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KMID : 1188520130090010042
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Korean Journal of Clinical Oncology
2013 Volume.9 No. 1 p.42 ~ p.46
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Initial experience of robotic intersphincteric resection for rectal cancer
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Moon Soo-Yun
Park Min-Su
Park Sun-Jin
Lee Kil-Yeon
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Abstract
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Purpose: Robotic systems (the da Vinci Surgical System) may offer considerable advantages, particularly in rectal surgery operated in the confined pelvis. This study was carried out on the assumption that a robotically naive, yet laparoscopically experienced surgeon successfully transferred to a robotic environment. We assessed immediate surgical outcomes of robotic intersphincteric resection (ISR) as an initial experience of a single surgeon.
Methods: We analyzed the data of 19 consecutive patients with rectal cancer who underwent robot ISR between January 2009 and March 2012. Its immediate surgical outcomes were compared with those of 19 patients who underwent laparoscopic ISR as a control group of the same cohort.
Results: There was no significant difference in the mean operating time between robotic and laparoscopic group (261.6±57.7 minutes, 222.37±68.2 minutes, P=0.064). Mean distal resection margin was 1.5±2.2 and 1.1±0.9 in robotic and laparoscopic groups, respectively (P=0.464). Three patients in each group had a circumferential margin clearance of less than 1 mm. Two patients in each group suffered from anastomotic leakeage. There were no significant differences in date of flatus passage and dietary intake, and the length of postoperative hospital stay between both groups.
Conclusion: Robotic ISR is a safe and feasible procedure and its early short-term surgical outcomes are comparable to those of laparoscopic surgery.
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KEYWORD
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Rectal cancer, Laparoscopic surgery, Robotic surgery, Intersphincteric resection
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