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Transanal specimen extraction in robotic rectal cancer surgery.

Authors
 J. Kang  ;  B. S. Min  ;  H. Hur  ;  N. K. Kim  ;  K. Y. Lee 
Citation
 BRITISH JOURNAL OF SURGERY, Vol.99(1) : 133-136, 2012 
Journal Title
BRITISH JOURNAL OF SURGERY
ISSN
 0007-1323 
Issue Date
2012
MeSH
Adult ; Aged ; Anal Canal* ; Digestive System Surgical Procedures/instrumentation* ; Female ; Humans ; Male ; Middle Aged ; Postoperative Complications/etiology ; Rectal Neoplasms/surgery* ; Robotics* ; Specimen Handling/methods* ; Treatment Outcome
Keywords
Adult ; Aged ; Anal Canal* ; Digestive System Surgical Procedures/instrumentation* ; Female ; Humans ; Male ; Middle Aged ; Postoperative Complications/etiology ; Rectal Neoplasms/surgery* ; Robotics* ; Specimen Handling/methods* ; Treatment Outcome
Abstract
BACKGROUND: The aim of this study was to identify the benefits of robotic transanal specimen extraction (RTSE) compared with minilaparotomy specimen extraction (MSE).

METHODS: Patients who underwent totally robotic surgery with curative intent for treatment of adenocarcinoma of the rectum below 12 cm from the anal verge were selected from the authors' database. Patients were divided into RTSE and MSE groups according to the method of specimen delivery. Clinicopathological features and perioperative surgical outcomes were compared between the two groups.

RESULTS: There were 53 patients in the RTSE group and 66 in the MSE group. No differences were observed in overall complications. Postoperative recovery was faster in the RTSE group in terms of resumption of a soft diet (mean(s.d.) 3·5(1·5) versus 4·6(1·7) days; P < 0·001) and length of hospital stay (9·0(4·8) versus 11·3(5·3) days; P = 0·016). Pain scores on a visual analogue scale were significantly lower in the RTSE group than in the MSE group from day 2 to day 5 after surgery (P = 0·021 to P < 0·001).

CONCLUSION: RTSE in robotic rectal cancer surgery was associated with less pain and a faster recovery than MSE.
Full Text
http://onlinelibrary.wiley.com/doi/10.1002/bjs.7719/abstract
DOI
22038650
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Jeonghyun(강정현) ORCID logo https://orcid.org/0000-0001-7311-6053
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
Lee, Kang Young(이강영)
Hur, Hyuk(허혁) ORCID logo https://orcid.org/0000-0002-9864-7229
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/89835
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