Clinical efficacy of hybrid method combined traditional laparoscope with robotic surgical system on rectal neoplasms
Abstract：Objective To assess the feasibility and possible benefits of a hybrid surgical technique combined traditional laparoscope with robotic surgical system in rectal neoplasms patients. Methods The clinical data of 52 cases underwent hybrid method combined traditional laparoscope with robotic surgical system for rectal neoplasms radical operation from May 2011 to May 2016 in General Hospital of Shenyang Military Area Command were analyzed retrospectively,in which 35 had laparotomy history,11 required splenic flexure mobilization,and 6 needed combined liver resection. Results All the 52 cases underwent operation successfully. The average operative time was(188.6 ± 41.5)min. The average blood loss was(34.3 ± 11.7)mL. The mean numbers of harvested lymph nodes with and without chemoradiation were(11.2 ±2.8)and(15.4 ±4.1). Distal margin and CRM were negative. TNM stage:1 case of stageⅠ, 6 cases of stageⅡ,39 cases of stageⅢ,6 cases of stageⅣ. Passage of first flatus was(2.0±0.5)d. The time to remove a urinary catheter was(3.0 ± 0.6)d. The postoperative hospital stay was(9.0 ± 2.8)d. Except for intestinal obstruction(n=1),no perioperative complications including anastomotic leakage and hemorrhage were present. Conclusion The hybrid approach combined robotic surgical system and laparoscope is a safe and feasible technique for rectal neoplasms radical operation,which may be viable option to patients needing extensive abdominal operation.
Keywords：robotic surgical systemlaparoscopyrectal neoplasms
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 1190-1192 )