| International Session (Symposium) 6 (JSGS・JSGE・JGES) |
| Fri. November 2nd 14:40 - 17:00 Room 13: Kobe International Conference Center International Conference Room |
| Introduction of robotic surgery for rectal cancer to preserve bladder function | |||
| Takeshi Ohki1, Yuji Inoue1, Masakazu Yamamoto1 | |||
| 1Department of Surgery, Institute of Gastroenterology,Tokyo Women's Medical University | |||
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| [Introduction] Robotic surgery using da Vinci Surgical System for rectal cancer has been approved National Health Insurance (NHI) from the Japan Ministry of Health, Labor and Welfare (MHLW) since April 2018. Prior to the approval of NHI, robotic surgery was implemented at patient's own expense. We concurrently started a clinical research of bladder function because robotic surgery, in theory, can reduce the risk of postoperative bladder dysfunction. [Methods] Nine cases registered from February to December 2017 were included in the study. Urodynamic study and Uroflowmetry were performed on all cases. Short-term surgical outcome and bladder function were examined. [Results] We introduced robotic surgery according to our hospital’s introduction guidelines of robotic surgery and JSES’s recommendations of introduction of robot surgery. We invited a proctor to supervise all cases. Patient characteristics: The male to female ratio was 4:5, and the mean patient age was 62.4 years. Tumor localization were RS 2, Ra 3, Rb 4. Surgical process: The average operation time was 315.7 minutes. The mean intraoperative bleeding volume was 10 ml. No laparotomy transition. Two cases were undergone covering ileostomy. Postoperative course: Median hospital stay was 10 days. An anastomotic leakage of gradeII(Clavien-Dindo classification) was found in one patient . Bladder function: Although bladder function decreased a month after surgery, it almost has a tendency to recover to normal level in 3 months. [Conclusion] Robotic surgery for rectal cancer was introduced successfully at our hospital. However, in order to further examine the significance of procedure, more cases will be needed. |
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Index Term 1: Robotic surgery Index Term 2: Bladder function |
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