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Robot-Assisted Low Anterior Resection Surgery

Robotic low anterior resection has revolutionised the rectal cancer treatment. This robot-assisted procedure combines robotic systems' precision with minimally invasive surgery benefits. Studies have shown impressive advantages from robotic-assisted procedures when compared to traditional laparoscopic approaches. Robot-assisted procedures help patients recover quicker. Data from research and meta-analyses demonstrates a reduced need to switch to open surgery when a robotic system is used.

This article covers everything about robotic low anterior resection, its indications, pre-procedure cautions, and post-procedure care. 

Why CARE Group Hospitals is Your Top Choice for Robotic Low Anterior Resection Surgery in Hyderabad

People recognise CARE Hospitals for their skill in using robot-assisted surgeries. They introduced innovative Hugo and Da Vinci X robotic systems. This advancement in technology raises the level of care that patients receive to new heights.

Our hospital has a team of highly trained surgeons specialising in robotic low anterior resection procedures. Our expertise in treating colorectal conditions makes CARE Hospitals the ideal choice. The exclusive operation theatre complex has been redesigned specifically for robot-assisted surgeries to deliver optimal outcomes.

Innovative Surgical Innovations at Care Hospital

CARE Hospital's robot-assisted systems provide remarkable advantages:

  • High-definition 3D—This high-definition technology provide superior visualisation
  • Robotic arms with extreme flexibility—This enables precise movements
  • Open console—This enables the surgeons stay close during the procedure

Indications for Robotic Low Anterior Resection Surgery

Doctors recommend this procedure to treat:

  • Colorectal cancer (both colon and rectal)
  • Inflammatory bowel disease
  • Diverticular disease

Robotic Low Anterior Resection Procedure Approach

Low anterior resection stands out as the most common robot-assisted colorectal procedure. Surgeons remove the cancerous portion of the rectum while preserving normal bowel function. This technique helps surgeons reconnect healthy parts of the intestine and often eliminates the need for a permanent colostomy.

Pre-Surgery Preparation

  • Patients need mechanical bowel cleansing 24 hours prior to the robotic low anterior resection surgery. 
  • Blood tests, imaging, and other pre-surgical tests are essential. 
  • Surgeons usually mark possible stoma sites before the procedure.
  • The surgical team administers antibiotics to the patient as per the surgical instructions. 
  • Doctors administer general anaesthesia in order to control the pain during the procedure.

Robotic Low Anterior Resection Procedure

The da Vinci Surgical System requires multiple small abdominal incisions. The surgical team places patients in a modified Lloyd Davis position with Trendelenburg tilt. Surgeons remove the rectum's cancerous portion and nearby lymph nodes during the procedure.

Post-surgery Recovery

  • Patients stay in the hospital for 4-7 days. 
  • Patients pass flatus earlier compared to laparoscopic surgery (2 days vs 3 days). 
  • The robot-assisted surgery patients were instructed to have a fluid diet initially, followed by the soft and solid diet.
  • Normal activities can be resumed within 3-6 weeks.

Risks and Complications

Complications are rare and minimal with the robot-assisted procedure. These rare and possible complications might include:

  • Leakage at the surgical connection (Anastomotic leakage)
  • Blood loss
  • Infections
  • Trouble with urination
  • Issues with sexual function
  • Blocked intestines
  • Blood clots in deep veins (DVT)
  • Blood clots travelling to the lungs (pulmonary embolism)
  • Damage to nearby organs
  • Problems with wound healing
  • Temporary bowel paralysis (ileus)
  • Development of an abnormal connection between tissues (fistula)
  • Narrowing at the surgical joint (stricture)
  • Hernia where the surgical tools were inserted

Benefits of Robotic Low Anterior Resection Surgery

Here is a list of advantages of robotic low anterior resection surgery:

  • More precise technique
  • Less blood loss
  • Small cuts required
  • Fewer chances of infection
  • Quicker recovery time
  • Shorter time spent in the hospital
  • Decreased pain after surgery
  • Superior view during procedure
  • Improved protection of nerves
  • Less noticeable scars
  • Quicker return to daily life
  • Higher accuracy in anastomosis
  • Patients also face lower risks of conversion to open surgery.

