<?xml version="1.0" encoding="UTF-8" ?>
<feed xmlns="http://www.w3.org/2005/Atom">
    <title>Inventons la chirurgie du futur | Cairn.info</title>
    <icon>https://shs.cairn.info/build/assets/cairn-B7RWiji2.png</icon>
    <id>tag:cairn.info,2005:rss/liste-lecture/533905</id>
    <rights>Cairn.info 2026</rights>

    <link href="https://shs.cairn.info/rss/liste-lecture/533905" rel="self" type="application/atom+xml" />
    <link href="https://shs.cairn.info?lang=en" type="text/html" />

    <updated></updated>

                            <entry>
    <id>tag:cairn.info,2005:article:CPSY_022_0011</id>
    <title type="html"><![CDATA[
        L'ordinateur dans la pratique de soins&#160;: de la chirurgie au
soin psychologique assistés par ordinateur |
        La réalité virtuelle
                    | Champ psychosomatique
            (2001/2 n<sup>o</sup> 22)
            ]]></title>
        <link href="https://shs.cairn.info/revue-champ-psychosomatique-2001-2-page-11?lang=fr" type="text/html" rel="alternate" />
    <published>2001-05-01T00:00:00+02:00</published>
    <updated>2025-03-18T11:19:49+01:00</updated>
            <summary type="html"><![CDATA[Aiming both improved therapy and quality insurance, for several
decades, healthcare has introduced informatics as a basic tool for
patient care. This was in a first stage by developing Hospital
Information Systems and PACS (Picture archiving systems), whilst at
the same time, imaging capabilities evolved dramatically with the
increase of computing power allowing to build 3D models of patients
(CT scan or MRI for instance). More recently the clinician gesture
also evolved with the introduction of computers in the healthcare
centers. Thanks to mutli-modal image fusion the radiologist has
been able to improve and to make his diagnosis more reliable. He
also has been able to make virtual exams (a coloscopy for instance)
from another exam such as a CT. In a similar way, during surgery
the surgeon can access recorded anatomical data in order to analyze
the position of the surgical tool relatively to organs and
structures that he can no longer see directly because of minimal
access. Computer-aided surgery may also involve the use of
image-guided robots which assist the surgeon for very precise
interventions in micro-surgery; this domain is called “augmented
surgery”. Far from this technical aspect of surgery, the computer
may also participate to the most intimate relation between the
patient and the clinician. This is the case for instance of “quot,
virtual therapies”; for which virtual reality techniques are used
by the therapists to help them during the treatment of people
suffering for instance of phobias. This is also the case of
therapists taking benefit of the very particular type of
relationships arising from the Internet and developing
“cyber-therapies”. The objective of this paper is to give an
overview of these computer-aided therapies and to discuss their
similarities.]]></summary>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:JDSAM_233_0013A</id>
    <title type="html"><![CDATA[
        Le point de vue des ingénieurs biomédicaux |
        Robotique et santé
                    | Journal du Droit de la Santé et de l’Assurance - Maladie
            (2023/3 N° 38)
            ]]></title>
        <link href="https://droit.cairn.info/revue-journal-du-droit-de-la-sante-et-de-l-assurance-maladie-2023-3-page-13a?lang=fr" type="text/html" rel="alternate" />
    <published>2024-01-22T00:00:00+01:00</published>
    <updated>2025-03-18T11:19:49+01:00</updated>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:JDSAM_233_0005A</id>
    <title type="html"><![CDATA[
        «&#160;IA, robot et santé&#160;», le regard d’un professionnel du
droit |
        Robotique et santé
                    | Journal du Droit de la Santé et de l’Assurance - Maladie
            (2023/3 N° 38)
            ]]></title>
        <link href="https://droit.cairn.info/revue-journal-du-droit-de-la-sante-et-de-l-assurance-maladie-2023-3-page-5a?lang=fr" type="text/html" rel="alternate" />
    <published>2024-01-22T00:00:00+01:00</published>
    <updated>2025-03-18T11:19:49+01:00</updated>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:JIB_282_0131</id>
    <title type="html"><![CDATA[
        Chapitre 7. La technicisation de la chirurgie représente-t-elle un
danger&#160;? |
        Risque et complexité
                    | Journal international de bioéthique et d&#039;éthique des sciences
            (2017/2 Vol. 28)
            ]]></title>
            <subtitle type="html">
            <![CDATA[Entre regret et perspectives d’avenir]]>
        </subtitle>
        <link href="https://stm.cairn.info/revue-journal-international-de-bioethique-et-d-ethique-des-sciences-2017-2-page-131?lang=fr" type="text/html" rel="alternate" />
    <published>2017-10-13T00:00:00+02:00</published>
    <updated>2025-03-18T11:19:49+01:00</updated>
            <summary type="html"><![CDATA[Technicization of surgery, a real danger&#160;?Technicized medicine
foreshadows a dehumanisation of care&#160;: patients are seen as
tools for progress, and doctors are focused on the therapeutical
means to be developed. Therefore, surgeons are torn between their
desires, as technicians, to improve their tech-nical skills, and
their duty, as doctors, to look after each patient who needs care.
