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Robotic & Laparoscopic Surgery in Oncology: What the patient should know

Minimally invasive surgery has radically changed the way many digestive system cancers are treated today. Laparoscopic and robotic surgery offer significant advantages for both the patient and the surgeon, combining smaller surgical trauma, faster recovery and high surgical precision.

Although many patients wonder which of the two techniques is better, the reality is that these are two modern methods that often work complementary, with the choice depending on the nature of the disease, the patient’s anatomy and the experience of the surgical team.

Robotic surgery: the evolution of laparoscopy

Robotic surgery does not replace the surgeon. On the contrary, it is a technological evolution of laparoscopic surgery, offering greater precision and flexibility of movements.

Robotic tools have more degrees of freedom, allowing movements that resemble those of the human hand even in very limited anatomical spaces. At the same time, the high-definition 3D image and the absolutely stable camera offer excellent visibility and detail during the operation.

These advantages are particularly important in operations performed in difficult anatomical areas, such as the rectum low in the pelvis or areas near the diaphragm, where the available space is limited.

Better oncological results and faster recovery

The transition from open surgeries to minimally invasive techniques was not only made for reasons of patient comfort.

Large international studies have now proven that laparoscopic and robotic operations can offer at least equal and in many cases better oncological results. The magnification of the image allows the surgeon to more accurately identify the boundaries of the tumor and perform more detailed surgical procedures.

At the same time, smaller incisions translate into less postoperative pain, less blood loss, faster mobilization and a shorter return to daily activities.

Colorectal and rectal cancer

In colorectal cancer, minimally invasive surgery is now established practice. Particularly in cases of rectal tumors, robotic technology offers significant advantages, as it allows extremely precise manipulations within the limited space of the pelvis.

Better visibility and flexibility of the instruments contribute to the preservation of important anatomical structures and the optimization of the oncological outcome, without compromising the safety of the operation.

Stomach Cancer

In stomach cancer, robotic surgery offers additional capabilities during lymph node dissection, which is a key part of oncological treatment.

The use of special imaging technologies, such as ICG dye and infrared light imaging, allows for more precise identification of the lymph nodes to be removed. This helps the surgeon perform more targeted operations, while maintaining maximum safety for the patient.

The same technology also contributes to the control of tissue perfusion before intestinal anastomoses, significantly reducing the risk of leakage, one of the most serious complications of these operations.

The importance of specialization

Although technology offers impressive capabilities, the success of an operation still depends largely on the experience and specialization of the surgical team.

Proper training in minimally invasive techniques is crucial, as modern tools can only provide maximum benefit when used by surgeons with experience and expertise in oncological surgery.

Prevention remains the most important ally

Despite spectacular advances in treatment, the biggest problem remains late diagnosis. Symptoms such as persistent changes in bowel habits, blood in the stool, abdominal pain or unexplained weight loss should not be ignored.

Timely colonoscopy and gastroscopy, according to modern guidelines and individual family history, can lead to diagnosis at an early stage, when the chances of complete cure are significantly higher.

Technology has provided surgeons with powerful tools. However, the most important step is still the patient’s timely visit to the specialist, so that treatment can be carried out at the right time and under the best possible conditions.

Author

Stratoulias Konstantinos

Stratoulias Konstantinos

Surgeon, Director of the Laparoscopic Surgery & Surgical Oncology Clinic, Athens Medical Center

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