지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 225 - 231 (7page)
이용수
초록· 키워드
오류제보하기
Purpose Robotic surgery is expected to have advantages over laparoscopic surgery; however, there are limited data regarding the feasibility of robotic surgery for rectal cancer after preoperative chemoradiotherapy (CRT). Therefore, we evaluated the short-term outcomes of robotic sur- gery for rectal cancer.
Materials and Methods Thirty-three patients with cT3N0-2 rectal cancer after preoperative CRT who underwent robotic low anterior resection (R-LAR) between March 2010 and January 2012 were matched with 66 patients undergoing laparoscopic low anterior resection (L-LAR). Periop- erative clinical outcomes and pathological data were compared between the two groups.
Results Patient characteristics did not differ significantly different between groups. The mean oper- ation time was 441 minutes (R-LAR) versus 277 minutes (L-LAR, p < 0.001). The open con- version rate was 6.1% in the R-LAR group and 0% in the L-LAR group (p=0.11). There were no significant differences in the time to flatus passage, length of hospital stay, and postop- erative morbidity. In pathological review, the mean number of harvested lymph nodes was 22.3 in R-LAR and 21.6 in L-LAR (p=0.82). Involvement of circumferential resection margin was positive in 16.1% and 6.7%, respectively (p=0.42). Total mesorectal excision (TME) quality was complete in 97.0% in R-LAR and 91.0% in L-LAR (p=0.41).
Conclusion In our study, short-term outcomes of robotic surgery for rectal cancer after CRT were similar to those of laparoscopic surgery in respect to bowel function recovery, morbidity, and TME quality. Well-designed clinical trials are needed to evaluate the functional results and long- term outcomes of robotic surgery for rectal cancer.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Clinical Outcomes of Surgical Therapy Study Group / 2004 / A comparison of laparoscopically assisted and open colectomy for colon cancer / N Engl J Med 350:2050~2059
Guillou PJ / 2005 / Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer(MRC CLASICC trial) : multicentre, randomised controlled trial / Lancet 365:1718~1726
Veldkamp R / 2005 / Laparoscopic surgery versus open surgery for colon cancer : short-term outcomes of a randomised trial / Lancet Oncol 6:477~484
Kang SB / 2010 / Open versus laparoscopic surgery for mid or low rectal cancer after neoadjuvant chemoradiotherapy (COREAN trial):short-term outcomes of an open-label randomised controlled trial / Lancet Oncol 11:637~645
Sammour T / 2011 / Laparoscopic colorectal surgery is associated with a higher intraoperative complication rate than open surgery / Ann Surg 253:35~43
Guillou PJ / 2005 / Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer(MRC CLASICC trial) : multicentre, randomised controlled trial / Lancet 365:1718~1726
Veldkamp R / 2005 / Laparoscopic surgery versus open surgery for colon cancer : short-term outcomes of a randomised trial / Lancet Oncol 6:477~484
Kang SB / 2010 / Open versus laparoscopic surgery for mid or low rectal cancer after neoadjuvant chemoradiotherapy (COREAN trial):short-term outcomes of an open-label randomised controlled trial / Lancet Oncol 11:637~645
Sammour T / 2011 / Laparoscopic colorectal surgery is associated with a higher intraoperative complication rate than open surgery / Ann Surg 253:35~43
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Validation of Korean Version of Low Anterior Resection Syndrome Score Questionnaire
Annals of Coloproctology
2020 .01
-
Postoperative Bowel Function After Anal Sphincter-Preserving Rectal Cancer Surgery: Risks Factors, Diagnostic Modalities, and Management
Annals of Coloproctology
2019 .01
-
Robotic Rectal Cancer Surgery
대한임상종양학회 학술대회지
2016 .02
-
Current status and role of robotic approach in patients with low-lying rectal cancer
Annals of Surgical Treatment and Research
2022 .07
-
Early And Late Clinical Outcomes of Minimally Invasive Surgery for Rectal Cancer: Comparison of Robotic And Laparoscopic Approach with Propensity Score Matching
대한외과학회 학술대회 초록집
2020 .11
-
Robotic Surgery for Rectal Cancer: An Update in 2015
Cancer Research and Treatment
2016 .01
-
Robotic Rectal Surgery : Comparison of Short-term Outcomes
대한외과학회 학술대회 초록집
2017 .11
-
Comparison of the quality of total mesorectal excision after robotic and laparoscopic surgery for rectal cancer: a multicenter, propensity score-matched study
KOREAN JOURNAL OF CLINICAL ONCOLOGY
2021 .12
-
The Effect of Anastomotic Leakage on the Incidence and Severity of Low Anterior Resection Syndrome in Patients Undergoing Proctectomy: A Propensity Score Matching Analysis
Annals of Coloproctology
2021 .10
-
The Role of Robotic Surgery for Rectal Cancer: Overcoming Technical Challenges in Laparoscopic Surgery by Advanced Techniques
Journal of Korean Medical Science
2015 .01
-
Development and Effectiveness of Bowel Function Improvement Program for Postoperative Male Rectal Cancer Patients
성인간호학회 학술대회
2021 .08
-
The Effect of Anastomotic Leakage on the Incidence and Severity of Low Anterior Resection Syndrome in Patients Undergoing Proctectomy: A Propensity Score Matching Analysis
대한외과학회 학술대회 초록집
2021 .05
-
Usefulness of Anorectal Manometry for Diagnosing Continence Problems After a Low Anterior Resection
Annals of Coloproctology
2016 .01
-
Robotic versus conventional laparoscopic surgery for rectal cancer : systematic review and meta-analysis
Annals of Surgical Treatment and Research
2015 .09
-
Single‑port versus multiport robotic total mesorectal excision for rectal cancer: initial experiences by case‑matched analysis of short‑term outcomes
Annals of Surgical Treatment and Research
2023 .08
-
Efficacy of biofeedback therapy for objective improvement of pelvic function in low anterior resection syndrome
Annals of Surgical Treatment and Research
2019 .10
-
Robotic Rectal Surgery - Do we Still Need More Evidence in the Real World?
대한임상종양학회 학술대회지
2015 .02
-
The effect of laparoscopic versus robotic low anterior resection of rectum on postoperative pain : A propensity score matching analysis
KOREAN JOURNAL OF CLINICAL ONCOLOGY
2016 .12
-
Laparoscopic Reinforcement Suture (LARS) on Staple Line of Duodenal Stump Using Barbed Suture in Laparoscopic Gastrectomy for Gastric Cancer: a Prospective Single Arm Phase II Study
Journal of Gastric Cancer
2017 .12
-
Efficacy of Revisional Antireflux Surgery for Failed Endoscopic Antireflux Therapy
대한외과학회 학술대회 초록집
2021 .05
이 논문의 저자 정보
최근 본 자료
댓글(0)
0