에스자 결장암에서 로봇 전방절제술의 초기 결과에 대한 예비 연구

Abstract

Purpose: The DaVinci system is new emerging device for performing colorectal surgery. However, in the era of laparoscopic sigmoid colon cancer surgery, there are few previous reports on using the DaVinci system for sigmoid colon cancer. Therefore, the aim of this study is to evaluate the safety and feasibility of using the DaVici system for anterior resection in patients with sigmoid colon cancer, as compared with conventional laparoscopic anterior resection. Methods: Between March 2007 and Jun 2007, 7 sigmoid colon cancer patients underwent robotic anterior resection using the da Vinci Surgical system, and 9 patients underwent conventional laparoscopic anterior resection. The patients’ characteristics, the perioperative clinical results and the pathologic details were prospectively collected and compared between the two groups. Results: The patient characteristics were not significantly different between the two groups. The mean operation time were 205.9±17.6 in the robotic group and 102.4±25.0 in the laparoscopic group (p=0.001). The change of the hemoglobin level, the number of days until peristalsis and the average length of stay were not different between the groups. Also, the pathologic details were not different between the groups. There were no complications or conversion in the both groups. Conclusion: Our data demonstrates that robotic anterior resection is feasible and effective for sigmoid colon cancer patients. However, we could not find better outcomes for robotic anterior resection as compared with conventional laparoscopic anterior resection