Skip to main content

Advertisement

SpringerLink
Log in

Robotic transverse colectomy for mid-transverse colon cancer: surgical techniques and oncologic outcomes

  • Original Article
  • Published:
Journal of Robotic Surgery Aims and scope Submit manuscript

Abstract

Robot-assisted surgery for colon cancer has been reported in many studies, most of which worked on right and/or sigmoid colectomy. The aim of this study was to report our experience of robotic transverse colectomy with an intracorporeal anastomosis, provide details of the surgical technique, and present the theoretical benefits of the procedure. This is a retrospective review of prospectively collected data of robotic surgery for colorectal cancer performed by a single surgeon between May 2007 and February 2011. Out of 162 consecutive cases, we identified three robotic transverse colectomies, using a hand-sewn intracorporeal anastomosis. Two males and one female underwent transverse colectomies for malignant or premalignant disease. The mean docking time, time spent using the robot, and total operative time were 5, 268, and 307 min, respectively. There were no conversions to open or conventional laparoscopic technique. The mean length of specimen and number of lymph nodes retrieved were 14.1 cm and 6.7, respectively. One patient suffered from a wound seroma and recovered with conservative management. The mean hospital stay was 8.7 days. After a median follow-up of 72 months, there were no local or systemic recurrences. Robotic transverse colectomy seems to be a safe and feasible technique. It may minimize the necessity of mobilizing both colonic flexures, with facilitated intracorporeal hand-sewn anastomosis. However, further prospective studies with a larger number of patients are required to draw firm conclusions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Weber PA, Merola S, Wasielewski A, Ballantyne GH (2002) Telerobotic-assisted laparoscopic right and sigmoid colectomies for benign disease. Dis Colon Rectum 45:1689–1694 (discussion 95–6)

    Article  PubMed  Google Scholar 

  2. Antoniou SA, Antoniou GA, Koch OO, Pointner R, Granderath FA (2012) Robot-assisted laparoscopic surgery of the colon and rectum. Surg Endosc 26:1–11

    Article  PubMed  Google Scholar 

  3. Baik SH, Kwon HY, Kim JS, Hur H, Sohn SK, Cho CH et al (2009) Robotic versus laparoscopic low anterior resection of rectal cancer: short-term outcome of a prospective comparative study. Ann Surg Oncol 16:1480–1487

    Article  PubMed  Google Scholar 

  4. Pigazzi A, Luca F, Patriti A, Valvo M, Ceccarelli G, Casciola L et al (2010) Multicentric study on robotic tumor-specific mesorectal excision for the treatment of rectal cancer. Ann Surg Oncol 17:1614–1620

    Article  PubMed  Google Scholar 

  5. Chapman AE, Levitt MD, Hewett P, Woods R, Sheiner H, Maddern GJ (2001) Laparoscopic-assisted resection of colorectal malignancies: a systematic review. Ann Surg 234:590–606

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  6. Chung CC, Tsang WW, Kwok SY, Li MK (2003) Laparoscopy and its current role in the management of colorectal disease. Colorectal Dis 5:528–543

    Article  CAS  PubMed  Google Scholar 

  7. Veldkamp R, Kuhry E, Hop WC, Jeekel J, Kazemier G, Bonjer HJ et al (2005) Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial. Lancet Oncol 6:477–484

    Article  PubMed  Google Scholar 

  8. Guillou PJ, Quirke P, Thorpe H, Walker J, Jayne DG, Smith AM et al (2005) Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. Lancet 365:1718–1726

    Article  PubMed  Google Scholar 

  9. Clinical Outcomes of Surgical Therapy Study Group (2004) A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med 350:2050–2059

    Article  Google Scholar 

  10. Chand M, Siddiqui MR, Rasheed S, Brown G, Tekkis P, Parvaiz A et al (2014) A systematic review and meta-analysis evaluating the role of laparoscopic surgical resection of transverse colon tumours. Surg Endosc 28(12):3263–3272

