Robotic transanal minimally invasive surgery for rectal cancer after clinical complete response to neoadjuvant chemoradiation

James Chi Yong Ngu, Li Jen Kuo, Ching Huei Kung, Chi Long Chen, Chia Chun Kuo, Sheng Wei Chang, Chia Che Chen

研究成果: 雜誌貢獻文章

1 引文 (Scopus)

摘要

Background: Full-thickness local excision (FTLE) for rectal cancer showing clinical complete remission (cCR) after neoadjuvant chemoradiation therapy (NCRT) is associated with good oncological results. The purpose of this study was to report the results of robotic transanal minimally invasive surgery for such patients. Methods: Patients were treated with a 5-fluorouracil-based NCRT regimen. The determination of cCR was based on digital rectal examination, colonoscopy, and magnetic resonance imaging. Results: Six patients underwent transanal FTLE using the da Vinci Xi surgical system. The median operative time was 106.5 minutes, and the estimated blood loss was minimal. The mean length of hospital stay was 4.2 days. After 18.2 months of follow-up, none of the patients developed local recurrences or distant disease. Conclusions: With the use of robotic technology, FTLE can be performed with relative ease and can be considered as a viable alternative to radical resection or a “Watch and Wait” strategy.

指紋

Minimally Invasive Surgical Procedures
Robotics
Rectal Neoplasms
Surgery
Neoadjuvant Therapy
Watches
Magnetic resonance
Length of Stay
Blood
Imaging techniques
Digital Rectal Examination
Colonoscopy
Operative Time
Fluorouracil
Magnetic Resonance Imaging
Technology
Recurrence

ASJC Scopus subject areas

  • Surgery
  • Biophysics
  • Computer Science Applications

引用此文

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title = "Robotic transanal minimally invasive surgery for rectal cancer after clinical complete response to neoadjuvant chemoradiation",
abstract = "Background: Full-thickness local excision (FTLE) for rectal cancer showing clinical complete remission (cCR) after neoadjuvant chemoradiation therapy (NCRT) is associated with good oncological results. The purpose of this study was to report the results of robotic transanal minimally invasive surgery for such patients. Methods: Patients were treated with a 5-fluorouracil-based NCRT regimen. The determination of cCR was based on digital rectal examination, colonoscopy, and magnetic resonance imaging. Results: Six patients underwent transanal FTLE using the da Vinci Xi surgical system. The median operative time was 106.5 minutes, and the estimated blood loss was minimal. The mean length of hospital stay was 4.2 days. After 18.2 months of follow-up, none of the patients developed local recurrences or distant disease. Conclusions: With the use of robotic technology, FTLE can be performed with relative ease and can be considered as a viable alternative to radical resection or a “Watch and Wait” strategy.",
keywords = "clinical complete remission, neoadjuvant chemoradiation, rectal cancer, robotic surgery, transanal minimally invasive surgery",
author = "Ngu, {James Chi Yong} and Kuo, {Li Jen} and Kung, {Ching Huei} and Chen, {Chi Long} and Kuo, {Chia Chun} and Chang, {Sheng Wei} and Chen, {Chia Che}",
year = "2018",
month = "1",
day = "1",
doi = "10.1002/rcs.1948",
language = "English",
journal = "International Journal of Medical Robotics and Computer Assisted Surgery",
issn = "1478-596X",
publisher = "John Wiley and Sons Ltd",

}

TY - JOUR

T1 - Robotic transanal minimally invasive surgery for rectal cancer after clinical complete response to neoadjuvant chemoradiation

AU - Ngu, James Chi Yong

AU - Kuo, Li Jen

AU - Kung, Ching Huei

AU - Chen, Chi Long

AU - Kuo, Chia Chun

AU - Chang, Sheng Wei

AU - Chen, Chia Che

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Background: Full-thickness local excision (FTLE) for rectal cancer showing clinical complete remission (cCR) after neoadjuvant chemoradiation therapy (NCRT) is associated with good oncological results. The purpose of this study was to report the results of robotic transanal minimally invasive surgery for such patients. Methods: Patients were treated with a 5-fluorouracil-based NCRT regimen. The determination of cCR was based on digital rectal examination, colonoscopy, and magnetic resonance imaging. Results: Six patients underwent transanal FTLE using the da Vinci Xi surgical system. The median operative time was 106.5 minutes, and the estimated blood loss was minimal. The mean length of hospital stay was 4.2 days. After 18.2 months of follow-up, none of the patients developed local recurrences or distant disease. Conclusions: With the use of robotic technology, FTLE can be performed with relative ease and can be considered as a viable alternative to radical resection or a “Watch and Wait” strategy.

AB - Background: Full-thickness local excision (FTLE) for rectal cancer showing clinical complete remission (cCR) after neoadjuvant chemoradiation therapy (NCRT) is associated with good oncological results. The purpose of this study was to report the results of robotic transanal minimally invasive surgery for such patients. Methods: Patients were treated with a 5-fluorouracil-based NCRT regimen. The determination of cCR was based on digital rectal examination, colonoscopy, and magnetic resonance imaging. Results: Six patients underwent transanal FTLE using the da Vinci Xi surgical system. The median operative time was 106.5 minutes, and the estimated blood loss was minimal. The mean length of hospital stay was 4.2 days. After 18.2 months of follow-up, none of the patients developed local recurrences or distant disease. Conclusions: With the use of robotic technology, FTLE can be performed with relative ease and can be considered as a viable alternative to radical resection or a “Watch and Wait” strategy.

KW - clinical complete remission

KW - neoadjuvant chemoradiation

KW - rectal cancer

KW - robotic surgery

KW - transanal minimally invasive surgery

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