Experience of Da Vinci Robotics-Assisted Dixon Procedure for Rectal Cancer in 11 Cases_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LI Jin , ZHANG Cheng , JIANG Huiyong , LU Chi , LU Chenguang , GUO Yijun , GAO Guangrong ,  ZHANG Xuefeng.

Department of General Surgery， General Hospital of Shenyang Military Command， Shenyang 110016， Liaoning Province， China;

Corresponding author：

ZHANG Xuefeng., Email: zhangxuefeng62@yahoo.com.cn

Keywords：

Rectal cancer; Da Vinci robotics surgical system; Anterior rectal resection

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective 　To summary the early experience of Dixon procedures with Da Vinci robotics surgical system for rectal cancer.
Methods 　Eleven patients with rectal cancer underwent the combination of laparoscope and Da Vinci robotics surgical system with 4 trocars in our hospital from May. 2011 to Jan. 2012. Laparoscopy was firstly used to identify the possibility of the surgical procedure， then placed the 4 trocars， and maked sure the suspension of the sigmoid colon and the uterus. Transections of rectum were performed by a conventional laparoscopic method， and endoscopic separations were performed by Da Vinci robotics surgical system. The clinical data were retrospectively analyzed and the experience was summarized.
Results 　The Da Vinci robotics-assisted Dixon procedures were successfully performed in 11 patients and no one turned to laparotomy. The operating time was 210-330min （mean 288.6min）；the blood loss was 20-100ml （mean 40ml）； The number of lymph nodes dissected was 12-21 per case （mean 13.9 per case）；the duration of bowel movement and hospital stay were 18-26h （mean 22h） and 7-16d （mean 11.5d）， respectively. There were no intraoperative or postoperative complications related to the use of robotics， and no residual cancer cells at resection margin.
Conclusions 　Da Vinci robotics-assisted Dixion procedure with 4 trocars and suspension of sigmoid colon are safe and feasible， and it is beneficial to the recovery of patients

Citation： LI Jin,ZHANG Cheng,JIANG Huiyong,LU Chi,LU Chenguang,GUO Yijun,GAO Guangrong,ZHANG Xuefeng.. Experience of Da Vinci Robotics-Assisted Dixon Procedure for Rectal Cancer in 11 Cases. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2012, 19(12): 1319-1322. doi: Copy

