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

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dc.contributor.authorChoi, Dong Jin-
dc.contributor.authorKim, Seon Hahn-
dc.contributor.authorLee, Peter J. M.-
dc.contributor.authorKim, Jin-
dc.contributor.authorWoo, Si Uk-
dc.date.available2020-11-03T07:47:13Z-
dc.date.issued2009-11-
dc.identifier.issn0012-3706-
dc.identifier.issn1530-0358-
dc.identifier.urihttps://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/15691-
dc.description.abstractPURPOSE: 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.extent7-
dc.language영어-
dc.language.isoENG-
dc.publisherLIPPINCOTT WILLIAMS & WILKINS-
dc.titleSingle-Stage Totally Robotic Dissection for Rectal Cancer Surgery: Technique and Short-Term Outcome in 50 Consecutive Patients-
dc.typeArticle-
dc.publisher.location미국-
dc.identifier.doi10.1007/DCR.0b013e3181b13536-
dc.identifier.scopusid2-s2.0-75349105617-
dc.identifier.wosid000273645400002-
dc.identifier.bibliographicCitationDISEASES OF THE COLON & RECTUM, v.52, no.11, pp 1824 - 1830-
dc.citation.titleDISEASES OF THE COLON & RECTUM-
dc.citation.volume52-
dc.citation.number11-
dc.citation.startPage1824-
dc.citation.endPage1830-
dc.type.docTypeArticle; Proceedings Paper-
dc.description.isOpenAccessN-
dc.description.journalRegisteredClassscie-
dc.description.journalRegisteredClassscopus-
dc.relation.journalResearchAreaGastroenterology & Hepatology-
dc.relation.journalResearchAreaSurgery-
dc.relation.journalWebOfScienceCategoryGastroenterology & Hepatology-
dc.relation.journalWebOfScienceCategorySurgery-
dc.subject.keywordPlusTOTAL MESORECTAL EXCISION-
dc.subject.keywordPlusLAPAROSCOPIC SURGERY-
dc.subject.keywordPlusCOLORECTAL SURGERY-
dc.subject.keywordPlusRESECTION-
dc.subject.keywordPlusDISEASE-
dc.subject.keywordPlusTRIAL-
dc.subject.keywordAuthorRobotics-
dc.subject.keywordAuthorRectal cancer-
dc.subject.keywordAuthorRectal surgery-
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Anam Hospital (Department of Colon and Rectal Surgery, Anam Hospital)
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