenging cases such as narrow pelvic anatomy or low rectal tumors. The emergence of next-generation robotic systems and the integration of AI-based technologies are reshaping surgical practice by improving surgical planning, intraoperative precision, and postoperative outcomes. Overall, current evidence suggests that robotic surgery represents a significant advancement beyond conventional laparoscopy and has the potential to further transform colorectal cancer care in the coming years.