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Robotic total mesorectal excision for rectal cancer using four robotic arms

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Abstract

Background

The da Vinci system is a newly developed device for colorectal surgery, therefore experience of its use for rectal cancer surgery is limited and there are no reports describing the use of four robotic arms with this system. The aim of this study is to evaluate the safety and feasibility of the four-arm da Vinci system for total mesorectal excision in rectal cancer patients.

Methods

Clinicopathologic data were prospectively collected on nine patients who underwent robotic total mesorectal excision using four robotic arms for the treatment of mid or low rectal cancer between November 2006 and Febuary 2007. Patient demographics, perioperative clinical outcomes, and pathology results with macroscopic grading (complete, nearly complete, incomplete) were evaluated.

Results

nine patients with mid or low rectal cancer underwent robotic total mesorectal excison using four robotic arms without serious complications. The mean length of hospital stay was 7.4 ± 1.3 days (range 5.0–10.0 days) and the mean operating time was 220.8 ± 49.4 min (range 153–315 min). Macroscopic grading of the specimen was complete in eight patients and nearly complete in one patient. There were no cases of conversion.

Conclusion

In the present study, we accomplished nine robot-assisted rectal resections safely and effectively.

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References

  1. Heald RJ, Husband EM, Ryall RD (1982) The mesorectum in rectal cancer surgery — clue to pelvic recurrence? Br J Surg 69:613–616

    Article  PubMed  CAS  Google Scholar 

  2. Havenga K, DeRuiter MC. Enker WE, Welvaart K (1996) Anatomic basis of autonomic nerve preserving total mesorectal excision for rectal cancer. Br J Surg 83:384–388

    Article  PubMed  CAS  Google Scholar 

  3. Enker WE, Thaler HT, Cranor ML, Polyak T (1995) Total mesorectal excision in the operative treatment of carcinoma of the rectum. J Am Coll Surg 181;335–346

    PubMed  CAS  Google Scholar 

  4. Nagtegaal ID, Van de Velde CJ, van der Worp E, Kapiteijn E, Quirke P, van Krieken JH; Cooperative Clinical Investigators of the Dutch Colorectal Cancer Croup (2002) Macroscopic evaluation of rectal cancer resection specimen: clinical significance of the pathologist in quality control. J Clin Oncol 20:1729–1734

    Article  PubMed  Google Scholar 

  5. Weber PA, Merola S, Wasielewski A, Ballantyne GH (2002) Telerobotic-assisted laparo-scopic right and sigmoid colectomies for benign disease. Dis Colon Rectum 45:1695–1696

    Article  Google Scholar 

  6. Giulianotti PC, Coratti A, Angelini M, Sbrana F, Cecconi S, Balestracci T, Caravaglios G (2003) Robotic in general surgery: personal experience in a large community hospital. Arch Surg 138:177–784

    Google Scholar 

  7. Vibert E, Denet C, Gayet B (2003) Major digestive surgery using a remote controlled robot: the next revolution. Arch Surg 138:1002–1006

    Article  PubMed  Google Scholar 

  8. D’Annibale A, Morpurgo E, Fiscon V, Trevisan Paolo, Sovernigo G, Orsini C, Guidolin D (2004) Robotic and laparoscopic surgery for treatment of colorectal disease. Dis Colon Rectum 47:2162–2168

  9. Pigazzi A, Ellenhorn JDI, Ballantyne GH, Paz IB (2006) Robotic-assisted laparoscpic low anterior resection with total mesorectal excision for rectal cacner. Surg Endosc 20:1521–1525

    Article  PubMed  CAS  Google Scholar 

  10. Baik SH, Kang CM, Lee WJ, Kim NK, Sohn SK, Chi HS, Cho CH (2007) Robotic total mesorectal excision for the treatment of tectal cancer. J Robotic Surg 1:99–102

    Article  Google Scholar 

  11. Baik SH, Kim YT, Ko YT, Kang CM, Lee WJ, Kim NK, Sohn SK, Chi HS, Cho CH, Lee SK (2007) Simultaneous robotic total mesorectal excision and total abdominal hysterectomy for rectal cancer and uterine myoma. Int J Colorectal Dis Epub ahead of print

  12. Rawlings, Woodland JH, Crawford DL (2006) Telerobotic surgery for right and sigmoid colectomies: 30 consecutive cases. Surg Endosc 20:1713–1718

  13. Quirke P, Quirke P, Durdey P, Dixon MF, Williams NS (1986) Local recurrence of rectal adenocarcinoma due to inadequate surgical resection: histopathological study of lateral tumor spread and surgical excision. Lancet 2:996–999

    Article  PubMed  CAS  Google Scholar 

  14. Darzi A (2001) Hand-assisted laparoscopic colorectal surgery. Semin Laparosc Surg 8:153–160

    Article  PubMed  CAS  Google Scholar 

  15. Kim SH, Park IJ, Joh YG, Hahn KY (2006) Laparosocpic resection for rectal cancer: a prospective analysis of thirty-month follow-up outcomes in 312 patients. Surg Endosc 20:1197–1202

    Article  PubMed  Google Scholar 

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Acknowledgements

This study was supported by a faculty research grant of Yonsei University College of Medicine for 2006 (6-2006-0111).

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Authors and Affiliations

  1. Robotic and Laparoscopic Surgery Center, Severance Hospital, Seoul, Korea

    Seung Hyuk Baik, Woo Jung Lee & Koon Ho Rha

  2. Colorectal Cancer Special Clinic, Severance Hospital, Seoul, Korea

    Seung Hyuk Baik, Nam Kyu Kim, Seung Kook Sohn, Chang Hwan Cho, Sang Kil Lee, Jae Hee Cheon, Joong Bae Ahn & Won Ho Kim

  3. Department of Surgery, Yonsei University College of Medicine, Seoul, Korea

    Seung Hyuk Baik, Woo Jung Lee, Nam Kyu Kim, Seung Kook Sohn, Hoon Sang Chi & Chang Hwan Cho

  4. Department of Surgery, Division of Colorectal Surgery, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-ku, 120-752, Seoul, Korea, C.P.O. Box 8044

    Woo Jung Lee

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  1. Seung Hyuk Baik
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  2. Woo Jung Lee
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  3. Koon Ho Rha
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  4. Nam Kyu Kim
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  5. Seung Kook Sohn
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  6. Hoon Sang Chi
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  7. Chang Hwan Cho
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  8. Sang Kil Lee
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  9. Jae Hee Cheon
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  10. Joong Bae Ahn
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  11. Won Ho Kim
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Correspondence to Seung Hyuk Baik.

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Baik, S.H., Lee, W.J., Rha, K.H. et al. Robotic total mesorectal excision for rectal cancer using four robotic arms. Surg Endosc 22, 792–797 (2008). https://doi.org/10.1007/s00464-007-9663-4

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  • DOI: https://doi.org/10.1007/s00464-007-9663-4

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