Oncologic outcomes and perioperative clinicopathologic results after robot-assisted tumor-specific mesorectal excision for rectal cancer.

作者: Seung Hyuk Baik , Nam Kyu Kim , Dae Ro Lim , Hyuk Hur , Byung So Min

DOI: 10.1245/S10434-013-2895-8

关键词:

摘要: Robot-assisted surgery is a new and emerging surgical procedure for rectal cancer patients. However, there lack of information regarding oncologic outcomes this procedure. We aimed to evaluate perioperative clinicopathologic resection using robotic instruments cancer. Data from patients (n = 370) diagnosed with stage I–IV disease sited below 15 cm the anal verge who underwent robot-assisted tumor-specific mesorectal excision consecutively June 2006 December 2010 were evaluated. Clinicopathologic follow-up data recorded prospectively analyzed retrospectively. Perioperative outcomes, postoperative complications, 3-year overall survival rate, disease-free rate analyzed. All excision. Of all pathologic stages, 15 (4.1 %) 0 (pathologic complete remission), 126 (34.1 %) I, 95 (25.7 %) II, 118 (31.9 %) III, 16 (4.3 %) IV. The was 93.1 % remission = 100 %, I = 99.2 %, II = 97.1 %, III = 90.1 %, IV = 48.4 %). 79.2 % I = 93.7 %, II = 79.8 %, III = 69.6 %, IV = 0.0 %). cumulative local recurrence 3.6 % (n = 10). circumferential margin positive 5.7 % (n = 21). Local developed in one patient systemic five total number complications 86 (23.2 %). These show feasibility safety terms outcomes.

参考文章(22)
Steven M. Strasberg, David C. Linehan, William G. Hawkins, The accordion severity grading system of surgical complications. Annals of Surgery. ,vol. 250, pp. 177- 186 ,(2009) , 10.1097/SLA.0B013E3181AFDE41
Simon S. M. Ng, Ka Lau Leung, Janet F. Y. Lee, Raymond Y. C. Yiu, Jimmy C. M. Li, Anthony Y. B. Teoh, Wing Wa Leung, Laparoscopic-assisted versus open abdominoperineal resection for low rectal cancer: a prospective randomized trial. Annals of Surgical Oncology. ,vol. 15, pp. 2418- 2425 ,(2008) , 10.1245/S10434-008-9895-0
R. J. Heald, B. J. Moran, G. Brown, I. R. Daniels, Optimal total mesorectal excision for rectal cancer is by dissection in front of Denonvilliers' fascia British Journal of Surgery. ,vol. 91, pp. 121- 123 ,(2003) , 10.1002/BJS.4386
Yoon Ah Park, Jung Man Kim, Sung Ah Kim, Byung Soh Min, Nam Kyu Kim, Seung Kook Sohn, Kang Young Lee, Totally robotic surgery for rectal cancer: from splenic flexure to pelvic floor in one setup. Surgical Endoscopy and Other Interventional Techniques. ,vol. 24, pp. 715- 720 ,(2010) , 10.1007/S00464-009-0656-3
Seung Hyuk Baik, Woo Jung Lee, Koon Ho Rha, Nam Kyu Kim, Seung Kook Sohn, Hoon Sang Chi, Chang Hwan Cho, Sang Kil Lee, Jae Hee Cheon, Joong Bae Ahn, Won Ho Kim, Robotic total mesorectal excision for rectal cancer using four robotic arms. Surgical Endoscopy and Other Interventional Techniques. ,vol. 22, pp. 792- 797 ,(2008) , 10.1007/S00464-007-9663-4
Quor M Leong, Dong N Son, Jae S Cho, Se J Baek, Jung M Kwak, Azali H Amar, Seon H Kim, None, Robot-assisted intersphincteric resection for low rectal cancer: technique and short-term outcome for 29 consecutive patients Surgical Endoscopy and Other Interventional Techniques. ,vol. 25, pp. 2987- 2992 ,(2011) , 10.1007/S00464-011-1657-6
Christophe Laurent, Fabien Leblanc, Philippe Wütrich, Mathieu Scheffler, Eric Rullier, Laparoscopic versus open surgery for rectal cancer: long-term oncologic results. Annals of Surgery. ,vol. 250, pp. 54- 61 ,(2009) , 10.1097/SLA.0B013E3181AD6511
W W. C. Tsang, C C. Chung, S Y. Kwok, Michael K. W. Li, Laparoscopic Sphincter-Preserving Total Mesorectal Excision With Colonic J-Pouch Reconstruction: Five-Year Results Annals of Surgery. ,vol. 243, pp. 353- 358 ,(2006) , 10.1097/01.SLA.0000202180.16723.03
Seung Hyuk Baik, Mikhail Gincherman, Matthew G. Mutch, Elisa H. Birnbaum, James W. Fleshman, Laparoscopic vs open resection for patients with rectal cancer: comparison of perioperative outcomes and long-term survival. Diseases of The Colon & Rectum. ,vol. 54, pp. 6- 14 ,(2011) , 10.1007/DCR.0B013E3181FD19D0
Iris D Nagtegaal, Cornelis JH van de Velde, Erik van der Worp, Ellen Kapiteijn, Phil Quirke, J Han JM van Krieken, Pathology Review Committee for the Cooperative Clinical Investigators of the Dutch Colorectal Cancer Group, None, Macroscopic Evaluation of Rectal Cancer Resection Specimen: Clinical Significance of the Pathologist in Quality Control Journal of Clinical Oncology. ,vol. 20, pp. 1729- 1734 ,(2002) , 10.1200/JCO.2002.07.010