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Robotic versus laparoscopic low anterior resection of rectal cancer: short-term outcome of a prospective comparative study.

Authors
 Seung Hyuk Baik  ;  Hye Youn Kwon  ;  Jin Soo Kim  ;  Hyuk Hur  ;  Seung Kook Sohn  ;  Chang Hwan Cho  ;  Hoguen Kim 
Citation
 ANNALS OF SURGICAL ONCOLOGY, Vol.16(6) : 1480-1487, 2009 
Journal Title
 ANNALS OF SURGICAL ONCOLOGY 
ISSN
 1068-9265 
Issue Date
2009
MeSH
Adult ; Aged ; Colectomy/methods* ; Female ; Humans ; Laparoscopy ; Male ; Middle Aged ; Prospective Studies ; Randomized Controlled Trials as Topic ; Rectal Neoplasms/surgery* ; Robotics ; Treatment Outcome
Abstract
BACKGROUND: The aim of this study is to compare the short-term results between robotic-assisted low anterior resection (R-LAR), using the da Vinci Surgical System, and standard laparoscopic low anterior resection (L-LAR) in rectal cancer patients. METHODS: 113 patients were assigned to receive either R-LAR (n = 56) or L-LAR (n = 57) between April 2006 and September 2007. Patient characteristics, perioperative clinical results, complications, and pathologic details were compared between the groups. Moreover, macroscopic grading of the specimen was evaluated. RESULTS: Patient characteristics were not significantly different between the groups. The mean operation time was 190.1 +/- 45.0 min in the R-LAR group and 191.1 +/- 65.3 min in the L-LAR group (P = 0.924). The conversion rate was 0.0% in the R-LAR groups and 10.5% in the L-LAR group (P = 0.013). The serious complication rate was 5.4% in the R-LAR group and 19.3% in the L-LAR group (P = 0.025). The specimen quality was acceptable in both groups. However, the mesorectal grade was complete (n = 52) and nearly complete (n = 4) in the R-LAR group and complete (n = 43), nearly complete (n = 12), and incomplete (n = 2) in the L-LAR group (P = 0.033). CONCLUSION: R-LAR was performed safely and effectively, using the da Vinci Surgical System. The use of the system resulted in acceptable perioperative outcomes compared to L-LAR.
Full Text
http://link.springer.com/article/10.1245%2Fs10434-009-0435-3
DOI
10.1245/s10434-009-0435-3
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jin Soo(김진수)
Kim, Ho Keun(김호근)
Baik, Seung Hyuk(백승혁) ORCID logo https://orcid.org/0000-0003-4183-2332
Sohn, Seung Kook(손승국)
Cho, Chang Hwan(조장환)
Hur, Hyuk(허혁) ORCID logo https://orcid.org/0000-0002-9864-7229
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/104166
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