The advent of laparaoscopy has changed the way doctors consider
their patients’ bodies. The current state of surgery is in crisis
insofar as humanist surgery can no longer meet the aspirations of
modern surgery. This inadequacy puts surgeons in a difficult
position, especially those who fear that their jobs will turn them
into pure technicians. The ethical and esthetic dimensions of
surgery are changing, and that’s why we need a new approach to the
profession. The new ethical dimension must result in a new
intellectual attitude that accepts the ambiguity of modern
technology, a source of both progress and peril. Surgeons must
constantly adopt a critical stance in the analysis of their
decisions, in order to treat patients instead of considering them
as mere tools used for medical progress. The new esthetic dimension
must comprehend and define a new surgical scenery. Surgery is
changing. Surgeons must evolve with their times and means, and keep
their fundamental legacy in mind, that which places patients at the
center of their intentions.]]></summary>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:LAE_042_0016</id>
    <title type="html"><![CDATA[
        Chirurgie et robotique |
        Varia
                    | Laennec
            (2004/2 Tome 52)
            ]]></title>
        <link href="https://stm.cairn.info/revue-laennec-2004-2-page-16?lang=fr" type="text/html" rel="alternate" />
    <published>2004-08-01T00:00:00+02:00</published>
    <updated>2025-03-18T11:19:49+01:00</updated>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:HERM_PIERR_2021_01_0099</id>
    <title type="html"><![CDATA[
        II. Le numérique et le soin |
        Philosophie du soin
                    (2021)
            ]]></title>
            <subtitle type="html">
            <![CDATA[]]>
        </subtitle>
        <link href="https://shs.cairn.info/philosophie-du-soin--9791037006769-page-99?lang=fr" type="text/html" rel="alternate" />
    <published>2021-06-09T00:00:00+02:00</published>
    <updated>2025-03-18T11:19:49+01:00</updated>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:MAV_100_0209</id>
    <title type="html"><![CDATA[
        Les défis socio-économiques liés à la chirurgie robot-assistée dans
les blocs opératoires&#160;:&#160;espaces d’échanges et artefacts
médiateurs |
        Les mutations socio-économiques des acteurs de la santé
                    | Management &amp; Avenir
            (2018/2 N° 100)
            ]]></title>
        <link href="https://shs.cairn.info/revue-management-et-avenir-2018-2-page-209?lang=fr" type="text/html" rel="alternate" />
    <published>2018-07-04T00:00:00+02:00</published>
    <updated>2025-03-18T11:19:49+01:00</updated>
            <summary type="html"><![CDATA[The arrival of robotics in surgery modifies the activity of the
operating block teams. It engenders a spatial reconfiguration of
the block and has an impact on the functioning of the working team
in particular at the level of the communication and of the
organization of the work. The researches in the domain highlight
the interest of the surgery check list and the development of
non-technical skills by insisting on the training and their
evaluation in particular in an objective of performance. In a more
global frame of Expansive Learning and by means of a pragmatic
approach, we propose a different solution&#160;: the creation of a
space of exchanges mediated by artefacts to transform the practices
within the operating block.]]></summary>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:SAVO_060_0031</id>
    <title type="html"><![CDATA[
        Enjeux croisés de formation des acteurs et de résilience en
chirurgie urologique assistée par un robot |
        Varia
                    | Savoirs
            (2022/3 N°&#160;60)
            ]]></title>
        <link href="https://shs.cairn.info/revue-savoirs-2022-3-page-31?lang=fr" type="text/html" rel="alternate" />
    <published>2023-03-07T00:00:00+01:00</published>
    <updated>2025-03-18T11:19:49+01:00</updated>
            <summary type="html"><![CDATA[The health care sector is currently undergoing numerous
transformations, particularly technological, with the development
