Single-Stage Totally Robotic Dissection for Rectal Cancer Surgery: Technique and Short-Term Outcome in 50 Consecutive Patients
DC Field | Value | Language |
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dc.contributor.author | Choi, Dong Jin | - |
dc.contributor.author | Kim, Seon Hahn | - |
dc.contributor.author | Lee, Peter J. M. | - |
dc.contributor.author | Kim, Jin | - |
dc.contributor.author | Woo, Si Uk | - |
dc.date.available | 2020-11-03T07:47:13Z | - |
dc.date.issued | 2009-11 | - |
dc.identifier.issn | 0012-3706 | - |
dc.identifier.issn | 1530-0358 | - |
dc.identifier.uri | https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/15691 | - |
dc.description.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. | - |
dc.format.extent | 7 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | LIPPINCOTT WILLIAMS & WILKINS | - |
dc.title | Single-Stage Totally Robotic Dissection for Rectal Cancer Surgery: Technique and Short-Term Outcome in 50 Consecutive Patients | - |
dc.type | Article | - |
dc.publisher.location | 미국 | - |
dc.identifier.doi | 10.1007/DCR.0b013e3181b13536 | - |
dc.identifier.scopusid | 2-s2.0-75349105617 | - |
dc.identifier.wosid | 000273645400002 | - |
dc.identifier.bibliographicCitation | DISEASES OF THE COLON & RECTUM, v.52, no.11, pp 1824 - 1830 | - |
dc.citation.title | DISEASES OF THE COLON & RECTUM | - |
dc.citation.volume | 52 | - |
dc.citation.number | 11 | - |
dc.citation.startPage | 1824 | - |
dc.citation.endPage | 1830 | - |
dc.type.docType | Article; Proceedings Paper | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | TOTAL MESORECTAL EXCISION | - |
dc.subject.keywordPlus | LAPAROSCOPIC SURGERY | - |
dc.subject.keywordPlus | COLORECTAL SURGERY | - |
dc.subject.keywordPlus | RESECTION | - |
dc.subject.keywordPlus | DISEASE | - |
dc.subject.keywordPlus | TRIAL | - |
dc.subject.keywordAuthor | Robotics | - |
dc.subject.keywordAuthor | Rectal cancer | - |
dc.subject.keywordAuthor | Rectal surgery | - |
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