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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 , Vol.29(6) : 1419-1424, 2015 
Journal Title
 Surgical Endoscopy  
ISSN
 0930-2794 
Issue Date
2015
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
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/141858
DOI
10.1007/s00464-014-3818-x
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실)
Yonsei Authors
김남규(Kim, Nam Kyu)
민병소(Min, Byung Soh)
백세진(Baek, Se Jin)
백승혁(Baik, Seung Hyuk)
이강영(Lee, Kang Young)
조민수(Cho, Min Soo)
허혁(Hur, Hyuk)
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Full Text
http://link.springer.com/article/10.1007%2Fs00464-014-3818-x
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