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Published in: Journal of Robotic Surgery 2/2015

01-06-2015 | Original Article

Robotic transverse colectomy for mid-transverse colon cancer: surgical techniques and oncologic outcomes

Authors: Kyung Uk Jung, Yoonah Park, Kang Young Lee, Seung-Kook Sohn

Published in: Journal of Robotic Surgery | Issue 2/2015

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Abstract

Robot-assisted surgery for colon cancer has been reported in many studies, most of which worked on right and/or sigmoid colectomy. The aim of this study was to report our experience of robotic transverse colectomy with an intracorporeal anastomosis, provide details of the surgical technique, and present the theoretical benefits of the procedure. This is a retrospective review of prospectively collected data of robotic surgery for colorectal cancer performed by a single surgeon between May 2007 and February 2011. Out of 162 consecutive cases, we identified three robotic transverse colectomies, using a hand-sewn intracorporeal anastomosis. Two males and one female underwent transverse colectomies for malignant or premalignant disease. The mean docking time, time spent using the robot, and total operative time were 5, 268, and 307 min, respectively. There were no conversions to open or conventional laparoscopic technique. The mean length of specimen and number of lymph nodes retrieved were 14.1 cm and 6.7, respectively. One patient suffered from a wound seroma and recovered with conservative management. The mean hospital stay was 8.7 days. After a median follow-up of 72 months, there were no local or systemic recurrences. Robotic transverse colectomy seems to be a safe and feasible technique. It may minimize the necessity of mobilizing both colonic flexures, with facilitated intracorporeal hand-sewn anastomosis. However, further prospective studies with a larger number of patients are required to draw firm conclusions.
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Metadata
Title
Robotic transverse colectomy for mid-transverse colon cancer: surgical techniques and oncologic outcomes
Authors
Kyung Uk Jung
Yoonah Park
Kang Young Lee
Seung-Kook Sohn
Publication date
01-06-2015
Publisher
Springer London
Published in
Journal of Robotic Surgery / Issue 2/2015
Print ISSN: 1863-2483
Electronic ISSN: 1863-2491
DOI
https://doi.org/10.1007/s11701-015-0502-7

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