Robot-assisted intersphincteric resection for rectal submucosal tumour

Research output: Contribution to journalArticle

Abstract

Background: Rectal submucosal tumours are rare. The purpose of this study was to evaluate the safety and feasibility of robot-assisted rectal surgery. Methods: Patients who received robot-assisted intersphincteric resection (ISR) were included in the present study. Clinical outcomes, operating time, length of hospital stay and pathological status were analysed. Results: There were three patients with gastrointestinal tumours and three patients diagnosed with neuroendocrine tumours. The mean operating time was 369.2 min and the estimated blood loss was 66.7 ml. There were neither intraoperative complications nor conversions. On pathological examination, the mean number of lymph nodes harvested was 10.3 (range 3–16), the mean distal resection margin was 1.1 (range 0.1–3) cm and all six patients had the circumferential resection margins clear. Conclusions: Our data show that robotic surgery is feasible and safe, with no morbidity or mortality, and that ISR provides bowel continuity and eliminates the need for colostomy.

Original languageEnglish
Pages (from-to)478-482
Number of pages5
JournalInternational Journal of Medical Robotics and Computer Assisted Surgery
Volume12
Issue number3
DOIs
Publication statusPublished - Sep 1 2016

Fingerprint

Rectal Neoplasms
Tumors
Robots
Length of Stay
Surgery
Colostomy
Neuroendocrine Tumors
Intraoperative Complications
Robotics
Blood
Lymph Nodes
Morbidity
Safety
Mortality
Neoplasms
Margins of Excision

Keywords

  • gastrointestinal tumour
  • intersphincteric resection
  • neuroendocrine tumour
  • rectum
  • robotic surgery
  • submucosal tumour

ASJC Scopus subject areas

  • Surgery
  • Biophysics
  • Computer Science Applications

Cite this

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title = "Robot-assisted intersphincteric resection for rectal submucosal tumour",
abstract = "Background: Rectal submucosal tumours are rare. The purpose of this study was to evaluate the safety and feasibility of robot-assisted rectal surgery. Methods: Patients who received robot-assisted intersphincteric resection (ISR) were included in the present study. Clinical outcomes, operating time, length of hospital stay and pathological status were analysed. Results: There were three patients with gastrointestinal tumours and three patients diagnosed with neuroendocrine tumours. The mean operating time was 369.2 min and the estimated blood loss was 66.7 ml. There were neither intraoperative complications nor conversions. On pathological examination, the mean number of lymph nodes harvested was 10.3 (range 3–16), the mean distal resection margin was 1.1 (range 0.1–3) cm and all six patients had the circumferential resection margins clear. Conclusions: Our data show that robotic surgery is feasible and safe, with no morbidity or mortality, and that ISR provides bowel continuity and eliminates the need for colostomy.",
keywords = "gastrointestinal tumour, intersphincteric resection, neuroendocrine tumour, rectum, robotic surgery, submucosal tumour",
author = "Du, {Jin Lin} and Chen, {Chia Che} and Chao, {Hsiao Mei} and Kuo, {Li Jen}",
year = "2016",
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T1 - Robot-assisted intersphincteric resection for rectal submucosal tumour

AU - Du, Jin Lin

AU - Chen, Chia Che

AU - Chao, Hsiao Mei

AU - Kuo, Li Jen

PY - 2016/9/1

Y1 - 2016/9/1

N2 - Background: Rectal submucosal tumours are rare. The purpose of this study was to evaluate the safety and feasibility of robot-assisted rectal surgery. Methods: Patients who received robot-assisted intersphincteric resection (ISR) were included in the present study. Clinical outcomes, operating time, length of hospital stay and pathological status were analysed. Results: There were three patients with gastrointestinal tumours and three patients diagnosed with neuroendocrine tumours. The mean operating time was 369.2 min and the estimated blood loss was 66.7 ml. There were neither intraoperative complications nor conversions. On pathological examination, the mean number of lymph nodes harvested was 10.3 (range 3–16), the mean distal resection margin was 1.1 (range 0.1–3) cm and all six patients had the circumferential resection margins clear. Conclusions: Our data show that robotic surgery is feasible and safe, with no morbidity or mortality, and that ISR provides bowel continuity and eliminates the need for colostomy.

AB - Background: Rectal submucosal tumours are rare. The purpose of this study was to evaluate the safety and feasibility of robot-assisted rectal surgery. Methods: Patients who received robot-assisted intersphincteric resection (ISR) were included in the present study. Clinical outcomes, operating time, length of hospital stay and pathological status were analysed. Results: There were three patients with gastrointestinal tumours and three patients diagnosed with neuroendocrine tumours. The mean operating time was 369.2 min and the estimated blood loss was 66.7 ml. There were neither intraoperative complications nor conversions. On pathological examination, the mean number of lymph nodes harvested was 10.3 (range 3–16), the mean distal resection margin was 1.1 (range 0.1–3) cm and all six patients had the circumferential resection margins clear. Conclusions: Our data show that robotic surgery is feasible and safe, with no morbidity or mortality, and that ISR provides bowel continuity and eliminates the need for colostomy.

KW - gastrointestinal tumour

KW - intersphincteric resection

KW - neuroendocrine tumour

KW - rectum

KW - robotic surgery

KW - submucosal tumour

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