Robot-assisted intersphincteric resection for low rectal cancer: technique and short-term outcome for 29 consecutive patients
DC Field | Value | Language |
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dc.contributor.author | Leong, Quor M. | - |
dc.contributor.author | Son, Dong N. | - |
dc.contributor.author | Cho, Jae S. | - |
dc.contributor.author | Baek, Se J. | - |
dc.contributor.author | Kwak, Jung M. | - |
dc.contributor.author | Amar, Azali H. | - |
dc.contributor.author | Kim, Seon H. | - |
dc.date.accessioned | 2021-09-07T08:44:58Z | - |
dc.date.available | 2021-09-07T08:44:58Z | - |
dc.date.created | 2021-06-19 | - |
dc.date.issued | 2011-09 | - |
dc.identifier.issn | 0930-2794 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/111654 | - |
dc.description.abstract | Intersphincteric resection (ISR) for low rectal cancer has been described as the ultimate sphincter-saving procedure. Laparoscopic ISR has been proved safe with early postoperative benefits. Recently, some colorectal surgeons have begun to perform robot-assisted ISR to harness the advantages of the da Vinci robotic system. The authors present their short-term results for a robotic technique of ISR. Data from 29 consecutive patients at a single institution with very low rectal cancer (< 4 cm) from the anal verge who underwent robot-assisted ISR were prospectively collected between December 2007 and March 2010. The study enrolled 23 men and 6 women with a median age of 61.5 years (range, 36-82 years). Their median body mass index (BMI) was 23.3 kg/m(2) (range, 17.9-32.5 kg/m(2)). The median distance of the tumor from the anal verge was 3 cm (range, 1-4 cm). The median operative time was 325 min (range, 235-435 min), with a console time of 130 min (range, 110-210 min). There were no conversions to open surgery. A protecting ileostomy was performed for all the patients. The median blood loss was less than 50 ml (range, < 50-1,000 ml). The median size of the tumor was 3 cm (range, 0-6.9 cm), and the median number of lymph nodes harvested was 16 (range, 1-44). The median distal margin was 0.8 cm (range, 0-4 cm), and one margin was positive. The circumferential margin was negative (> 2 mm) for 27 patients. Therefore, complete resection (R0) was achieved for 26 (90%) of the 29 patients. The median hospital stay was 9 days (range, 5-15 days). Nine patients experienced complications, including three anastomotic leaks (10%). All the leaks were managed conservatively. No surgical mortalities occurred. Robot-assisted intersphincteric resection for very low rectal cancer is feasible, and its short-term outcome is acceptable. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | SPRINGER | - |
dc.subject | TOTAL MESORECTAL EXCISION | - |
dc.subject | LAPAROSCOPIC RESECTION | - |
dc.subject | ANTERIOR RESECTION | - |
dc.subject | COLOANAL ANASTOMOSIS | - |
dc.subject | ONCOLOGIC OUTCOMES | - |
dc.subject | SURGERY | - |
dc.subject | DISSECTION | - |
dc.subject | CARCINOMA | - |
dc.title | Robot-assisted intersphincteric resection for low rectal cancer: technique and short-term outcome for 29 consecutive patients | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Cho, Jae S. | - |
dc.contributor.affiliatedAuthor | Baek, Se J. | - |
dc.contributor.affiliatedAuthor | Kwak, Jung M. | - |
dc.contributor.affiliatedAuthor | Kim, Seon H. | - |
dc.identifier.doi | 10.1007/s00464-011-1657-6 | - |
dc.identifier.scopusid | 2-s2.0-80055089421 | - |
dc.identifier.wosid | 000294219800023 | - |
dc.identifier.bibliographicCitation | SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, v.25, no.9, pp.2987 - 2992 | - |
dc.relation.isPartOf | SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | - |
dc.citation.title | SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | - |
dc.citation.volume | 25 | - |
dc.citation.number | 9 | - |
dc.citation.startPage | 2987 | - |
dc.citation.endPage | 2992 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | TOTAL MESORECTAL EXCISION | - |
dc.subject.keywordPlus | LAPAROSCOPIC RESECTION | - |
dc.subject.keywordPlus | ANTERIOR RESECTION | - |
dc.subject.keywordPlus | COLOANAL ANASTOMOSIS | - |
dc.subject.keywordPlus | ONCOLOGIC OUTCOMES | - |
dc.subject.keywordPlus | SURGERY | - |
dc.subject.keywordPlus | DISSECTION | - |
dc.subject.keywordPlus | CARCINOMA | - |
dc.subject.keywordAuthor | Cancer | - |
dc.subject.keywordAuthor | Intersphincteric | - |
dc.subject.keywordAuthor | Rectal | - |
dc.subject.keywordAuthor | Robot | - |
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