The robotic colorectal surgeon

Olson, CH

doi:10.13172/2053-3225-1-1-676

OA Robotic Surgery

2013

DOI: 10.13172/2053-3225-1-1-676

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The robotic colorectal surgeon

CH Olson¹

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2015

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Cited by 1 publication

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References 33 publications

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confidence: 99%

“…In the past 3 years, the number of robotic surgeries performed in the United States has increased from 80 000 to 205 000, 1 and the number of robotic systems available in hospitals rose from 800 to 2000. 1 While the most common forms of robotic surgery performed in North America are urological and gynecological operations, the robot is being increasingly used for colorectal surgery, in particular for rectal dissection. Robotic total mesorectal excision (TME) may be advantageous in dissection of the avascular plane between the presacral fascia and fascia propria of the rectum without injury to the integrity of the mesorectum in the narrow pelvic cavity and for dissection between the rectum, seminal vesicles and prostate.…”

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Evaluation of pilot experience with robotic-assisted proctectomy and coloanal anastomosis for rectal cancer

2015

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Background: Robotic-assisted proctectomy with coloanal anastomosis (RPCA) is an innovative technique of pelvic dissection for low rectal cancer. Our objective was to evaluate our pilot experience with this procedure compared with open proctectomy with coloanal anastomosis (OPCA). Methods:We performed a retrospective 5-year review of all consecutive cases of RPCA and OPCA performed at our institute. We focused on tumour characteristics, quality of surgery, analgesic requirements, average length of hospital stay (LOS), complications and long-term outcomes.Results: Three patients underwent RPCA and 25 had OPCA. The average duration of surgery was similar (288 min for RPCA v. 285 min for OPCA). Four patients in the OPCA group had positive or very close margins, and 2 had a mesorectal defect less than 5 mm. The average LOS was 6.66 and 9.29 days in the RPCA and OPCA groups, respectively, and the average duration of epidural or patient-controlled anesthesia was 2.67 and 5.16 days, respectively. We did not perform a statistical comparison because of the discordant size and sex distribution between the groups. There were no perioperative complications in the RPCA group, and all patients had negative margins and adequate lymph node retrievals with no long-term complications or recurrence recorded so far. Conclusion:Our very early experience with RPCA is quite encouraging, suggesting that it is a safe alternative to OPCA with a similar duration and the added benefits of a minimally invasive procedure, including decreased LOS and reduced postoperative analgesic requirements.Contexte : La proctectomie robot-assistée avec anastomose colo-anale est une technique novatrice de dissection pelvienne pour les cancers du bas rectum. Notre objectif était d'évaluer notre expérience pilote avec cette intervention, comparativement à la proctectomie ouverte avec anastomose colo-anale.Méthodes : Nous avons procédé à une revue rétrospective sur 5 ans de tous les cas consécutifs de proctectomie robot-assistée et de proctectomie ouverte avec anastomose coloanale effectuées dans notre établissement. Nous nous sommes concentrés sur les caracté-ristiques des tumeurs, la qualité de l'intervention chirurgicale, les besoins analgésiques, la durée moyenne du séjour hospitalier (DSH), les complications et l'issue à long terme.

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Evaluation of pilot experience with robotic-assisted proctectomy and coloanal anastomosis for rectal cancer

2015

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The robotic colorectal surgeon

Cited by 1 publication

References 33 publications

Evaluation of pilot experience with robotic-assisted proctectomy and coloanal anastomosis for rectal cancer

Evaluation of pilot experience with robotic-assisted proctectomy and coloanal anastomosis for rectal cancer

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