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Surgical Endoscopy

, Volume 22, Issue 3, pp 792–797 | Cite as

Robotic total mesorectal excision for rectal cancer using four robotic arms

  • Seung Hyuk BaikEmail author
  • Woo Jung Lee
  • Koon Ho Rha
  • Nam Kyu Kim
  • Seung Kook Sohn
  • Hoon Sang Chi
  • Chang Hwan Cho
  • Sang Kil Lee
  • Jae Hee Cheon
  • Joong Bae Ahn
  • Won Ho Kim
Technique

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.

Keywords

Robotic surgery Rectal Cancer Total mesorectal excision DaVinci 

Notes

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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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Seung Hyuk Baik
    • 1
    • 2
    • 3
    Email author
  • Woo Jung Lee
    • 1
    • 3
    • 4
  • Koon Ho Rha
    • 1
  • Nam Kyu Kim
    • 2
    • 3
  • Seung Kook Sohn
    • 2
    • 3
  • Hoon Sang Chi
    • 3
  • Chang Hwan Cho
    • 2
    • 3
  • Sang Kil Lee
    • 2
  • Jae Hee Cheon
    • 2
  • Joong Bae Ahn
    • 2
  • Won Ho Kim
    • 2
  1. 1.Robotic and Laparoscopic Surgery CenterSeverance HospitalSeoulKorea
  2. 2.Colorectal Cancer Special ClinicSeverance HospitalSeoulKorea
  3. 3.Department of SurgeryYonsei University College of MedicineSeoulKorea
  4. 4.Department of Surgery, Division of Colorectal SurgeryYonsei University College of MedicineSeoulKorea

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