    Article  CAS  PubMed  Google Scholar 

  11. Lanfranco AR, Castellanos AE, Desai JP, Meyers WC (2004) Robotic surgery: a current perspective. Ann Surg 239:14–21

    Article  PubMed Central  PubMed  Google Scholar 

  12. D’Annibale A, Pernazza G, Morpurgo E, Monsellato I, Pende V, Lucandri G et al (2010) Robotic right colon resection: evaluation of first 50 consecutive cases for malignant disease. Ann Surg Oncol 17:2856–2862

    Article  PubMed  Google Scholar 

  13. Park YA, Kim JM, Kim SA, Min BS, Kim NK, Sohn SK et al (2010) Totally robotic surgery for rectal cancer: from splenic flexure to pelvic floor in one setup. Surg Endosc 24:715–720

    Article  PubMed  Google Scholar 

  14. deSouza AL, Prasad LM, Park JJ, Marecik SJ, Blumetti J, Abcarian H (2010) Robotic assistance in right hemicolectomy: is there a role? Dis Colon Rectum 53:1000–1006

    Article  PubMed  Google Scholar 

  15. Baek SK, Carmichael JC, Pigazzi A (2013) Robotic surgery: colon and rectum. Cancer J 19:140–146

    Article  PubMed  Google Scholar 

  16. Stein SA, Bergamaschi R (2013) Extracorporeal versus intracorporeal ileocolic anastomosis. Tech Coloproctol 17(Suppl 1):S35–S39

    Article  PubMed  Google Scholar 

  17. Pigazzi A, Garcia-Aguilar J (2010) Robotic colorectal surgery: for whom and for what? Dis Colon Rectum 53:969–970

    Article  PubMed  Google Scholar 

  18. Hellan M, Anderson C, Pigazzi A (2009) Extracorporeal versus intracorporeal anastomosis for laparoscopic right hemicolectomy. JSLS 13:312–317

    PubMed Central  PubMed  Google Scholar 

  19. Park IJ, Choi GS, Kang BM, Lim KH, Jun SH (2009) Lymph node metastasis patterns in right-sided colon cancers: is segmental resection of these tumors oncologically safe? Ann Surg Oncol 16:1501–1506

    Article  PubMed  Google Scholar 

  20. Pusztaszeri M, Matter M, Kuonen A, Bouzourene H (2009) Nodal staging in colorectal cancer: should distant lymph nodes be recovered in surgical specimens? Hum Pathol 40:552–557

    Article  PubMed  Google Scholar 

  21. Watanabe T, Itabashi M, Shimada Y, Tanaka S, Ito Y, Ajioka Y et al (2012) Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2010 for the treatment of colorectal cancer. Int J Clin Oncol 17:1–29

    Article  PubMed  Google Scholar 

  22. Edge SB, Byrd BD, Comptom CC, Fritz AG, Greene FL, Trotti A (2010) AJCC cancer staging manual, 7th edn. Springer, New York, pp 145–166

    Google Scholar 

Download references

Conflict of interest

Kyung Uk Jung, Yoonah Park, Kang Young Lee, and Seung-Kook Sohn declare that they have no conflict of interest.

Ethical standard

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. For this type of study (retrospective study), formal consent is not required.

Author information

Authors and Affiliations

  1. Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea

    Kyung Uk Jung

  2. Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 135-710, Republic of Korea

    Yoonah Park

  3. Department of Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea

    Kang Young Lee & Seung-Kook Sohn

Authors
  1. Kyung Uk Jung
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Yoonah Park
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Kang Young Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Seung-Kook Sohn
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Yoonah Park.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Jung, K.U., Park, Y., Lee, K.Y. et al. Robotic transverse colectomy for mid-transverse colon cancer: surgical techniques and oncologic outcomes. J Robotic Surg 9, 131–136 (2015). https://doi.org/10.1007/s11701-015-0502-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11701-015-0502-7

Keywords

Search

Navigation