Robot  assisted colorectal surgery

D 2009

Robot assisted colorectal surgery

VLČEK, Petr, Ivan ČAPOV, Štěpán CHALUPNÍK, Jiří KORBIČKA, Václav JEDLIČKA et. al.

Základní údaje

Originální název

Robot assisted colorectal surgery

Název česky

Roboticky asistovaná kolorektální chirurgie

Autoři

VLČEK, Petr, Ivan ČAPOV, Štěpán CHALUPNÍK, Jiří KORBIČKA, Václav JEDLIČKA, Lenka VEVERKOVÁ, Jan DOLEŽEL, Petra VLČKOVÁ, Jiří DOLINA a Daniel BARTUŠEK

Vydání

96(S5), 2009. Oxford, United Kingdom, British Journal of Surgery, s. 88-88, 2009

Nakladatel

British Journal of Surgery Society Ltd

Další údaje

Jazyk

angličtina

Typ výsledku

Stať ve sborníku

Obor

30200 3.2 Clinical medicine

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Organizační jednotka

Lékařská fakulta

Klíčová slova česky

Robotická chirurgie - kolorektální-karcinom rekta-dysfunkce pánevního dna-laparoskopie

Klíčová slova anglicky

Robotic Surgery - Colorectal -Rectal Cancer-Pelvic Floor Dysfunction -Laparoscopy

Příznaky

Mezinárodní význam

Změněno: 8. 4. 2010 22:42, MUDr. Petr Vlček, Ph.D.

Anotace

ORIG CZ

V originále

INTRODUCTION:Robotic assistance provides a number of potential benefits for laparoscopic surgery by addressing several inherent limitations. However, its utility in colorectal surgery has not been determined. This is a report of our initial experience with robot-assisted colon resections. The aim of this study was to compare the traditional laparoscopic approach and robotic techniques in the treatment of colorectal diseases. METHODS:.The study compares a consecutive series of patients treated surgically for colorectal disease from May 2006 to May 2008 with the da Vinci robotic system (Intuitive Surgical) and a matched number of patients who underwent conventional laparoscopy during the same time interval. The factors analyzed were the time required to prepare the patient and the room, total time of surgery, number of lymph nodes retrieved, blood loss, complications, and postoperative results. RESULTS: We prospectively followed 56 patients who underwent robotic-assisted laparoscopic colorectal surgery using da Vinci robotic System/Intuitive Surgical/. Surgical outcomes were compared with those of 56 consecutive patients who underwent laparoscopic colorectal surgery in the same institution for similar indications prior to the start of robotic-assisted surgery. All 56 robotic-assisted procedures were completed with no intraoperative complications or mortality. The average blood loss was less than 80 ml in all cases. Morbidity and hospital stay were comparable to those for the patients undergoing standard laparoscopic procedures. DISCUSSION:Robot-assisted surgery proved to be as safe and effective as laparoscopic techniques in the treatment of colorectal diseases. Because of its dexterity and three-dimensional view, the da Vinci system was particularly useful in specific stages of the procedure, e.g., takedown of the splenic flexure, dissection of a narrow pelvis, identification of nervous plexus, and handsewn anastomosis. The value of robotic assistance in colorectal surgery needs to be further evaluated in a larger comparative study

Česky

Roboticky asistované výkony mohou mít pro laparoskopickou chirurgii několik potencionálních benefitů.Jejich aplikace v kolorektální chirurgii není doposud zhodnocena. Tato práce hodnotí naše první zkušenosti s roboticky asistovanými výkony a srovnává je s laparoskopickou technikou na poli kolorektální chirurgie

Návaznosti

NS10249, projekt VaV

Název: Neuromodulace v řešení poruch kontinence

Investor: Ministerstvo zdravotnictví ČR, Neuromodulace u poruch kontinence stolice

Citovat

VLČEK, Petr, Ivan ČAPOV, Štěpán CHALUPNÍK, Jiří KORBIČKA, Václav JEDLIČKA, Lenka VEVERKOVÁ, Jan DOLEŽEL, Petra VLČKOVÁ, Jiří DOLINA a Daniel BARTUŠEK. Robot assisted colorectal surgery. In British Journal of Surgery. 96(S5), 2009. Oxford, United Kingdom: British Journal of Surgery Society Ltd, 2009, s. 88.

