Abstract
Purpose
Laparoscopic colorectal surgery is believed to be technically and oncologically feasible. However, some limitation of traditional laparoscopic surgery may cause difficulties. Robotic-assisted surgery may overcome these pitfalls.
Methods
From December 2005 to July 2007, 50 patients were selected for robotic-assisted colorectal resection mainly for cancer.
Results
Of the 50 patients enrolled, 32 (64 percent) were men and 18 (36 percent) were women. Their mean age was 66.7 (range, 37–92) years. The American Society of Anesthesiologists’ (ASA) class distribution was 13 (26 percent) ASA I, 24 (48 percent) ASA II, 12 (24 percent) ASA III, and 1 (2 percent) ASA IV. Forty-four patients suffered from cancer and six patients from benign disease. Amongst the cancer patients, 3 percent were at UICC (International Union Against Cancer) Stage 0, 36 percent at UICC Stage I, 24 percent at Stage II, 28 percent at Stage III, and 9 percent at Stage IV. The global conversion rate was 4 percent. The mean operative time was 338.8 minutes. It decreased as the experience increased (419 minutes in the first 20 cases vs. 346 minutes in the last 30 cases; P = 0.036). As a gross comparison, the results of a coeval standard laparoscopy group of patients were shown.
Conclusions
Robotic laparoscopic colon surgery is feasible and safe. A longer operating time is needed.
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References
Weeks JC, Nelson H, Gelber S, Sargent D, Schroeder G. Clinical Outcomes of Surgical Therapy (COST) Study Group. Short-term quality-of-life outcomes following laparoscopic-assisted colectomy vs open colectomy for colon cancer: a randomized trial. JAMA 2002;287:321–8.
The Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med 2004;350:2050–9.
Cadiere GB, Himpens J, Germay O, et al. Feasibility of robotic laparoscopic surgery: 146 cases. World J Surg 2001;25:1467–77.
Giulianotti PC, Coratti A, Angelini M, et al. Robotics in general surgery: personal experience in a large community hospital. Arch Surg 2003;138:777–84.
Abbou C, Hoznek A, Salomon L, et al. Laparoscopic radical prostatectomy with a remote controlled robot. J Urol 2001;165:1964–6.
Mikhail AA, Orvieto MA, Billatos ES, et al. Robotic-assisted laparoscopic prostatectomy: first 100 patients with one year of follow-up. Urology 2006;68:1275–9.
Mohr F, Falk V, Diegeler A, Walther T, et al. Computer-enhanced "robotic" cardiac surgery: experience in 148 patients. J Thorac Cardiovasc Surg 2001;121:842–53.
Nezhat C, Saberi NS, Shahmohamady B, Nezhat F. Robotic-assisted laparoscopy in gynecological surgery. JSLS 2006;10:317–20.
Weber PA, Merola S, Wasielewski A, Ballantyne GH. Telerobotic assisted laparoscopic right and sigmoid colectomies for benign disease. Dis Colon Rectum 2002;45:1689–94.
Woeste G, Bechstein WO, Wullstein C. Does telerobotic assistance improve laparoscopic colorectal surgery? Int J Colorectal Dis 2005;20:253–7.
Munz Y, Moorthy K, Kudchadkar R, et al. Robotic assisted rectopexy. Am J Surg 2004;187:88–92.
D’Annibale A, Morpurgo E, Fiscon V, et al. Robotic and laparoscopic surgery for treatment of colorectal diseases. Dis Colon Rectum 2004;47:2162–8.
Rockall TA, Darzi A. Robot-assisted laparoscopic colorectal surgery. Surg Clin North Am 2003;83:1463–8.
Marecick SJ, Chaudhry V, Jan A, et al. A comparison of robotic, laparoscopic, and hand-sewn intestinal anastomoses performed by residents. Am J Surg 2007;193:349–55.
Baik SH, Kang CM, Kim NK, et al. Robotic total mesorectal excision for the treatment of rectal cancer. J Robotic Surg 2007;1:99–102.
Berlinger NT. Robotic surgery: squeezing into tight places. N Engl J Med 2006;354:2099–101.
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Spinoglio, G., Summa, M., Priora, F. et al. Robotic Colorectal Surgery: First 50 Cases Experience. Dis Colon Rectum 51, 1627–1632 (2008). https://doi.org/10.1007/s10350-008-9334-0
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DOI: https://doi.org/10.1007/s10350-008-9334-0