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Robotic surgery for rectal cancer can overcome difficulties associated with pelvic anatomy

Authors
 Se Jin Baek  ;  Chang Hee Kim  ;  Nam Kyu Kim  ;  Kang Young Lee  ;  Seung Hyuk Baik  ;  Byung Soh Min  ;  Hyuk Hur  ;  Sung Uk Bae  ;  Min Soo Cho 
Citation
 SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.29(6) : 1419-1424, 2015 
Journal Title
 SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES 
ISSN
 0930-2794 
Issue Date
2015
MeSH
Adenocarcinoma/surgery* ; Adult ; Aged ; Female ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Operative Time ; Pelvimetry ; Pelvis/anatomy & histology* ; Pelvis/surgery ; Rectal Neoplasms/surgery* ; Rectum/surgery* ; Robotic Surgical Procedures/methods* ; Treatment Outcome
Keywords
Pelvimetry ; Pelvic magnetic resonance imaging (MRI) ; Pelvic anatomy ; Rectal neoplasm ; Robot surgery
Abstract
INTRODUCTION: Total mesorectal excision (TME) for rectal cancer can be challenging to perform in the presence of difficult pelvic anatomy. In our previous studies based on open and laparoscopic TME, we found that pelvic MRI-based pelvimetry could well reflect anatomical difficulty of the pelvis and operative time increased in direct proportion to the difficulty. We explored different outcomes of robotic surgery for TME based on classifications of difficult pelvic anatomies to determine whether this method can overcome these challenges. METHODS: We reviewed data from 182 patients who underwent robotic surgery for rectal cancer between January 2008 and August 2010. Patient demographics, pathologic outcomes, pelvimetric results, and operative and postoperative outcomes were assessed. The data were compared between easy, moderate, and difficult groups classified by MRI-based pelvimetry. RESULTS: Comparing the three groups, there was no difference between the groups in terms of operative and pathologic outcomes, including operation time. High BMI, history of preoperative chemoradiotherapy, and lower tumor levels were significantly associated with longer operation time (p < 0.001, p < 0.001, p = 0.009), but the pelvimetric parameter was not. CONCLUSION: There was no difference between the easy, moderate, and difficult groups in terms of surgical outcomes, such as operation time, for robotic rectal surgery. The robot system can provide more comfort during surgery for the surgeon, and may overcome challenges associated with difficult pelvic anatomy
Full Text
http://link.springer.com/article/10.1007%2Fs00464-014-3818-x
DOI
10.1007/s00464-014-3818-x
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
Min, Byung Soh(민병소) ORCID logo https://orcid.org/0000-0003-0180-8565
Baek, Se Jin(백세진)
Baik, Seung Hyuk(백승혁) ORCID logo https://orcid.org/0000-0003-4183-2332
Lee, Kang Young(이강영)
Cho, Min Soo(조민수)
Hur, Hyuk(허혁) ORCID logo https://orcid.org/0000-0002-9864-7229
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/141858
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