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Robotic tumor-specific mesorectal excision of rectal cancer: short-term outcome of a pilot randomized trial

Authors
 S. H. Baik  ;  Y. T. Ko  ;  C. M. Kang  ;  W. J. Lee  ;  N. K. Kim  ;  S. K. Sohn  ;  H. S. Chi  ;  C. H. Cho 
Citation
 SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.22(7) : 1601-1608, 2008 
Journal Title
 SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES 
ISSN
 0930-2794 
Issue Date
2008
MeSH
Adult ; Aged ; Back Pain/etiology ; Blood Loss, Surgical ; Edema/etiology ; Female ; Humans ; Laparoscopy*/adverse effects ; Length of Stay ; Lymph Node Excision ; Male ; Middle Aged ; Neoplasm Staging ; Rectal Neoplasms/pathology ; Rectal Neoplasms/surgery* ; Robotics*
Keywords
DaVinci ; Rectal cancer ; Robotic surgery
Abstract
BACKGROUND: Laparoscopic colorectal resection has become popular. The recently developed da Vinci Surgical System promises to facilitate endoscopic surgery and overcome its disadvantages. This study therefore aimed to compare the short-term results between robotic tumor-specific mesorectal excision (R-TSME) using the da Vinci Surgical System and conventional laparoscopic tumor-specific mesorectal excision (L-TSME) in rectal cancer patients. METHODS: Between April 2006 and February 2007, 36 patients were randomly assigned to receive R-TSME or L-TSME. During the study, 18 patients underwent robotic low anterior resection using the da Vinci Surgical System, and 18 patients had conventional laparoscopic low anterior resection. Patient characteristics, perioperative clinical results, complications, and pathologic details were compared between the two groups. RESULTS: The patient characteristics were not significantly different between the two groups. The mean operating time, hemoglobin change, and conversion rate were not significantly different between the groups. Complications were treated conservatively and did not require surgical intervention in the R-TSME group. The average length of stay was 6.9 +/- 1.3 days in the R-TSME group and 8.7 +/- 1.3 days in the L-TSME group (p < 0.001). The specimen quality of the R-TSME group was acceptable. CONCLUSION: Tumor-specific mesorectal excision was performed safely and effectively using the da Vinci Surgical System and the perioperative outcomes were acceptable.
Full Text
http://link.springer.com/article/10.1007%2Fs00464-008-9752-z
DOI
10.1007/s00464-008-9752-z
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Chang Moo(강창무) ORCID logo https://orcid.org/0000-0002-5382-4658
Ko, Yong Taek(고용택)
Kim, Nam Kyu(김남규) ORCID logo https://orcid.org/0000-0003-0639-5632
Baik, Seung Hyuk(백승혁) ORCID logo https://orcid.org/0000-0003-4183-2332
Sohn, Seung Kook(손승국)
Lee, Woo Jung(이우정) ORCID logo https://orcid.org/0000-0001-9273-261X
Cho, Chang Hwan(조장환)
Chi, Hoon Sang(지훈상)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/106836
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