Robot-assisted intersphincteric resection for rectal submucosal tumour.

Jin-Lin Du, Chia-Che Chen, Hsiao-Mei Chao, Li-Jen Kuo
Author Information
  1. Jin-Lin Du: Department of Colorectal Surgery, Zhejiang University Jinhua Hospital, Jinhua, Zhejiang, People's Republic of China.
  2. Chia-Che Chen: Department of Surgery, Taipei Medical University Hospital, Taiwan.
  3. Hsiao-Mei Chao: Department of Pathology, Wang Fang Hospital, Taipei Medical University, Taiwan.
  4. Li-Jen Kuo: Department of Surgery, Taipei Medical University Hospital, Taiwan.

Abstract

BACKGROUND: Rectal submucosal tumours are rare. The purpose of this study was to evaluate the safety and feasibility of robot-assisted rectal surgery.
METHODS: Patients who received robot-assisted intersphincteric resection (ISR) were included in the present study. Clinical outcomes, operating time, length of hospital stay and pathological status were analysed.
RESULTS: There were three patients with gastrointestinal tumours and three patients diagnosed with neuroendocrine tumours. The mean operating time was 369.2 min and the estimated blood loss was 66.7 ml. There were neither intraoperative complications nor conversions. On pathological examination, the mean number of lymph nodes harvested was 10.3 (range 3-16), the mean distal resection margin was 1.1 (range 0.1-3) cm and all six patients had the circumferential resection margins clear.
CONCLUSIONS: Our data show that robotic surgery is feasible and safe, with no morbidity or mortality, and that ISR provides bowel continuity and eliminates the need for colostomy. Copyright © 2015 John Wiley & Sons, Ltd.

Keywords

MeSH Term

Adult
Aged
Anal Canal
Female
Gastrointestinal Stromal Tumors
Humans
Male
Middle Aged
Neuroendocrine Tumors
Operative Time
Rectal Neoplasms
Robotic Surgical Procedures

Word Cloud

Created with Highcharts 10.0.0resectiontumoursubmucosaltumourssurgeryintersphinctericpatientsmeanstudyrobot-assistedrectalISRoperatingtimepathologicalthreegastrointestinalneuroendocrinerange1roboticBACKGROUND:RectalrarepurposeevaluatesafetyfeasibilityMETHODS:PatientsreceivedincludedpresentClinicaloutcomeslengthhospitalstaystatusanalysedRESULTS:diagnosed3692 minestimatedbloodloss667 mlneitherintraoperativecomplicationsconversionsexaminationnumberlymphnodesharvested1033-16distalmargin01-3cmsixcircumferentialmarginsclearCONCLUSIONS:datashowfeasiblesafemorbiditymortalityprovidesbowelcontinuityeliminatesneedcolostomyCopyright©2015JohnWiley&SonsLtdRobot-assistedrectum

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