[Surgical Technique for Mesorectal Division in the Robotic Anterior Resection for Rectal Cancer].
Gan To Kagaku Ryoho
; 50(2): 203-205, 2023 Feb.
Article
en Ja
| MEDLINE
| ID: mdl-36807172
ABSTRACT
Since April 2018, robot-assisted rectal resection has been approved as an insurance medical treatment, and robot- assisted rectal resection is rapidly becoming widespread. Even in robot-assisted laparoscopic surgery, mesorectal division is difficult in a narrow pelvic cavity. At the beginning of the operation, Vessel Sealer ExtendTM(price 89,250 yen)was used, but as the procedure became stable, the mesorectal division was started with bipolar forceps and monopolar scissors. The purpose of this study was to investigate the mesorectal division time and postoperative complications associated with changes in the procedure. 36 patients who underwent robot-assisted anterior resection for rectal cancer by the same surgeon from January 2019 to December 2021. We compared mesorectal division time and postoperative complication. Median operation time were 267 minutes, median console time were 132 minutes. There were no complications such as intestinal obstruction or anastomotic leakage. There was no difference in mesorectal division time time between Vessel Sealer groups and Scissors groups(14 min 55 sec vs 16 min 5 sec). The mesorectal division with bipolar forceps and monopolar scissors could be performed without extending the operation time, and could be performed with cost-benefit and safely.
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Base de datos:
MEDLINE
Asunto principal:
Neoplasias del Recto
/
Robótica
/
Laparoscopía
/
Procedimientos Quirúrgicos Robotizados
/
Proctectomía
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Idioma:
Ja
Revista:
Gan To Kagaku Ryoho
Año:
2023
Tipo del documento:
Article