Detailed Information

Cited 103 time in webofscience Cited 116 time in scopus
Metadata Downloads

Single-Stage Totally Robotic Dissection for Rectal Cancer Surgery: Technique and Short-Term Outcome in 50 Consecutive Patients

Authors
Choi, Dong JinKim, Seon HahnLee, Peter J. M.Kim, JinWoo, Si Uk
Issue Date
Nov-2009
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Keywords
Robotics; Rectal cancer; Rectal surgery
Citation
DISEASES OF THE COLON & RECTUM, v.52, no.11, pp.1824 - 1830
Indexed
SCIE
SCOPUS
Journal Title
DISEASES OF THE COLON & RECTUM
Volume
52
Number
11
Start Page
1824
End Page
1830
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/15691
DOI
10.1007/DCR.0b013e3181b13536
ISSN
0012-3706
Abstract
PURPOSE: To overcome the pitfalls of laparoscopy, a robotic system has been introduced in rectal cancer surgery. However, there is no standard procedure to maximize the advantages of the da Vinci(R) S Surgical System. Therefore, we describe our technique of applying the robotic system during all of the steps of dissection in rectal cancer surgery and the short-term outcome. METHODS: Prospectively collected data were reviewed from 50 consecutive patients who underwent single-stage, totally robotic dissection for rectal cancer resection between July 2007 and June 2008. Robotic dissection was performed following these steps: 1) ligation of the inferior mesenteric vessels and medial to lateral dissection, 2) mobilization of the sigmoid/descending/splenic flexure colon, and 3) rectal dissection. The remaining steps including rectal transection and anastomosis were performed by a conventional laparoscopic method. RESULTS: There were 32 (64%) men and 18 (36%) women. The mean distance from the anal verge to the tumor margin was 7.3 (range, 2-13) cm. The conversion rate was 0%. The mean operative time was 304.8 (range, 190-485) minutes, and 20.6 (range, 6-48) lymph nodes were harvested. The circumferential margin was positive in one patient. The length of hospital stay after surgery was 9.2 (range, 5-24) days. Anastomotic leak rate was 8.3%, and all of the patients with leakage were managed conservatively. CONCLUSIONS: Single-stage robotic dissection for rectal cancer surgery is feasible, and its short-term outcome is acceptable. Our technique can be a suitable procedure to maximize the advantages of the da Vinci(R) system.
Files in This Item
There are no files associated with this item.
Appears in
Collections
2. Clinical Science > Department of Colon and Rectal Surgery > 1. Journal Articles

qrcode

Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.

Related Researcher

Researcher Kim, Jin photo

Kim, Jin
Anam Hospital (Department of Colon and Rectal Surgery, Anam Hospital)
Read more

Altmetrics

Total Views & Downloads

BROWSE