{"title":"[我科机器人辅助腹腔镜直肠癌手术的近期疗效]。","authors":"Hajime Yokomizo, Sachiyo Okayama, Shunsuke Iwamoto, Shinichi Asaka, Takebumi Usui, Takeshi Shimakawa, Shunichi Shiozawa","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>We investigated the short-term outcomes of robot-assisted surgery for rectal cancer in our department. Among 98 cases of colorectal cancer who underwent robot-assisted surgery between October 2019 and December 2023, 91 cases of rectal cancer surgery using the da Vinci X surgical system® were included, and clinicopathological and surgical outcomes were examined. The patients included 58 males and 33 females, with a median age of 71 years. The surgical procedures were high anterior resection in 9 cases, low anterior resection in 39 cases, ultra-low anterior resection in 14 cases, inter-sphincter resection in 3 cases, Hartmann's procedure in 6 cases, and rectal amputation in 20 cases. Lateral lymph node dissection was performed in 6 cases, and diverting ileostomy was performed in 20 cases. The surgical outcomes were the median operative time 363 minutes, console time 196 minutes, and blood loss 20 mL. Complications of Clavien-Dindo classification Ⅲ or higher were observed in 18.7% of cases, and the postoperative hospital stay was 16 days. In our department, we basically perform robot-assisted surgery for rectal cancer cases, except for some RS cases, but there are not a few postoperative complications, and we think that it is necessary to analyze the causes of these in the future.</p>","PeriodicalId":35588,"journal":{"name":"Japanese Journal of Cancer and Chemotherapy","volume":"52 2","pages":"149-151"},"PeriodicalIF":0.0000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Short-Term Outcomes of Robot-Assisted Laparoscopic Surgery for Rectal Cancer in Our Department].\",\"authors\":\"Hajime Yokomizo, Sachiyo Okayama, Shunsuke Iwamoto, Shinichi Asaka, Takebumi Usui, Takeshi Shimakawa, Shunichi Shiozawa\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>We investigated the short-term outcomes of robot-assisted surgery for rectal cancer in our department. Among 98 cases of colorectal cancer who underwent robot-assisted surgery between October 2019 and December 2023, 91 cases of rectal cancer surgery using the da Vinci X surgical system® were included, and clinicopathological and surgical outcomes were examined. The patients included 58 males and 33 females, with a median age of 71 years. The surgical procedures were high anterior resection in 9 cases, low anterior resection in 39 cases, ultra-low anterior resection in 14 cases, inter-sphincter resection in 3 cases, Hartmann's procedure in 6 cases, and rectal amputation in 20 cases. Lateral lymph node dissection was performed in 6 cases, and diverting ileostomy was performed in 20 cases. The surgical outcomes were the median operative time 363 minutes, console time 196 minutes, and blood loss 20 mL. Complications of Clavien-Dindo classification Ⅲ or higher were observed in 18.7% of cases, and the postoperative hospital stay was 16 days. In our department, we basically perform robot-assisted surgery for rectal cancer cases, except for some RS cases, but there are not a few postoperative complications, and we think that it is necessary to analyze the causes of these in the future.</p>\",\"PeriodicalId\":35588,\"journal\":{\"name\":\"Japanese Journal of Cancer and Chemotherapy\",\"volume\":\"52 2\",\"pages\":\"149-151\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Japanese Journal of Cancer and Chemotherapy\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Japanese Journal of Cancer and Chemotherapy","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
[Short-Term Outcomes of Robot-Assisted Laparoscopic Surgery for Rectal Cancer in Our Department].
We investigated the short-term outcomes of robot-assisted surgery for rectal cancer in our department. Among 98 cases of colorectal cancer who underwent robot-assisted surgery between October 2019 and December 2023, 91 cases of rectal cancer surgery using the da Vinci X surgical system® were included, and clinicopathological and surgical outcomes were examined. The patients included 58 males and 33 females, with a median age of 71 years. The surgical procedures were high anterior resection in 9 cases, low anterior resection in 39 cases, ultra-low anterior resection in 14 cases, inter-sphincter resection in 3 cases, Hartmann's procedure in 6 cases, and rectal amputation in 20 cases. Lateral lymph node dissection was performed in 6 cases, and diverting ileostomy was performed in 20 cases. The surgical outcomes were the median operative time 363 minutes, console time 196 minutes, and blood loss 20 mL. Complications of Clavien-Dindo classification Ⅲ or higher were observed in 18.7% of cases, and the postoperative hospital stay was 16 days. In our department, we basically perform robot-assisted surgery for rectal cancer cases, except for some RS cases, but there are not a few postoperative complications, and we think that it is necessary to analyze the causes of these in the future.