1.	Thiel DD， Winfield HN. Robotics in urology：past， present， and future[J]. J Endourol， 2008， 22(4)：825-830.
2.	朱军，丁健华，汤海燕，等. 腹腔镜与开腹全直肠系膜切除术治疗中低位直肠癌的临床对照研究[J]. 中国普外基础与临床杂志， 2012， 19(6)：636-641.
3.	Leong QM， Kim SH. Robot-assisted rectal surgery for malignancy：a review of current literature[J]. Ann Acad Med Singapore， 2011， 40(10)：460-466.
4.	Kwak JM， Kim SH， Kim J， et al. Robotic vs. laparoscopic resection of rectal cancer：short-term outcomes of a case-control study[J]. Dis Colon Rectum， 2011， 54(2)：151-156.
5.	Trastulli S， Farinella E， Cirocchi R， et al. Robotic resection compared with laparoscopic rectal resection for cancer：systematic review and meta-analysis of short-term outcome[J]. Colorectal Dis， 2012， 14(4)：e134-e156.
6.	Rosenberg J， Fischer A， Haglind E， et al. Current controversies in colorectal surgery：the way to resolve uncertainty and move forward[J]. Colorectal Dis， 2012， 14(3)：266-269.
7.	Kwon DS， Chang GJ. The role of minimally invasive surgery and outcomes in colorectal cancer[J]. Perm J， 2011， 15(3)：61-66.
8.	Kang J， Min BS， Hur H， et al. Transanal specimen extraction in robotic rectal cancer surgery[J]. Br J Surg， 2012， 99(1)：133-136.
9.	Kang J， Min BS， Park YA， et al. Risk factor analysis of postoperative complications after robotic rectal cancer surgery[J]. World J Surg， 2011， 35(11)：2555-2562.
10.	Weber PA， Merola S， Wasielewski A， et al. Telerobotic-assisted laparoscopic right and sigmoid colectomies for benign disease[J]. Dis Colon Rectum， 2002， 45(12)：1689-1694.
11.	Delaney CP， Lynch AC， Senagore AJ， et al. Comparison ofrobotically performed and traditional laparoscopic colorectal surgery[J]. Dis Colon Rectum， 2003， 46(12)：1633-1639.
12.	Hellan M， Anderson C， Ellenhorn JD， et al. Short-term outcomesafter robotic-assisted total mesorectal excision for rectal cancer[J].Ann Surg Oncol， 2007， 14(11)：3168-3173.
13.	丁超，江志伟，黎介寿. 达芬奇手术机器人在结直肠手术中的应用[J]. 腹腔镜外科杂志， 2011， 16(7)：556-558.
14.	Baik SH， Lee WJ， Rha KH， et al. Robotic total mesorectal excision for rectal cancer using four robotic arms[J]. Surg Endosc， 2008， 22(3)：792-797.
15.	Kang J， Hur H， Min BS， et al. Robotic coloanal anastomosis with or without intersphincteric resection for low rectal cancer：starting with the perianal approach followed by robotic procedure[J]. Ann Surg Oncol， 2012， 19(1)：154-155.
16.	Patriti A， Ceccarelli G， Bartoli A， et al. Short-and medium-termoutcome of robot-assisted and traditional laparoscopic rectalresection[J]. JSLS， 2009， 13(2)：176-183.
17.	Shin JY. Comparison of short-term surgical outcomes between a robotic colectomy and a laparoscopic colectomy during earlyexperience[J]. J Korean Soc Coloproctol， 2012， 28(1)：19-26.
18.	Park YA， Kim JM， Kim SA， et al. Totally robotic surgery for rectal cancer：from splenic flexure to pelvic floor in one setup[J]. Surg Endosc， 2010， 24(3)：715-720.
19.	Hellan M， Stein H， Pigazzi A. Totally robotic low anterior resectionwith total mesorectal excision and splenic flexure mobilization[J]. Surg Endosc， 2009， 23(2)：447-451.
20.	曾冬竹，余佩武，雷晓，等. 达芬奇机器人手术系统在直肠癌根治术中的应用[J]. 中华消化外科杂志， 2011， 10(6)：436-438.
21.	deSouza AL， Prasad LM， Marecik SJ， et al. Total mesorectal excision for rectal cancer：the potential advantage of roboticassistance[J]. Dis Colon Rectum， 2010， 53(12)：1611-1617.
22.	Biffi R， Luca F， Pozzi S， et al. Operative blood loss and use of blood products after full robotic and conventional low anterior resection with total mesorectal excision for treatment of rectal cancer[J]. J Robot Surg， 2011， 5(2)：101-107.
23.	Hottenrott C. Robotic versus laparoscopic surgery for rectal cancer and cost-effectiveness analysis[J]. Surg Endosc， 2011， 25(12)：3954-3956.
24.	张雪峰，李瑾，郭一君，等. 达芬奇机器人手术系统辅助直肠前切除一例[J]. 中华临床医师杂志：电子版， 2011， 5(19)：5843-5844.
25.	Prasad SM， Maniar HS， Soper NJ， et al. The effect of robotic assistance on learning curves for basic laparoscopic skills[J]. Am J Surg， 2002， 183(6)：702-707.

