| Regarding colorectal cancer surgery, more than 70% are performed by laparoscopic surgery (LS) in Japan. For rectal cancer, LS could be beneficial for precise dissection and mobilization of rectum under telescopic and magnified view. Additionally, we have demonstrated that systematic and step-by-step approach could lead to its safe anastomosis . Regarding robotic surgery (RS). It seems to be advantageous to the patients with fatty narrow pelvis, ISR and some other demanding cases like lateral lymphadenectomy. However, In Japan, RS has not been applied so much yet, because of its high cost , no national health insurance coverage, no tactile sensation, etc. We have started to apply 3D laparoscope to the colorectal cancer surgeries since 2013. As with the advancement of our techniques and supporting devices like smart scope holder, we have realized the unexpected tactile sensation with stable 3D high vision imaging which could make our operation simple with reducing the operative time and cost. Moreover, combination with TAMIS could be very good option for upgrading ISR. We believe that surgeons' creative mind must be the key to advance future innovations. Let's make laparoscopy better than robot ! |
