Robot – assisted colorectal surgery

k 2009

Robot – assisted colorectal surgery

VLČEK, Petr; Ivan ČAPOV; Štěpán CHALUPNÍK; Jiří KORBIČKA; Lenka VEVERKOVÁ et al.

Základní údaje

Originální název

Robot – assisted colorectal surgery

Název česky

Roboticky asistované výkony pro prolaps rekta

Autoři

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

Vydání

44 th Congress of the European Society for Surgical Research, 2009

Další údaje

Jazyk

angličtina

Typ výsledku

Prezentace na konferencích

Obor

30200 3.2 Clinical medicine

Stát vydavatele

Francie

Utajení

není předmětem státního či obchodního tajemství

Označené pro přenos do RIV

Organizační jednotka

Lékařská fakulta

Změněno: 28. 1. 2010 00:56, 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; Lenka VEVERKOVÁ; Jan DOLEŽEL; Petra VLČKOVÁ; Jiří DOLINA a Daniel BARTUŠEK. Robot – assisted colorectal surgery. In 44 th Congress of the European Society for Surgical Research. 2009.

@proceedings{869201,
   author = {Vlček, Petr and Čapov, Ivan and Chalupník, Štěpán and Korbička, Jiří and Veverková, Lenka and Doležel, Jan and Vlčková, Petra and Dolina, Jiří and Bartušek, Daniel},
   booktitle = {44 th Congress of the European Society for Surgical Research},
   language = {eng},
   title = {Robot – assisted colorectal surgery},
   year = {2009}
}

TY  - CONF
ID  - 869201
AU  - Vlček, Petr - Čapov, Ivan - Chalupník, Štěpán - Korbička, Jiří - Veverková, Lenka - Doležel, Jan - Vlčková, Petra - Dolina, Jiří - Bartušek, Daniel
PY  - 2009
TI  - Robot – assisted colorectal surgery
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; Lenka VEVERKOVÁ; Jan DOLEŽEL; Petra VLČKOVÁ; Jiří DOLINA a Daniel BARTUŠEK. Robot – assisted colorectal surgery. In \textit{44 th Congress of the European Society for Surgical Research}. 2009.

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