@inproceedings{868913,
   author = {Vlček, Petr and Čapov, Ivan and Chalupník, Štěpán and Korbička, Jiří and Jedlička, Václav and Veverková, Lenka and Doležel, Jan and Vlčková, Petra and Dolina, Jiří and Bartušek, Daniel},
   address = {Oxford, United Kingdom},
   booktitle = {British Journal of Surgery},
   edition = {96(S5), 2009},
   keywords = {Robotic Surgery - Colorectal -Rectal Cancer-Pelvic Floor Dysfunction -Laparoscopy},
   language = {eng},
   location = {Oxford, United Kingdom},
   pages = {88-88},
   publisher = {British Journal of Surgery Society Ltd},
   title = {Robot assisted colorectal surgery},
   year = {2009}
}

TY  - JOUR
ID  - 868913
AU  - Vlček, Petr - Čapov, Ivan - Chalupník, Štěpán - Korbička, Jiří - Jedlička, Václav - Veverková, Lenka - Doležel, Jan - Vlčková, Petra - Dolina, Jiří - Bartušek, Daniel
PY  - 2009
TI  - Robot assisted colorectal surgery
PB  - British Journal of Surgery Society Ltd
CY  - Oxford, United Kingdom
KW  - Robotic Surgery - Colorectal -Rectal Cancer-Pelvic Floor Dysfunction -Laparoscopy
N2  - INTRODUCTION:Robotic assistance provides a number of potential benefits for laparoscopic surgery by addressing several inherent limitations. However, its utility in colorectal surgery has not been determined. This is a report of our initial experience with robot-assisted colon resections. The aim of this study was to compare the traditional laparoscopic approach and robotic techniques in the treatment of colorectal diseases. METHODS:.The study compares a consecutive series of patients treated surgically for colorectal disease from May 2006 to May 2008 with the da Vinci robotic system (Intuitive Surgical) and a matched number of patients who underwent conventional laparoscopy during the same time interval. The factors analyzed were the time required to prepare the patient and the room, total time of surgery, number of lymph nodes retrieved, blood loss, complications, and postoperative results. RESULTS: We prospectively followed 56 patients who underwent robotic-assisted laparoscopic colorectal surgery using da Vinci robotic System/Intuitive Surgical/. Surgical outcomes were compared with those of 56 consecutive patients who underwent laparoscopic colorectal surgery in the same institution for similar indications prior to the start of robotic-assisted surgery. All 56 robotic-assisted procedures were completed with no intraoperative complications or mortality. The average blood loss was less than 80 ml in all cases. Morbidity and hospital stay were comparable to those for the patients undergoing standard laparoscopic procedures. DISCUSSION:Robot-assisted surgery proved to be as safe and effective as laparoscopic techniques in the treatment of colorectal diseases. Because of its dexterity and three-dimensional view, the da Vinci system was particularly useful in specific stages of the procedure, e.g., takedown of the splenic flexure, dissection of a narrow pelvis, identification of nervous plexus, and handsewn anastomosis. The value of robotic assistance in colorectal surgery needs to be further evaluated in a larger comparative study
ER  -

VLČEK, Petr, Ivan ČAPOV, Štěpán CHALUPNÍK, Jiří KORBIČKA, Václav JEDLIČKA, Lenka VEVERKOVÁ, Jan DOLEŽEL, Petra VLČKOVÁ, Jiří DOLINA a Daniel BARTUŠEK. Robot assisted colorectal surgery. In \textit{British Journal of Surgery}. 96(S5), 2009. Oxford, United Kingdom: British Journal of Surgery Society Ltd, 2009, s.~88.

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