of surgical robotics. In this context, issues of patient safety and
staff training are intertwined, and the challenges are multiple:
guaranteeing patient health while ensuring the initial and
continuing training of the stakeholders. They are discussed from
the point of view of the reliability and resilience of the
socio-technical system, which leads us to put an emphasis on the
guidance strategies of the intern, the functioning of the group,
the identification of the surgeon’s moments of overload and the
resources available for resilience. These results lead to
reflections on the training of the actors and particularly that of
interns in the operating room.]]></summary>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:EHESP_BABIN_2020_01_0109</id>
    <title type="html"><![CDATA[
        9. Où en est l’intelligence artificielle dans la santé aujourd’hui
et demain&#160;? |
        La <i>e</i>-santé en question(s)
                    (2020)
            ]]></title>
        <link href="https://stm.cairn.info/la-e-sante-en-questions--9782810907533-page-109?lang=fr" type="text/html" rel="alternate" />
    <published>2020-02-03T00:00:00+01:00</published>
    <updated>2025-03-18T11:19:49+01:00</updated>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:TH_732_0123</id>
    <title type="html"><![CDATA[
        Étude de l'impact des nouvelles technologies sur les modes de
coopération des chirurgiens par l'analyse des communications sur le
terrain |
        Varia
                    | Le travail humain
            (2010/2 Vol. 73)
            ]]></title>
        <link href="https://shs.cairn.info/revue-le-travail-humain-2010-2-page-123?lang=fr" type="text/html" rel="alternate" />
    <published>2010-06-18T00:00:00+02:00</published>
    <updated>2025-03-18T11:19:49+01:00</updated>
            <summary type="html"><![CDATA[SummaryThis study aimed to analyse the impact of the introduction
of new technologies into the complex and dynamic field of surgery,
according to the expertise involved. The medical sector is one of
the most investigated in ergonomics and work psychology studies.
Indeed, the study of this phenomenon is not new. However, our
research remains relevant because of the rapid introduction of new
technology in surgery (together with a lack of studies on its
organisational impact), and the implication of new technology for
the training of surgeons and risks for patients. Furthermore, our
conclusions might be extended to other complex work
situations.Surgery has evolved considerably. As a consequence, many
interventions are now performed by laparoscopy. In this procedure,
a camera and surgical instruments are introduced into very small
incisions in the skin and surgeons guide their movements by
watching a 2D screen. Such a technique has disadvantages
(principally, the view is 2D and instruments have low dexterity).
The introduction of a new robotic system (Da Vinci Robotic System)
eliminates these disadvantages and offers some essential
advantages. However, it also gives rise to many changes and new
constraints in the way that surgeons operate, as well as changes to
the role and status of all actors. With this system, the surgeon is
isolated and operates with a 3D view and high dexterity
instruments, while the rest of the team has to manage with a 2D
view and instruments with very low dexterity. With regard to these
aspects, the new system may generate different situational
references for each actor and might be at the origin of new human
errors.In this context, we evaluated the adaptation processes and
the changes produced by this system using communication analysis.
In an initial field study, we evaluated the impact of its
introduction on short-term adaptation processes through a
comparison of the communications made during a classical
laparoscopy and those made when using the robotic system. In a
second study, we analysed the difference between novices and
experts using this system in order to emphasize the long-term
adaptation evolution and the steps taken in training to use this
system.Our results showed that the robotic system was more complex
and necessitated a long adaptation time when subjects were novices.