1. Thiel DD， Winfield HN. Robotics in urology：past， present， and future[J]. J Endourol， 2008， 22(4)：825-830.
2. 朱军，丁健华，汤海燕，等. 腹腔镜与开腹全直肠系膜切除术治疗中低位直肠癌的临床对照研究[J]. 中国普外基础与临床杂志， 2012， 19(6)：636-641.
3. Leong QM， Kim SH. Robot-assisted rectal surgery for malignancy：a review of current literature[J]. Ann Acad Med Singapore， 2011， 40(10)：460-466.
4. Kwak JM， Kim SH， Kim J， et al. Robotic vs. laparoscopic resection of rectal cancer：short-term outcomes of a case-control study[J]. Dis Colon Rectum， 2011， 54(2)：151-156.
5. Trastulli S， Farinella E， Cirocchi R， et al. Robotic resection compared with laparoscopic rectal resection for cancer：systematic review and meta-analysis of short-term outcome[J]. Colorectal Dis， 2012， 14(4)：e134-e156.
6. Rosenberg J， Fischer A， Haglind E， et al. Current controversies in colorectal surgery：the way to resolve uncertainty and move forward[J]. Colorectal Dis， 2012， 14(3)：266-269.
7. Kwon DS， Chang GJ. The role of minimally invasive surgery and outcomes in colorectal cancer[J]. Perm J， 2011， 15(3)：61-66.
8. Kang J， Min BS， Hur H， et al. Transanal specimen extraction in robotic rectal cancer surgery[J]. Br J Surg， 2012， 99(1)：133-136.
9. Kang J， Min BS， Park YA， et al. Risk factor analysis of postoperative complications after robotic rectal cancer surgery[J]. World J Surg， 2011， 35(11)：2555-2562.
10. Weber PA， Merola S， Wasielewski A， et al. Telerobotic-assisted laparoscopic right and sigmoid colectomies for benign disease[J]. Dis Colon Rectum， 2002， 45(12)：1689-1694.
11. Delaney CP， Lynch AC， Senagore AJ， et al. Comparison ofrobotically performed and traditional laparoscopic colorectal surgery[J]. Dis Colon Rectum， 2003， 46(12)：1633-1639.
12. Hellan M， Anderson C， Ellenhorn JD， et al. Short-term outcomesafter robotic-assisted total mesorectal excision for rectal cancer[J].Ann Surg Oncol， 2007， 14(11)：3168-3173.
13. 丁超，江志伟，黎介寿. 达芬奇手术机器人在结直肠手术中的应用[J]. 腹腔镜外科杂志， 2011， 16(7)：556-558.
14. Baik SH， Lee WJ， Rha KH， et al. Robotic total mesorectal excision for rectal cancer using four robotic arms[J]. Surg Endosc， 2008， 22(3)：792-797.
15. Kang J， Hur H， Min BS， et al. Robotic coloanal anastomosis with or without intersphincteric resection for low rectal cancer：starting with the perianal approach followed by robotic procedure[J]. Ann Surg Oncol， 2012， 19(1)：154-155.
16. Patriti A， Ceccarelli G， Bartoli A， et al. Short-and medium-termoutcome of robot-assisted and traditional laparoscopic rectalresection[J]. JSLS， 2009， 13(2)：176-183.
17. Shin JY. Comparison of short-term surgical outcomes between a robotic colectomy and a laparoscopic colectomy during earlyexperience[J]. J Korean Soc Coloproctol， 2012， 28(1)：19-26.
18. Park YA， Kim JM， Kim SA， et al. Totally robotic surgery for rectal cancer：from splenic flexure to pelvic floor in one setup[J]. Surg Endosc， 2010， 24(3)：715-720.
19. Hellan M， Stein H， Pigazzi A. Totally robotic low anterior resectionwith total mesorectal excision and splenic flexure mobilization[J]. Surg Endosc， 2009， 23(2)：447-451.
20. 曾冬竹，余佩武，雷晓，等. 达芬奇机器人手术系统在直肠癌根治术中的应用[J]. 中华消化外科杂志， 2011， 10(6)：436-438.
21. deSouza AL， Prasad LM， Marecik SJ， et al. Total mesorectal excision for rectal cancer：the potential advantage of roboticassistance[J]. Dis Colon Rectum， 2010， 53(12)：1611-1617.
22. Biffi R， Luca F， Pozzi S， et al. Operative blood loss and use of blood products after full robotic and conventional low anterior resection with total mesorectal excision for treatment of rectal cancer[J]. J Robot Surg， 2011， 5(2)：101-107.
23. Hottenrott C. Robotic versus laparoscopic surgery for rectal cancer and cost-effectiveness analysis[J]. Surg Endosc， 2011， 25(12)：3954-3956.
24. 张雪峰，李瑾，郭一君，等. 达芬奇机器人手术系统辅助直肠前切除一例[J]. 中华临床医师杂志：电子版， 2011， 5(19)：5843-5844.
25. Prasad SM， Maniar HS， Soper NJ， et al. The effect of robotic assistance on learning curves for basic laparoscopic skills[J]. Am J Surg， 2002， 183(6)：702-707.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Experience of Da Vinci Robotics-Assisted Dixon Procedure for Rectal Cancer in 11 Cases

Abstract Full text Figures/Tables Video References Cited by

Format

Content