Impact of laparoscopic surgery on the long‐term outcomes for patients with rectal cancer

Kim, Jun-Gi; Heo, Youn-Jung; Son, Gyung Mo; Lee, Yoon-Suk; Lee, Inkyu; Suh, Yelin; Cho, Hyeon-Min; Chun, Chung-Soo

doi:10.1111/j.1445-2197.2009.05109.x

Cited by 20 publications

(13 citation statements)

References 27 publications

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“…Minimally invasive surgery for colorectal disease has gained popularity because it can result in better short‐term and non‐inferior long‐term outcomes than conventional open surgery . To advance minimally invasive surgical techniques, single‐incision laparoscopic surgery (SILS) was developed to minimize incision‐related pain and complications while maximizing cosmetic effect(s).…”

Section: Introductionmentioning

confidence: 99%

Initial clinical experience of single‐incision robotic colorectal surgery with da Vinci SP platform

Noh

Han

et al. 2020

Robotics Computer Surgery

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Background: The da Vinci Surgical System (Intuitive Surgical, Sunnyvale, CA) was introduced to overcome the limitations of single-incision laparoscopic surgery, which is challenging due to its restrictions regarding triangulation and retraction. The purpose of this article is to describe the initial experience with single-incision surgery using the da Vinvci Single-Port Platform (dVSP). Methods:The medical records of patients with colorectal disease, who underwent single-incision robotic surgery using the dVSP, were retrospectively reviewed.Results: Five patients with appendiceal and colorectal cancer, and two with diverticulitis were enrolled. All procedures were completed using a pure single-incision approach, with an exception for low anterior resection. There were two minor complications. For patients with colorectal cancer, the number of retrieved lymph nodes and status of the resection margin were acceptable, and cosmetic results were satisfactory. Conclusion:The dVSP is a novel surgical platform that can be used as an alternative surgical modality for colorectal surgery. K E Y W O R D S colorectal surgery, da Vinci SP, robotic surgery, single-incision

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Section: Introductionmentioning

confidence: 99%

Initial clinical experience of single‐incision robotic colorectal surgery with da Vinci SP platform

Noh

Han

et al. 2020

Robotics Computer Surgery

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“…Minimally invasive surgery has shown better short‐term outcomes than open procedures , with no differences in oncologic parameters and no long‐term disadvantages . Some studies have even identified laparoscopic surgery as an independent factor associated with reduced local recurrence . However, widespread use of laparoscopic mesorectal excision with a conventional approach is limited by technical drawbacks: fixed instrument tips, limited dexterity of the instruments, two‐dimensional view and poor ergonomic position, all of them contributing to a steep and long learning curve .…”

Section: Introductionmentioning

confidence: 99%

Robotic assistance may reduce conversion to open in rectal carcinoma laparoscopic surgery: systematic review and meta‐analysis

Ortiz-Oshiro

Sánchez-Egido

Sierra

et al. 2012

Robotics Computer Surgery

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“…Many efforts have been made to preserve the anal sphincter in very low rectal cancer. With the understanding of the spreading pathway of low rectal cancer and development of the double stapling technique and intersphincteric resection, the frequency of sphincter preserving surgery has increased rapidly from 20% to 90% in the past 20 years [31].…”

Section: Anal Sphincter-saving Surgery In Low Rectal Cancermentioning

confidence: 99%

Reconsideration of the Safety of Laparoscopic Rectal Surgery for Cancer

et al. 2019

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The oncological outcomes of laparoscopic rectal cancer surgery were evaluated in recent multicenter randomized clinical trials (RCTs). The MRC-CLASSIC, COLOR II, and COREAN trials found no differences in local recurrence or diseasefree survival rate between laparoscopic and open surgery. However, the noninferiority of laparoscopic surgery with respect to open surgery for rectal cancer was not established on statistical analysis in the ACOSOG Z6051 and the ALaC-aRT trials. Quality of total mesorectal excision (TME) is one of the most important prognostic factors. Incomplete TME had unfavorable oncologic outcomes compared to complete TME. Although TME quality can be clearly identified on pathologic evaluation, there is controversy regarding the acceptable range of oncologically safe TME for laparoscopic surgery. It is not certain whether near-complete TME has an unfavorable oncologic impact and whether laparoscopic surgery with near-complete TME is an oncological threat. Therefore, the surgical community will be interested in the long-term outcomes and meta-analyses of ongoing large-scale RCTs. Laparoscopic rectal cancer surgery has been steadily improving its safety for oncology surgery, which has been reported consistently in various multicenter RCTs. To improve surgical quality, colorectal surgeons should choose the most appropriate surgical technique, including laparoscopic surgery.

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Impact of laparoscopic surgery on the long‐term outcomes for patients with rectal cancer

Abstract: Laparoscopic surgery did not adversely affect the long-term oncological outcome for patients with rectal cancer.

Cited by 20 publications

References 27 publications

Initial clinical experience of single‐incision robotic colorectal surgery with da Vinci SP platform

Initial clinical experience of single‐incision robotic colorectal surgery with da Vinci SP platform

Robotic assistance may reduce conversion to open in rectal carcinoma laparoscopic surgery: systematic review and meta‐analysis

Reconsideration of the Safety of Laparoscopic Rectal Surgery for Cancer

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