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Reduced-port robotic total mesorectal resection for rectal cancer using a single-port access: a technical note

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Author(s)
Sung Uk BaeWoon Kyung JeongSeong Kyu Baek
Keimyung Author(s)
Baek, Seong KyuJeong, Woon KyungBae, Sung Uk
Department
Dept. of Surgery (외과학)
Journal Title
Wideochirurgia i inne techniki mało inwazyjne
Issued Date
2017
Volume
12
Issue
4
Keyword
laparoscopylymph node excisionnatural orifice endoscopic surgeryrectal neoplasmsrobotic surgical procedures
Abstract
Introduction:

Single-port laparoscopic surgery has some advantages, including improved cosmetic outcomes and minimized parietal trauma. However, pure single-port laparoscopic rectal cancer surgery is challenging because of the difficulties in creating triangulation and applying the laparoscopic staplers with sufficient distal margins in the narrow pelvic cavity. Recently, a reduced-port robotic operation with a robotic single-port access plus one wristed robotic arm for colon cancer was introduced to overcome the limitations of single-port laparoscopic rectal surgery.

Aim:

Single-port laparoscopic surgery has some advantages, including improved cosmetic outcomes and minimized parietal trauma. However, the pure single-port laparoscopic rectal cancer operation is challenging. Recently, a reduced-port robotic operation with a robotic single-port access plus one wristed robotic arm for colon cancer was introduced to overcome the limitations of single-port laparoscopic rectal surgery.

Material and methods:

We performed a single-port plus an additional port robotic operation using a robotic single-port access through the umbilical incision, and the wristed robotic instruments were inserted through an additional robotic port in the right lower quadrant.

Results:

The total operative and docking times were 310 min and 25 min, respectively. The total number of lymph nodes harvested was 12, and the proximal and distal resection margins were 11.1 and 2 cm, respectively. The patient was discharged on postoperative day 12 uneventfully.

Conclusions:

Based on a representative case, reduced-port robotic total mesorectal excision for rectal cancer using the single-port access appears to be feasible and safe. This approach could overcome the limitations of single-port laparoscopic rectal surgery.
Keimyung Author(s)(Kor)
백성규
정운경
배성욱
Publisher
School of Medicine (의과대학)
Citation
Sung Uk Bae et al. (2017). Reduced-port robotic total mesorectal resection for rectal cancer using a single-port access: a technical note. Wideochirurgia i inne techniki mało inwazyjne, 12(4), 378–384. doi: 10.5114/wiitm.2017.69727
Type
Article
ISSN
1895-4588
DOI
10.5114/wiitm.2017.69727
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/41433
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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