This complexity led to an increase in the communications made
between the team members in order to construct common action
references, despite diverse quality images. Our data from the
second study showed that all categories of communication do not
have the same role in the adaptation process and that their
occurrence varied according to the level of expertise. Indeed, the
novice-expert comparison allowed us to emphasize which
communications were necessary in the learning phase and which
communications were permanent and thus useful for experts too. We
showed that the communications might be categorized into two main
types: (1) communications necessary for learning, which disappeared
with expertise; these communications relate to spatial orientation
and manipulation, (2) communications relating to order and
confirmation, which did not decrease and seemed to be indispensable
for accurate cooperative work and common situation awareness. These
communications show an accommodation process that transforms the
activity through work division. This last finding is relevant
because robotic surgery is similar to remote control situations in
which communications constitute the only way to construct a
situational reference that is the same for all involved actors.]]></summary>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:JDSAM_233_0048</id>
    <title type="html"><![CDATA[
        La certification des robots chirurgicaux |
        Robotique et santé
                    | Journal du Droit de la Santé et de l’Assurance - Maladie
            (2023/3 N° 38)
            ]]></title>
        <link href="https://droit.cairn.info/revue-journal-du-droit-de-la-sante-et-de-l-assurance-maladie-2023-3-page-48?lang=fr" type="text/html" rel="alternate" />
    <published>2024-01-22T00:00:00+01:00</published>
    <updated>2025-03-18T11:19:49+01:00</updated>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:MAORG_038_0105</id>
    <title type="html"><![CDATA[
        Les impacts du robot chirurgical sur l’activité des blocs
opératoires |
        La santé connectée
                    | Marché et organisations
            (2020/2 n° 38)
            ]]></title>
            <subtitle type="html">
            <![CDATA[]]>
        </subtitle>
        <link href="https://shs.cairn.info/revue-marche-et-organisations-2020-2-page-105?lang=fr" type="text/html" rel="alternate" />
    <published>2020-05-19T00:00:00+02:00</published>
    <updated>2025-03-18T11:19:49+01:00</updated>
            <summary type="html"><![CDATA[We are interested in this article in the impact of the introduction
of a technology such as the surgical robot on the activity that
takes place in an operating room located within a Regional
University Hospital Center of the Grand Est region (France).From a
pragmatist perspective aiming at the coconstruction of meaning with
the actors of the field, we carried out a documentary research on
the subject, observations within the operating room, video
recording and photographs of a three-hour urology surgery,
selfconfrontation interviews with the team members who have
participated in the filmed intervention as well as an
interprofessional and interdisciplinary workshop on the surgical
robot.The analysis of the data produced yielded several results.
First of all, we highlighted the underlying logic and the specific
effects of the surgical robot. These specific effects of the robot,
however, must be qualified to the extent that some of them can be
modulated by the implementation of discussion spaces dedicated to
work-based learning. Finally, the organizational redesign that
coincides with the introduction of the surgical robot is
constrained by the application of the rules of the new public
management in the hospital studied.JEL Codes&#160;: I100, L200, M1.]]></summary>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:TH_842_0167</id>
    <title type="html"><![CDATA[
        Impacts de la chirurgie assistée par robot sur le travail d’équipe
au bloc opératoire&#160;: analyse systématique de la littérature |
        Varia
                    | Le travail humain
            (2021/2 Vol. 84)
            ]]></title>
        <link href="https://shs.cairn.info/revue-le-travail-humain-2021-2-page-167?lang=fr" type="text/html" rel="alternate" />
    <published>2021-06-14T00:00:00+02:00</published>
    <updated>2025-03-18T11:19:49+01:00</updated>
            <summary type="html"><![CDATA[Robot Assisted Surgery (RAS) is a new form of surgery designed to
simplify minimally invasive surgery and improve surgical outcomes
for the patient. Studies have demonstrated some clinical benefits
for the patients and working comfort for the surgeon. However,
limitations and challenges have been identified concerning both the
technical and non-technical aspects. Specifically, since, with such
systems, the surgeon is located on a console away from the
