Abstract
The aim of the study was to assess and analyse the oncologic postoperative outcome of patients after robotic surgery for rectal cancer We conducted a study on patients with rectal cancer undergoing robotic surgery at the 5th Surgery Clinic of the Municipal Clinical Hospital in Cluj-Napoca between January 2010 and December 2013 and evaluated postoperative survival after 5 year follow-up. There were 10 patients, median age was 62 ± 11 years. Five anterior rectal resections, three lower rectal resections and two abdominoperineal resections were performed. Most tumors were stage III (6 cases). Of the patients included in the study, 7 patients survived and 3 patients died during the 5-year follow-up period. Survival at 5 years after robotic surgery was similar to open or laparoscopic surgery. Robotic surgery may be an alternative to laparoscopic surgery in the treatment of rectal cancer, especially with regard to the identification and preservation of nerve plexuses and dissection in a narrow pelvis with similar oncologic outcome.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Baik, S.H., Ko, Y.T., Kang, C.M., Lee, W.J., Kim, N.K., Sohn, S.K., et al.: Robotic tumor-specific mesorectal excision of rectal cancer: short-term outcome of a pilot randomized trial. Surg. Endosc. 22, 1601–1608 (2008)
Baik, S.H.: Robotic colorectal surgery. Yonsei Med. J. 49, 891–896 (2008)
Micu, B., Micu, C., Leucuta, D.C., Crivii, C., Constantea, N.: The role and prognostic impact of lymph node ratio on stage III colorectal cancer. Clujul Med. 86(3), 245–249 (2013)
Kim, C.N., Bae, S.U., Lee, S.G., Yang, S.H., Hyun, I.G., Jang, J.H., et al.: Clinical and oncologic outcomes of totally robotic total mesorectal excision for rectal cancer: initial results in a center for minimally invasive surgery. Int. J. Colorectal Dis. 31(4), 843–852 (2016)
Hellan, M., Ouellette, J., Lagares-Garcia, J.A., Rauh, S.M., Kennedy, H.L., Nicholson, J.D., et al.: Robotic rectal cancer resection: a retrospective multicenter analysis. Ann. Surg. Oncol. 22(7), 2151–2158 (2015)
Park, S., Kim, N.K.: The role of robotic surgery for rectal cancer: overcoming technical challenges in laparoscopic surgery by advanced techniques. Korean Med. Sci. 30(7), 837–846 (2015)
Araujo, S.E., Seid, V.E., Klajner, S.: Robotic surgery for rectal cancer: current immediate clinical and oncological outcomes. World J. Gastroenterol. 20(39), 14359–14370 (2014)
Feroci, F., Vannucchi, A., Bianchi, P.P., Cantafio, S., Garzi, A., Formisano, G., Scatizzi, M.: Total mesorectal excision for mid and low rectal cancer: laparoscopic vs robotic surgery. World J. Gastroenterol. 22(13), 3602–3610 (2016). https://doi.org/10.3748/wjg.v22.i13.3602
Crolla, R.M.P.H., Tersteeg, J.J.C., van der Schelling, G.P., Wijsman, J.H., Schreinemakers, J.M.J.: Robot-assisted laparoscopic resection of clinical T4b tumours of distal sigmoid and rectum: initial results. Surg. Endosc., 16 May 2018. https://doi.org/10.1007/s00464-018-6210-4
Pinar, I., Fransgaard, T., Thygesen, L.C., Gögenur, I.: Long-term outcomes of robot-assisted surgery in patients with colorectal cancer. Ann. Surg. Oncol. (2018). https://doi.org/10.1245/s10434-018-6862-2
Fransgaard, T., Pinar, I., Thygesen, L.C., Gögenur, I.: Association between robot-assisted surgery and resection quality in patients with colorectal cancer. Surg. Oncol. 27(2), 177–184 (2018). https://doi.org/10.1016/j.suronc.2018.03.003
de Jesus, J.P., Valadão, M., de Castro Araujo, R.O., Cesar, D., Linhares, E., Iglesias, A.C.: The circumferential resection margins status: a comparison of robotic, laparoscopic and open total mesorectal excision for mid and low rectal cancer. Eur. J. Surg. Oncol. 42(6), 808–812 (2016). https://doi.org/10.1016/j.ejso.2016.03
Conflict of Interest
The authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Singapore Pte Ltd.
About this paper
Cite this paper
Micu, B.V. et al. (2019). Oncological Outcome After Robotic Surgery for Rectal Cancer. In: Vlad, S., Roman, N. (eds) 6th International Conference on Advancements of Medicine and Health Care through Technology; 17–20 October 2018, Cluj-Napoca, Romania. IFMBE Proceedings, vol 71. Springer, Singapore. https://doi.org/10.1007/978-981-13-6207-1_46
Download citation
DOI: https://doi.org/10.1007/978-981-13-6207-1_46
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-13-6206-4
Online ISBN: 978-981-13-6207-1
eBook Packages: EngineeringEngineering (R0)