Advantages of using a robotic stapler in rectal cancer surgery
| Autor: | Syed Naqvi, Patricia Tejedor, F. Sagias, D. Nock, Jim Khan, N. Li Kandala, K Flashman |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Colorectal cancer Patient demographics medicine.medical_treatment 030232 urology & nephrology Rectum Health Informatics 03 medical and health sciences 0302 clinical medicine Surgical Staplers Robotic Surgical Procedures Laparotomy Health Sciences medicine Humans In patient Laparoscopy Digestive System Surgical Procedures Aged medicine.diagnostic_test business.industry Rectal Neoplasms musculoskeletal neural and ocular physiology Middle Aged medicine.disease Total mesorectal excision Surgery surgical procedures operative medicine.anatomical_structure nervous system 030220 oncology & carcinogenesis Rectal cancer surgery Female business |
| Zdroj: | Tejedor, P, Sagias, F, Nock, D, Flashman, K, Naqvi, S, Kandala, N L & Khan, J S 2020, ' Advantages of using a robotic stapler in rectal cancer surgery ', Journal of Robotic Surgery, vol. 14, 0, pp. 365-370 . https://doi.org/10.1007/s11701-019-00993-4 |
| ISSN: | 1863-2491 |
| DOI: | 10.1007/s11701-019-00993-4 |
| Popis: | To compare short-term postoperative outcomes in patients undergoing robotic total mesorectal excision (TME) after the use of robotic and laparoscopic staplers. Over a 5-year period, 196 patients were divided into 2 groups according to the use of laparoscopic (LS) or robotic stapler (RS). Patient demographics and postoperative complications were compared. A total of 145 (74%) robotic TME were performed using the LS and 51 (26%) the RS. No conversions to laparoscopy or laparotomy were observed, in either group. Transection of the rectum using one or two firings was achieved in a higher proportion of RS cases (91%) compared with LS cases (60%; p 0.05). However, when three or more firings were needed for the rectal transection, the risk of AL increased (3.4% with ≤ 2 firings vs. 10.7% with ≥ 3 firings, p = 0.006). Our data confirm that multiple stapler firings for rectal transection have a major impact on AL. The robotic stapler simplifies the transaction, so that rectal division requires fewer stapler firings, with a potential reduction in the incidence of AL. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink