Robotic-assisted Multivisceral Resection for Rectal Cancer: Short-term Outcomes at a Single Center

Overview

Journal Tech Coloproctol

Date 2017 Nov 15

PMID 29134385

Citations 13

Authors

H Hino

T Yamaguchi

Y Kinugasa

A Shiomi

H Kagawa

Y Yamakawa

M Numata

A Furutani

Y Yamaoka

S Manabe

T Suzuki

S Kato

Affiliations

Soon will be listed here.

Abstract

Background: The safety and feasibility of robotic-assisted multivisceral resection for locally advanced rectal cancer remain unclear. The aim of this study was to assess the short-term outcomes of this procedure at our institution.

Methods: From December 2011 to December 2016, patients who underwent robotic-assisted multivisceral resection for rectal cancer were investigated. Patient demographics, treatment characteristics, perioperative outcomes, and pathological results were evaluated retrospectively.

Results: There were 31 patients; 17 men (54.8%) and 14 women (45.2%), with a median age of 65 years (range 40-82 years). Twenty-one patients (67.7%) had a cT4 tumor, 9 patients (29.0%) had a pT4b tumor, and all patients except one (96.8%) underwent complete resection of the primary tumor with negative resection margins. Eleven patients (35.5%) received neoadjuvant chemoradiation. The most commonly resected organ was the vaginal wall (n = 12, 38.7%), followed by the prostate (n = 10, 32.3%). Lateral lymph node dissection was performed in 20 patients (64.5%). The median operative time was 394 min (range 189-549 min), and the median blood loss was 41 mL (range 0-502 mL). None of the patients received intraoperative blood transfusions or required conversion to open. Overall, postoperative complications occurred in 11 patients (35.5%). The most frequent complication was urinary retention (n = 5, 16.1%), and none of the patients developed serious complications classified as Clavien-Dindo grades III-V.

Conclusions: Robotic-assisted multivisceral resection for rectal cancer is safe and technically feasible.

Citing Articles

Advantages of Robotic Total Mesorectal Excision With Partial Prostatectomy Compared With Open Surgery for Rectal Cancer: A Single-Center Retrospective Cohort Study.

Shimano R, Kasai S, Kagawa H, Shiomi A, Manabe S, Yamaoka Y Asian J Endosc Surg. 2025; 18(1):e70003.

PMID: 39778886 PMC: 11710923. DOI: 10.1111/ases.70003.

Beyond total mesorectal excision: The emerging role of minimally invasive surgery for locally advanced rectal cancer.

Perini D, Cammelli F, Scheiterle M, Martellucci J, DI Bella A, Bergamini C World J Gastrointest Surg. 2024; 16(8):2382-2385.

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Chen K, Okamura Y, Hatakeyama K, Shiomi A, Kagawa H, Hino H Surg Today. 2024; 55(2):273-282.

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Low Hartmann's procedure versus abdominoperineal resection for rectal cancer, a propensity score matching cohort study.

Zhang X, Liu S, Liu L, Zhu Z BMC Gastroenterol. 2024; 24(1):194.

PMID: 38840108 PMC: 11155091. DOI: 10.1186/s12876-024-03244-5.

Robotic beyond total mesorectal excision for locally advanced rectal cancers: Perioperative and oncological outcomes from a multicentre case series.

Khan J, Piozzi G, Rouanet P, Saklani A, Ozben V, Neary P Eur J Surg Oncol. 2024; 50(6):108308.

PMID: 38583214 PMC: 11702198. DOI: 10.1016/j.ejso.2024.108308.

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