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Surgical Endoscopy
Published in: Surgical Endoscopy 3/2010

01-03-2010 | Technique

Totally robotic surgery for rectal cancer: from splenic flexure to pelvic floor in one setup

Authors: Yoon Ah Park, Jung Man Kim, Sung Ah Kim, Byung Soh Min, Nam Kyu Kim, Seung Kook Sohn, Kang Young Lee

Published in: Surgical Endoscopy | Issue 3/2010

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Abstract

Background

Robotic surgery for rectal cancer may be a way to overcome the limitations of laparoscopic surgery. However, totally robotic surgery for rectal cancer is still technically challenging. This report describes the technical details and outcomes of totally robotic rectal surgery.

Methods

The authors developed a totally robotic surgery technique for rectal cancer and performed it for 45 patients. We designed a six-port system, including a camera port, to perform rectal cancer surgery from the splenic flexure to the pelvic diaphragm in one setup. To check the feasibility and safety of the procedure, perioperative outcomes including conversion rate, morbidity, and mortality were analyzed.

Results

The mean body mass index of the 45 patients was 23.6 kg/m2 (range, 18.8–31.6 kg/m2). There was one case (2.2%) of conversion to laparotomy because of a common iliac artery injury. The 30-day morbidity rate was 11.1%. There was no operation-related mortality.

Conclusions

Totally robotic surgery for rectal cancer using the described technique was feasible and safe. This result could facilitate the spread of robotic surgery for rectal cancer and maximize the advantages of robotic surgery.
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Metadata
Title
Totally robotic surgery for rectal cancer: from splenic flexure to pelvic floor in one setup
Authors
Yoon Ah Park
Jung Man Kim
Sung Ah Kim
Byung Soh Min
Nam Kyu Kim
Seung Kook Sohn
Kang Young Lee
Publication date
01-03-2010
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 3/2010
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-009-0656-3

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