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Robotic proctectomy for rectal cancer: analysis of 71 patients from a single institution
Author(s) -
Spanheimer Philip M.,
Armstrong John G.,
Fu Sunyang,
Liao Junlin,
Regenbogen Scott E.,
Byrn John C.
Publication year - 2017
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.1841
Subject(s) - medicine , colorectal cancer , abdominoperineal resection , surgery , total mesorectal excision , robotic surgery , resection margin , retrospective cohort study , general surgery , cancer , resection
Background Despite increasing use of robotic surgery for rectal cancer, few series have been published from the practice of generalizable US surgeons. Methods A retrospective chart review was performed for 71 consecutive patients who underwent robotic low anterior resection (LAR) or abdominoperineal resection (APR) for rectal adenocarcinoma between 2010 and 2014. Results 46 LARs (65%) and 25 APRs (35%) were identified. Median procedure time was 219 minutes (IQR 184–275) and mean blood loss 164.9 cc (SD 155.9 cc). Radial margin was negative in 70/71 (99%) patients. Total mesorectal excision integrity was complete/near complete in 38/39 (97%) of graded specimens. A mean of 16.8 (SD+/− 8.9) lymph nodes were retrieved. At median follow‐up of 21.9 months, there were no local recurrences. Conclusions Robotic proctectomy for rectal cancer was introduced into typical colorectal surgery practice by a single surgeon, with a low conversion rate, low complication rate, and satisfactory oncologic outcomes.