operating table, communication and situation awareness are
fundamentally affected. If the influence of RAS has largely been
studied for technical and procedural aspects, fewer studies have
examined its influence on non-technical aspects (i.e., teamwork,
communication, leadership, situation awareness, decision
making).The aim of this article was to examine how the RAS has an
influence on non-technical aspects. A systematic review, was
conducted in accordance with PRISMA guidelines, aimed to review
current research in RAS, specifically pertaining to the
non-technical aspects. PsycInfo and Medline databases were queried
for relevant articles published through 2010. Of the 617
publications identified, 43 were assessed for eligibility and 30
were finally included in the qualitative synthesis. Overall, the
study of the influence of RAS on the non-technical skills is
recent.The results revealed that RAS focused mainly on urological
and gynecological surgeries, and the personnel studied is the
surgeon, instrumental nurses and chirurgical assistants. The
methods used are mainly observation and questionnaire, and few
standardized tools are used. The non-technical skills studied are
relative to communication and teamwork, and fewer studies examined
cognitive skills relative to decision making or situation
awareness. The results of selected studies provide some
recommendations (e.g., fixed team setting up, training the
healthcare professionals, checklist and communication protocol) to
resolve the challenges created by the RAS. Following this
systematic review, research perspectives are suggested.]]></summary>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:MTG_251_0025</id>
    <title type="html"><![CDATA[
        Chirurgies de l’azoospermie obstructive |
        Janvier-Février-Mars 2023
                    | Médecine de la Reproduction
            (2023/1 Vol. 25)
            ]]></title>
        <link href="https://stm.cairn.info/revue-medecine-de-la-reproduction-2023-1-page-25?lang=fr" type="text/html" rel="alternate" />
    <published>2023-01-01T00:00:00+01:00</published>
    <updated>2025-03-18T11:19:49+01:00</updated>
            <summary type="html"><![CDATA[<i>In case of infertility due to obstructive azoospermia (OA), 2
main attitudes can be discussed: perform reconstructive surgery or
perform epididymal or testicular sperm extraction followed by
intracytoplasmic sperm injection (ICSI). Reconstructive surgeries
include vasovasostomy (VV) and vasoepididymostomy (VE) and are the
only option leading to natural conception. They cannot be
considered in cases of bilateral absence of the vas deferens, or in
cases of staged obstructions. They are particularly effective in
cases of short obstructions such as after vasectomy. The average
patency rate after vasectomy reversal is about 80 %, with an
average pregnancy rate of about 50%. Obstruction interval, presence
of a granuloma, surgeon experience, and sperm discovery
intraoperatively are the main predictors of postoperative patency
and postoperative fertility. In addition, female factors of
hypofertility, including the age, are strongly correlated with the
occurrence of pregnancy. In the case of OA, sperm retrieval
techniques usually find enough sperm to perform ICSI. The incidence
of postoperative hematoma, pain and infections are low regardless
of the technique used (MESA, PESA, TESE, TESA). There is no
significant difference in pregnancy rates with testicular and
epididymal sperm in men with OA. However, MESA may result in higher
live birth rates. In cases of distal obstructive AO (ejaculatory
duct obstruction, prostatic cyst), endoscopies may be considered
for curative purposes with high postoperative patency rates. In
conclusion, the physician should present to the couple whose
partner has OA the different possibilities available to them and
involve them as much as possible in the choice of the most
appropriate procedure to conceive.</i>]]></summary>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:JGES_194_0316</id>
    <title type="html"><![CDATA[
        Impacts et enjeux du robot chirurgical dans les blocs opératoires |
        Impact de la recherche en gestion sur les organisations de santé
                    | Journal de gestion et d&#039;économie de la santé
            (2019/4 N° 4)
            ]]></title>
        <link href="https://shs.cairn.info/revue-journal-de-gestion-et-d-economie-de-la-sante-2019-4-page-316?lang=fr" type="text/html" rel="alternate" />
    <published>2019-11-13T00:00:00+01:00</published>
    <updated>2025-03-18T11:19:49+01:00</updated>
            <summary type="html"><![CDATA[The laparoscopy is a “minimal invasive” surgery that has benefits
for the patient over conventional open surgery. It does, however,
have many drawbacks and constraints that require a relatively long
period of adaptation and learning to acquire new technical skills.
