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Totally robotic surgery for rectal cancer: from splenic flexure to pelvic floor in one setup

Authors
 Yoon Ah Park  ;  Jung Man Kim  ;  Sung Ah Kim  ;  Byung Soh Min  ;  Nam Kyu Kim  ;  Seung Kook Sohn  ;  Kang Young Lee 
Citation
 SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.24(3) : 715-720, 2010 
Journal Title
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
ISSN
 0930-2794 
Issue Date
2010
MeSH
Adult ; Aged ; Aged, 80 and over ; Colon, Transverse/surgery ; Feasibility Studies ; Female ; Humans ; Laparoscopy/methods* ; Laparoscopy/mortality ; Male ; Middle Aged ; Pelvic Floor/surgery ; Postoperative Complications ; Rectal Neoplasms/mortality ; Rectal Neoplasms/surgery* ; Robotics/instrumentation* ; Treatment Outcome
Keywords
Rectal cancer ; Robotic surgery
Abstract
BACKGROUND: Robotic surgery for rectal cancer may be a way to overcome the limitations of laparoscopic surgery. However, totally robotic surgery for rectal cancer is still technically challenging. This report describes the technical details and outcomes of totally robotic rectal surgery. METHODS: The authors developed a totally robotic surgery technique for rectal cancer and performed it for 45 patients. We designed a six-port system, including a camera port, to perform rectal cancer surgery from the splenic flexure to the pelvic diaphragm in one setup. To check the feasibility and safety of the procedure, perioperative outcomes including conversion rate, morbidity, and mortality were analyzed. RESULTS: The mean body mass index of the 45 patients was 23.6 kg/m(2) (range, 18.8-31.6 kg/m(2)). There was one case (2.2%) of conversion to laparotomy because of a common iliac artery injury. The 30-day morbidity rate was 11.1%. There was no operation-related mortality. CONCLUSIONS: Totally robotic surgery for rectal cancer using the described technique was feasible and safe. This result could facilitate the spread of robotic surgery for rectal cancer and maximize the advantages of robotic surgery
Full Text
http://link.springer.com/article/10.1007%2Fs00464-009-0656-3
DOI
10.1007/s00464-009-0656-3
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Nam Kyu(김남규) ORCID logo https://orcid.org/0000-0003-0639-5632
Kim, Seong Ah(김성아)
Kim, Jung Man(김정만)
Min, Byung Soh(민병소) ORCID logo https://orcid.org/0000-0003-0180-8565
Park, Yoon Ah(박윤아)
Sohn, Seung Kook(손승국)
Lee, Kang Young(이강영)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/100638
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