Insurance Assistance for Robotic Low Anterior Resection Surgery

Insurance coverage exists for this procedure, though benefits vary by region. Our hospital's insurance team works to explain your policy coverage, eligibility, and required paperwork. They handle communication with insurers to get pre-authorization, process claims, and secure approvals. This helps avoid delays and makes things less complicated.

Second Opinion for Robotic Low Anterior Resection Surgery

Getting another opinion to decide on robotic low anterior resection surgery allows you to understand your treatment better. CARE Hospitals provides skilled surgeons who take time to examine your case, break down the available choices, and give advice that fits your specific health needs. This helps you feel more certain about the process, better understand it, and choose the right care plan to heal.

Conclusion

Robotic low anterior resection has revolutionised rectal cancer treatment. Patients recover faster, start eating sooner, and leave the hospital earlier than with conventional approaches. The surgical robots at CARE Hospitals enable doctors to operate with precision through minimal incisions, which speeds up patient recovery.

Every rectal cancer patient should have access to the most effective treatments available. Many insurance plans now cover this state-of-the-art procedure. Patients who feel uncertain about their treatment options should ask for a second opinion to discover more possibilities.

Robot-assisted systems continue to evolve with promising developments. CARE Hospitals remains at the vanguard of combining human expertise with robot-assisted precision to help patients overcome rectal cancer.

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Frequently Asked Questions

Robotic low anterior resection removes cancerous parts of the rectum using advanced robotic systems. The technique gives surgeons 3D high-definition views (10 times human eye magnification), wrist-articulated instruments with seven degrees of motion, and tremor filtering technology.

Yes, this is a major surgery that needs general anaesthesia. The procedure removes the diseased section of the rectum and reconnects the healthy bowel.

The overall complication rate is very low, while severe complications occur in only some of the cases. This makes it relatively safe compared to traditional approaches.

Colorectal cancer stands as the main reason for this procedure.

The operation usually takes about 4 hours. Studies show operating times can vary based on the procedure's complexity.
 

Possible complications include:

  • Anastomotic leakage (most common)
  • Infection
  • Bleeding
  • Bowel obstruction
  • Urinary problems

Full recovery usually takes 3-6 weeks. Hospital stays typically last 4-7 days.

Patients need less pain medication after robot-assisted surgery compared to open and conventional laparoscopic approaches. Most patients manage pain with just mild analgesics or NSAIDs in the first 24 hours.

The best candidates are the persons having early- to mid-stage rectal tumors that haven't spread extensively to other organs. The tumor's location must be high enough in the rectum so surgeons can safely remove it without damaging the anus. Apart from these, the patient's overall health also plays a vital role in successful outcomes.

You can resume normal activities within 2-4 weeks. Driving becomes possible after 2 weeks following keyhole surgery or 4 weeks after open procedures. Your body needs at least 6 weeks before attempting heavy lifting.

Health insurance now covers part of the Da Vinci surgery costs for rectal procedures. Coverage differs by region, so talk to your financial counselors before planning the procedure in order to get the detailed information regarding the coverage and claims.

Doctors don't recommend complete bed rest. The best approach combines short periods of light activity with rest to prevent blood clots. You should start gentle walking right after surgery as per the surgeon’s advice.

Patients typically experience:

  • Normal activities resume within two weeks
  • Less pain compared to traditional surgery
  • Faster bowel function recovery
  • Possible Low Anterior Resection Syndrome (LARS)

High-fibre foods help manage LARS symptoms. On top of that:

  • Limit livestock and poultry meat intake 
  • Limit oil consumption 
  • You might need to avoid cow's milk products
  • Include foods that thicken stool: bananas, cheese, white rice

Doctors use a specialised questionnaire scoring system (0-42 points) that checks:

  • Flatus control (0-7 points)
  • Liquid stool incontinence (0-3 points)
  • Bowel movement frequency (0-5 points)
  • Stool clustering (0-11 points)
  • Urgency (0-16 points)

The scores place patients into three categories: non-LARS (0-20), minor LARS (21-29), or major LARS (≥30).

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