Although it also calls for the development of new technical skills
of its own, the robotic tool has, however, provided solutions to
the intrinsic limits of laparoscopy by allowing for a more
intuitive, precise and less constrained surgical act. The
robot-assisted surgery nevertheless creates other drawbacks, at a
more collective level this time, particularly in terms of
communication and teamwork.The analysis of the activity of an
operating block using the surgical robot, based on a literature
review, on several observations within operating blocks and
training sessions in robotic surgery, on a video capture of a
urology surgical intervention and on self-confrontation interviews,
highlighted the impact of the surgical robot in an operating block
and the challenges in terms of collective non-technical skills.]]></summary>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:SPUB_HS1_2023_0173</id>
    <title type="html"><![CDATA[
        Faut-il avoir peur des robots-dentistes&#160;? |
        Santé orale
                    | Santé Publique
            (2023/HS1 vol. 35)
            ]]></title>
        <link href="https://stm.cairn.info/revue-sante-publique-2023-HS1-page-173?lang=fr" type="text/html" rel="alternate" />
    <published>2023-12-01T00:00:00+01:00</published>
    <updated>2025-03-18T11:19:49+01:00</updated>
            <summary type="html"><![CDATA[As it seems likely that France, at the forefront in the use of
surgical robotic platforms, will authorize the deployment of dental
robots in the short term, the purpose of this article is to
question what is at stake in this technological revolution, for
dental professionals, regulators but also (and above all) for
patients: what awareness-raising will the intervention of machines
bring? How does robotics reshuffle the cards of the care
relationship&#160;? What are the ethical and public health issues?
After having defined dental robots as non-humanoid, automated
surgical devices with exclusive restorative vocation, we will see
how the field of dental robotics currently oscillates between hopes
and illusions. We will describe the new responsibilities and
ethical requirements related to the introduction of these
AI-powered technical objects, as well as the necessary safeguards
that have to be implemented in order to avoid any moral buffer and
to protect patients from any robotization (literally or
metaphorically in the sense of ‘zombification’). Finally, we will
show that ultimately the question of robot-dentists is the natural
evolution of unreasonable application of industrial processes to
the rationalization of health and ectopic, neo-liberal practices
shifting healthcare into a commercial commodity. Patients can
participate in reversing this trend, by recalling that the
centrality of the human person is the cornerstone of health
professions.]]></summary>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:HPG_293_0345</id>
    <title type="html"><![CDATA[
        L’œsophagectomie pour cancer par voie mini-invasive
robotique&#160;: état des lieux |
        Mars 2022
                    | Hépato-Gastro &amp; Oncologie Digestive
            (2022/3 Vol. 29)
            ]]></title>
        <link href="https://stm.cairn.info/revue-hepato-gastro-et-oncologie-digestive-2022-3-page-345?lang=fr" type="text/html" rel="alternate" />
    <published>2022-03-01T00:00:00+01:00</published>
    <updated>2025-03-18T11:19:49+01:00</updated>
            <summary type="html"><![CDATA[Esophagectomy for cancer is a surgery associated with an overall
morbidity greater than 50%. Hybrid or total minimally invasive
esophagectomy result in lower severe complications, lower
postoperative pain and better postoperative quality of life,
leading to a shorter functional recovery and length of hospital
stay. Nevertheless, mini-invasive esophagectomy is a demanding
procedure, especially for the thoracic part and the intra-thoracic
anastomoses. It is requiring a long learning curve, and a large
number of procedures that may limited the widespread of minimally
approach for all esophagectomy. The surgical robot has several
advantages including a high- definition 3D vision controlled by the
surgeon and articulated instruments that improve surgical ability,
especially for inexperienced surgeons in laparoscopy. Robotic
systems may contribute to implement minimally invasive approach for
