In:
The International Journal of Medical Robotics and Computer Assisted Surgery, Wiley, Vol. 13, No. 4 ( 2017-12)
Abstract:
Despite increasing use of robotic surgery for rectal cancer, few series have been published from the practice of generalizable US surgeons. Methods A retrospective chart review was performed for 71 consecutive patients who underwent robotic low anterior resection (LAR) or abdominoperineal resection (APR) for rectal adenocarcinoma between 2010 and 2014. Results 46 LARs (65%) and 25 APRs (35%) were identified. Median procedure time was 219 minutes (IQR 184–275) and mean blood loss 164.9 cc (SD 155.9 cc). Radial margin was negative in 70/71 (99%) patients. Total mesorectal excision integrity was complete/near complete in 38/39 (97%) of graded specimens. A mean of 16.8 (SD+/− 8.9) lymph nodes were retrieved. At median follow‐up of 21.9 months, there were no local recurrences. Conclusions Robotic proctectomy for rectal cancer was introduced into typical colorectal surgery practice by a single surgeon, with a low conversion rate, low complication rate, and satisfactory oncologic outcomes.
Type of Medium:
Online Resource
ISSN:
1478-5951
,
1478-596X
Language:
English
Publisher:
Wiley
Publication Date:
2017
detail.hit.zdb_id:
2156187-4
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