Original Article

J Minim Invasive Surg 2008; 11(2): 87-92

Published online December 15, 2008

© The Korean Society of Endo-Laparoscopic & Robotic Surgery

에스자 결장암에서 로봇 전방절제술의 초기 결과에 대한 예비 연구

권혜연ㆍ백승혁ㆍ김진수ㆍ허혁ㆍ손승국ㆍ조장환

연세대학교 의과대학 외과학교실

Robotic Anterior Resection for Sigmoid Colon Cancer: Short-term Outcome of a Pilot Study

Hye Youn Kwon, M.D., Seung Hyuk Baik, M.D., Jin Soo Kim, M.D., Hyuk Hur, M.D., Seung Kook Shon, M.D., Chang Hwan Cho, M.D.

Department of Surgery, Yonsei University College of Medicine, Seoul, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose: The DaVinci system is new emerging device for performing colorectal surgery. However, in the era of laparoscopic sigmoid colon cancer surgery, there are few previous reports on using the DaVinci system for sigmoid colon cancer. Therefore, the aim of this study is to evaluate the safety and feasibility of using the DaVici system for anterior resection in patients with sigmoid colon cancer, as compared with conventional laparoscopic anterior resection. Methods: Between March 2007 and Jun 2007, 7 sigmoid colon cancer patients underwent robotic anterior resection using the da Vinci Surgical system, and 9 patients underwent conventional laparoscopic anterior resection. The patients' characteristics, the perioperative clinical results and the pathologic details were prospectively collected and compared between the two groups. Results: The patient characteristics were not significantly different between the two groups. The mean operation time were 205.9±17.6 in the robotic group and 102.4±25.0 in the laparoscopic group (p=0.001). The change of the hemoglobin level, the number of days until peristalsis and the average length of stay were not different between the groups. Also, the pathologic details were not different between the groups. There were no complications or conversion in the both groups. Conclusion: Our data demonstrates that robotic anterior resection is feasible and effective for sigmoid colon cancer patients. However, we could not find better outcomes for robotic anterior resection as compared with conventional laparoscopic anterior resection.

Keywords Robotic anterior resection, Sigmoid colon cancer, Laparoscopic anterior resection

Article

Original Article

J Minim Invasive Surg 2008; 11(2): 87-92

Published online December 15, 2008

Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery.

에스자 결장암에서 로봇 전방절제술의 초기 결과에 대한 예비 연구

권혜연ㆍ백승혁ㆍ김진수ㆍ허혁ㆍ손승국ㆍ조장환

연세대학교 의과대학 외과학교실

Robotic Anterior Resection for Sigmoid Colon Cancer: Short-term Outcome of a Pilot Study

Hye Youn Kwon, M.D., Seung Hyuk Baik, M.D., Jin Soo Kim, M.D., Hyuk Hur, M.D., Seung Kook Shon, M.D., Chang Hwan Cho, M.D.

Department of Surgery, Yonsei University College of Medicine, Seoul, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose: The DaVinci system is new emerging device for performing colorectal surgery. However, in the era of laparoscopic sigmoid colon cancer surgery, there are few previous reports on using the DaVinci system for sigmoid colon cancer. Therefore, the aim of this study is to evaluate the safety and feasibility of using the DaVici system for anterior resection in patients with sigmoid colon cancer, as compared with conventional laparoscopic anterior resection. Methods: Between March 2007 and Jun 2007, 7 sigmoid colon cancer patients underwent robotic anterior resection using the da Vinci Surgical system, and 9 patients underwent conventional laparoscopic anterior resection. The patients' characteristics, the perioperative clinical results and the pathologic details were prospectively collected and compared between the two groups. Results: The patient characteristics were not significantly different between the two groups. The mean operation time were 205.9±17.6 in the robotic group and 102.4±25.0 in the laparoscopic group (p=0.001). The change of the hemoglobin level, the number of days until peristalsis and the average length of stay were not different between the groups. Also, the pathologic details were not different between the groups. There were no complications or conversion in the both groups. Conclusion: Our data demonstrates that robotic anterior resection is feasible and effective for sigmoid colon cancer patients. However, we could not find better outcomes for robotic anterior resection as compared with conventional laparoscopic anterior resection.

Keywords: Robotic anterior resection, Sigmoid colon cancer, Laparoscopic anterior resection

Share this article on

  • kakao talk
  • line

Journal of Minimally Invasive Surgery

pISSN 2234-778X
eISSN 2234-5248