complex procedures such as esophagectomy. Robot-assisted minimally
invasive esophagectomy is associated with a reduction of overall
surgery and cardiopulmonary complications compared to open surgery
with similar oncological outcomes. The benefit of the robotic
approach over the conventional minimally invasive approach is being
evaluated. The robotic approach may improve lymphadenectomy and
increase the rate of complete macroscopic resection in locally
advanced tumor. It also could increase the feasibility and safety
of intra-thoracic anastomoses with minimally invasive approach. The
robotic system appears to promote the development of major
innovations and secure surgical procedures. This mini-review is an
update of the main data published in the literature that have
evaluated the robot-assisted-minimally-invasive esophagectomy in
esophageal cancer.]]></summary>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:DUNOD_COLLE_2021_01_0825</id>
    <title type="html"><![CDATA[
        Chapitre 42. L’apport de la chirurgie mini-invasive dans les
déformations rachidiennes d’origine neuromusculaire |
        La personne polyhandicapée
                    (2021)
            ]]></title>
            <subtitle type="html">
            <![CDATA[]]>
        </subtitle>
        <link href="https://shs.cairn.info/la-personne-polyhandicapee--9782100820368-page-825?lang=fr" type="text/html" rel="alternate" />
    <published>2021-01-27T00:00:00+01:00</published>
    <updated>2025-03-18T11:19:49+01:00</updated>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:HPG_HS37_0024</id>
    <title type="html"><![CDATA[
        Nouveautés en chirurgie du cancer du pancréas |
        Actualités dans le cancer du pancréas
                    | Hépato-Gastro &amp; Oncologie Digestive
            (2024/N° Supp 4 Vol. 31)
            ]]></title>
        <link href="https://stm.cairn.info/revue-hepato-gastro-et-oncologie-digestive-2024-HS4-page-24?lang=fr" type="text/html" rel="alternate" />
    <published>2024-09-02T00:00:00+02:00</published>
    <updated>2025-03-18T11:19:49+01:00</updated>
            <summary type="html"><![CDATA[Alongside new chemotherapy protocols for pancreatic adenocarcinoma
(PA), increasingly specialized oncological surgery has been
developed with the aim of increasing the rate of complete resection
(R0). Similarly, better perioperative management, with
pre-habilitation and the ERAS program, has improved post-operative
follow-up. Minimally invasive surgery now plays an important role
in pancreatic surgery. But while laparoscopic or robotic techniques
appear to give the same results as laparotomy for left
splenopancreatectomy (LSP), they still require more solid data for
cephalic duodenopancreatectomy (CDP) and are currently reserved
only for expert surgeons in high-volume pancreatic surgery centers.
A new chapter in surgery is gradually opening up, with the
management of highly selected patients with oligometastatic PA.]]></summary>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:HEG_061_0043</id>
    <title type="html"><![CDATA[
        Inventons la chirurgie du futur |
        Varia
                    | Hegel
            (2016/1 N° 1)
            ]]></title>
        <link href="https://stm.cairn.info/revue-hegel-2016-1-page-43?lang=fr" type="text/html" rel="alternate" />
    <published>2016-01-01T00:00:00+01:00</published>
    <updated>2025-03-18T11:19:49+01:00</updated>
            <summary type="html"><![CDATA[Surgical innovation relies on two criteria: patient safety and
quality of life, which both require a drastic decrease in surgical
trauma. Several advances towards less invasive approaches are
simultaneously underway in all the fields of surgery,
interventional radiology, and endoscopy. Minimally invasive
surgeons offer real benefits to patients in terms of postoperative
results. A novel concept of cybertherapy has been created through
the development of computer science and robotics, which aim to
combine man and machine. In addition, the combination of surgery,
endoscopy, and interventional radiology into one hybrid treatment
modality, namely image-guided minimally invasive surgery, holds
great promises. In this editorial, the linchpins of these new
paradigmatic shifts are briefly outlined, and we analyze it using
our own experience and our vision of the future.]]></summary>
    </entry>
            </feed>
