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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.105 No.2
- 발행연도
- 2023.8
- 수록면
- 99 - 106 (8page)
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Purpose: The da Vinci single-port (SP) system has been used in various surgical fields, including colorectal surgery. However, limited experience has been reported on its safety and feasibility. This study aims to evaluate the short-term outcomes of SP robotic surgery for the treatment of rectal cancer compared with multiport (MP) robotic surgery.
Methods: Rectal cancer patients who underwent curative resection in 2020 were reviewed. A total of 43 patients underwent robotic total mesorectal excision (TME), of which 26 (13 in each group, SP<SUB>TME</SUB> vs. MP<SUB>TME</SUB>) were included in the case-matched cohort for analysis. Intraoperative and postoperative outcomes and pathological results were compared between the 2 groups.
Results: Median tumor height was similar between the 2 groups (SP<SUB>TME</SUB> vs. MP<SUB>TME</SUB>: 5.9 cm [range, 2.2–9.6 cm] vs. 6.7 cm [range, 3.4–10.0 cm], P = 0.578). Preoperative chemoradiotherapy was equally performed (38.5%). The median estimated blood loss was less (20.0 mL [range, 5.0–20.0 mL] vs. 30.0 mL [range, 20.0–30.0 mL], P = 0.020) and the median hospital stay was shorter (7 days [range, 6–8 days] vs. 8 days [range, 7–9 days], P = 0.055) in the SP<SUB>TME</SUB> group. Postoperative complications did not differ (SP<SUB>TME</SUB> vs. MP<SUB>TME</SUB>: 7.7% vs. 23.1%, P = 0.587). One patient in the SP<SUB>TME</SUB> group and 3 in the MP<SUB>TME</SUB> group experienced anastomotic leakage.
Conclusion: SP robotic TME showed perioperative outcomes similar to MP robotic TME. The SP robotic system can be considered a surgical option for the treatment of rectal cancer. Further prospective randomized trials with larger cohorts are required.
Methods: Rectal cancer patients who underwent curative resection in 2020 were reviewed. A total of 43 patients underwent robotic total mesorectal excision (TME), of which 26 (13 in each group, SP<SUB>TME</SUB> vs. MP<SUB>TME</SUB>) were included in the case-matched cohort for analysis. Intraoperative and postoperative outcomes and pathological results were compared between the 2 groups.
Results: Median tumor height was similar between the 2 groups (SP<SUB>TME</SUB> vs. MP<SUB>TME</SUB>: 5.9 cm [range, 2.2–9.6 cm] vs. 6.7 cm [range, 3.4–10.0 cm], P = 0.578). Preoperative chemoradiotherapy was equally performed (38.5%). The median estimated blood loss was less (20.0 mL [range, 5.0–20.0 mL] vs. 30.0 mL [range, 20.0–30.0 mL], P = 0.020) and the median hospital stay was shorter (7 days [range, 6–8 days] vs. 8 days [range, 7–9 days], P = 0.055) in the SP<SUB>TME</SUB> group. Postoperative complications did not differ (SP<SUB>TME</SUB> vs. MP<SUB>TME</SUB>: 7.7% vs. 23.1%, P = 0.587). One patient in the SP<SUB>TME</SUB> group and 3 in the MP<SUB>TME</SUB> group experienced anastomotic leakage.
Conclusion: SP robotic TME showed perioperative outcomes similar to MP robotic TME. The SP robotic system can be considered a surgical option for the treatment of rectal cancer. Further prospective randomized trials with larger cohorts are required.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
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