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Single-port versus multiport robotic total mesorectal excision for rectal cancer: initial experiences by case-matched analysis of short-term outcomes

PURPOSE: The da Vinci single-port (SP) system has been used in various surgical fields, including colorectal surgery. However, limited experience has been reported on its safety and feasibility. This study aims to evaluate the short-term outcomes of SP robotic surgery for the treatment of rectal can...

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Autores principales: Jeong, Min Hye, Kim, Hye Jin, Choi, Gyu-Seog, Song, Seung Ho, Park, Jun Seok, Park, Soo Yeun, Lee, Sung Min, Na, Dong Hee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Surgical Society 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10409629/
https://www.ncbi.nlm.nih.gov/pubmed/37564948
http://dx.doi.org/10.4174/astr.2023.105.2.99
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author Jeong, Min Hye
Kim, Hye Jin
Choi, Gyu-Seog
Song, Seung Ho
Park, Jun Seok
Park, Soo Yeun
Lee, Sung Min
Na, Dong Hee
author_facet Jeong, Min Hye
Kim, Hye Jin
Choi, Gyu-Seog
Song, Seung Ho
Park, Jun Seok
Park, Soo Yeun
Lee, Sung Min
Na, Dong Hee
author_sort Jeong, Min Hye
collection PubMed
description PURPOSE: The da Vinci single-port (SP) system has been used in various surgical fields, including colorectal surgery. However, limited experience has been reported on its safety and feasibility. This study aims to evaluate the short-term outcomes of SP robotic surgery for the treatment of rectal cancer compared with multiport (MP) robotic surgery. METHODS: Rectal cancer patients who underwent curative resection in 2020 were reviewed. A total of 43 patients underwent robotic total mesorectal excision (TME), of which 26 (13 in each group, SP(TME) vs. MP(TME)) were included in the case-matched cohort for analysis. Intraoperative and postoperative outcomes and pathological results were compared between the 2 groups. RESULTS: Median tumor height was similar between the 2 groups (SP(TME) vs. MP(TME): 5.9 cm [range, 2.2–9.6 cm] vs. 6.7 cm [range, 3.4–10.0 cm], P = 0.578). Preoperative chemoradiotherapy was equally performed (38.5%). The median estimated blood loss was less (20.0 mL [range, 5.0–20.0 mL] vs. 30.0 mL [range, 20.0–30.0 mL], P = 0.020) and the median hospital stay was shorter (7 days [range, 6–8 days] vs. 8 days [range, 7–9 days], P = 0.055) in the SP(TME) group. Postoperative complications did not differ (SP(TME) vs. MP(TME): 7.7% vs. 23.1%, P = 0.587). One patient in the SP(TME) group and 3 in the MP(TME) group experienced anastomotic leakage. CONCLUSION: SP robotic TME showed perioperative outcomes similar to MP robotic TME. The SP robotic system can be considered a surgical option for the treatment of rectal cancer. Further prospective randomized trials with larger cohorts are required.
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spelling pubmed-104096292023-08-10 Single-port versus multiport robotic total mesorectal excision for rectal cancer: initial experiences by case-matched analysis of short-term outcomes Jeong, Min Hye Kim, Hye Jin Choi, Gyu-Seog Song, Seung Ho Park, Jun Seok Park, Soo Yeun Lee, Sung Min Na, Dong Hee Ann Surg Treat Res Original Article PURPOSE: The da Vinci single-port (SP) system has been used in various surgical fields, including colorectal surgery. However, limited experience has been reported on its safety and feasibility. This study aims to evaluate the short-term outcomes of SP robotic surgery for the treatment of rectal cancer compared with multiport (MP) robotic surgery. METHODS: Rectal cancer patients who underwent curative resection in 2020 were reviewed. A total of 43 patients underwent robotic total mesorectal excision (TME), of which 26 (13 in each group, SP(TME) vs. MP(TME)) were included in the case-matched cohort for analysis. Intraoperative and postoperative outcomes and pathological results were compared between the 2 groups. RESULTS: Median tumor height was similar between the 2 groups (SP(TME) vs. MP(TME): 5.9 cm [range, 2.2–9.6 cm] vs. 6.7 cm [range, 3.4–10.0 cm], P = 0.578). Preoperative chemoradiotherapy was equally performed (38.5%). The median estimated blood loss was less (20.0 mL [range, 5.0–20.0 mL] vs. 30.0 mL [range, 20.0–30.0 mL], P = 0.020) and the median hospital stay was shorter (7 days [range, 6–8 days] vs. 8 days [range, 7–9 days], P = 0.055) in the SP(TME) group. Postoperative complications did not differ (SP(TME) vs. MP(TME): 7.7% vs. 23.1%, P = 0.587). One patient in the SP(TME) group and 3 in the MP(TME) group experienced anastomotic leakage. CONCLUSION: SP robotic TME showed perioperative outcomes similar to MP robotic TME. The SP robotic system can be considered a surgical option for the treatment of rectal cancer. Further prospective randomized trials with larger cohorts are required. The Korean Surgical Society 2023-08 2023-08-01 /pmc/articles/PMC10409629/ /pubmed/37564948 http://dx.doi.org/10.4174/astr.2023.105.2.99 Text en Copyright © 2023, the Korean Surgical Society https://creativecommons.org/licenses/by-nc/4.0/Annals of Surgical Treatment and Research is an Open Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Jeong, Min Hye
Kim, Hye Jin
Choi, Gyu-Seog
Song, Seung Ho
Park, Jun Seok
Park, Soo Yeun
Lee, Sung Min
Na, Dong Hee
Single-port versus multiport robotic total mesorectal excision for rectal cancer: initial experiences by case-matched analysis of short-term outcomes
title Single-port versus multiport robotic total mesorectal excision for rectal cancer: initial experiences by case-matched analysis of short-term outcomes
title_full Single-port versus multiport robotic total mesorectal excision for rectal cancer: initial experiences by case-matched analysis of short-term outcomes
title_fullStr Single-port versus multiport robotic total mesorectal excision for rectal cancer: initial experiences by case-matched analysis of short-term outcomes
title_full_unstemmed Single-port versus multiport robotic total mesorectal excision for rectal cancer: initial experiences by case-matched analysis of short-term outcomes
title_short Single-port versus multiport robotic total mesorectal excision for rectal cancer: initial experiences by case-matched analysis of short-term outcomes
title_sort single-port versus multiport robotic total mesorectal excision for rectal cancer: initial experiences by case-matched analysis of short-term outcomes
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10409629/
https://www.ncbi.nlm.nih.gov/pubmed/37564948
http://dx.doi.org/10.4174/astr.2023.105.2.99
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