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Robot-Assisted Colectomy for Left-Sided Colon Cancer: Comparison of Reduced-Port and Conventional Multi-Port Robotic Surgery

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Author(s)
Bae Sung UkJeong Woon KyungBaek Seong Kyu
Keimyung Author(s)
Bae, Sung UkJeong, Woon KyungBaek, Seong Kyu
Department
Dept. of Surgery (외과학)
Journal Title
Journal of laparoendoscopic & advanced surgical techniques
Issued Date
2017
Volume
27
Issue
4
Keyword
colonic neoplasmsrobotic surgical procedureslaparoscopynatural orifice endoscopic surgerytreatment outcome
Abstract
Purpose: The robotic single-port access plus one conventional robotic port, a reduced-port robotic surgery (RPRS) for left-sided colon cancer, can enable lymphovascular dissection using the wristed instrumentation and safe rectal transection through an additional port maintaining the cosmetic advantage of the single-port surgery. The aim of this study is to compare the clinicopathological outcomes between reduced-port and conventional multi-port robotic colectomy for left-sided colon cancer.

Methods: The study group included 23 patients who underwent an RPRS and 16 patients who underwent a multi-PRS (MPRS) for left-sided colon cancer between August 2013 and January 2016.

Results: The operative time was significantly shorter in the RPRS group than in the MPRS group (mean time 258 ± 67 vs. 319 ± 66 minutes, P = .009). There were no apparent differences in tolerance of diet, postoperative pain score, length of hospital stay, the rate of postoperative complications, and the mean number of harvested lymph node, but the RPRS group had a significantly smaller total incision length (38 ± 12 mm vs. 83 ± 6 mm, P = .013).

Conclusions: This study shows the feasibility and safety of the RPRS, with clinicopathological outcomes that is comparable with that of the MPRS for left-sided colon cancer.
Keimyung Author(s)(Kor)
백성규
정운경
배성욱
Publisher
School of Medicine
Citation
Bae Sung Uk et al. (2017). Robot-Assisted Colectomy for Left-Sided Colon Cancer: Comparison of Reduced-Port and Conventional Multi-Port Robotic Surgery. Journal of laparoendoscopic & advanced surgical techniques, 27(4), 398–403. doi: 10.1089/lap.2016.0427
Type
Article
ISSN
1092-6429
Source
https://www.liebertpub.com/doi/10.1089/lap.2016.0427
DOI
10.1089/lap.2016.0427
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32700
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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