| 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) |
Hybrid robotic surgery with transanal approach for rectal cancer
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| Atsushi Hamabe1, Kenji Okita1, Ichiro Takemasa1 | |||
| 1Department of Surgery, Surgical Oncology and Science, Sapporo Medical University | |||
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| Background: Both robotic surgery and transanal approach are evolving procedures which are considered effective for lower rectal cancer, while these are not necessarily easy to perform. In our institution, we carry out hybrid robotic surgery with transanal approach. Method: From November 2015 to March 2020, we have been performed 160 robotic surgeries and 128 transanal surgeries including transperineal abdominoperineal excision (APE). Hybrid robotic surgery was begun since March 2018 and has been done for 47 cases. The rendez-vous between both sides is achieved at the level of S4 nerve. Results: Median age was 59, with 31 males and 16 females. Preoperative assessments were as follows: AV distance 4 (0-8) cm, cT1/2/3/4b: 6/7/22/12, cN0/1/2/3: 30/9/2/6 and cM0/1: 46/1 cases. Neoadjuvant chemotherapy and chemoradiotherapy were performed for 20 and 9 cases. 33 cases of TaTME and 14 cases of transperineal APE were included. Combined resection of vagina or prostate were performed for 5 and 1 case, respectively. Median console time was 134 min, and bleeding was 5 ml. TME was complete in the all cases and proximal, distal and radial margin were tumor free. Regarding postoperative complications, 2 cases of anastomotic leakage, 6 cases of SSI and 9 cases of dysuria were observed. Conclusion: The results of the hybrid robotic surgery were considered acceptable and might have a chance to shorten the duration to resect rectal cancer. |
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Index Term 1: Rectal cancer Index Term 2: Robotic surgery |
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