| International Session（Symposium）4(JSGS・JSGE・JGES) |
| Fri. November 6th 14:30 - 17:00 Room 2: Kobe International Exhibition Hall No.2 Building Hall (South) |
| Robotic surgey for rectal cancer | |||
| Akio Shiomi1, Hiroyasu Kagawa1, Hitoshi Hino1 | |||
| 1Division of Colon and Rectal Surgery, Shizuoka Cancer Center Hospital | |||
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| The outcomes of rectal cancer (complication rate, functional preservation rate, and local recurrence rate) mainly depend on the surgical technique, so it is important to pursue the quality of the surgery. Currently, approaches to rectal cancer surgery include open surgery, conventional laparoscopic surgery (CLS), reduced port surgery (RPS), TaTME, and robotic-assisted surgery (RALS). Laparoscopic surgery has advantage of minimally invasive and magnifying effects with respect to the understanding of anatomical structures. On the other hand, due to the limitation of range of motion in the narrow pelvic cavity, CLS and RPS are more technically challenging. TaTME provides a different surgical view than the usual transabdominal approach, however, is more challenging in that it is a transanal RPS. RALS can be manipulated from a Multiport, and its steady, flexible, tremor filtering, motion scaling, intuitive devices allow for precise surgery as intended by the surgeon. In addition, we believe that using the Dual console to communicate standardized surgical procedures is also advantageous in terms of medical safety and surgical education. From 2011 to 2020, we experienced over 1000 RALS for colorectal cancer in a single institute. Surgical outcomes including mortality, morbidity, urogenital functions, and oncological outcomes will be presented in this symposium. In addition, we will discuss about our surgical procedures using our Video, including comfortable usage of robotic devices, collaboration with assistants. |
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Index Term 1: robotic surgery Index Term 2: colorectal cancer |
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