Bae Sung Uk, Jeong Woon Kyung, Baek Seong Kyu
Department of Surgery, School of Medicine, Keimyung University and Dongsan Medical Center , Daegu, Korea.
J Laparoendosc Adv Surg Tech A. 2017 Apr;27(4):398-403. doi: 10.1089/lap.2016.0427. Epub 2016 Nov 21.
The robotic single-port access plus one conventional robotic port, a reduced-port robotic surgery (RPRS) for left-sided colon cancer, can enable lymphovascular dissection using the wristed instrumentation and safe rectal transection through an additional port maintaining the cosmetic advantage of the single-port surgery. The aim of this study is to compare the clinicopathological outcomes between reduced-port and conventional multi-port robotic colectomy for left-sided colon cancer.
The study group included 23 patients who underwent an RPRS and 16 patients who underwent a multi-PRS (MPRS) for left-sided colon cancer between August 2013 and January 2016.
The operative time was significantly shorter in the RPRS group than in the MPRS group (mean time 258 ± 67 vs. 319 ± 66 minutes, P = .009). There were no apparent differences in tolerance of diet, postoperative pain score, length of hospital stay, the rate of postoperative complications, and the mean number of harvested lymph node, but the RPRS group had a significantly smaller total incision length (38 ± 12 mm vs. 83 ± 6 mm, P = .013).
This study shows the feasibility and safety of the RPRS, with clinicopathological outcomes that is comparable with that of the MPRS for left-sided colon cancer.
机器人单孔入路加一个传统机器人端口，一种用于左侧结肠癌的减少端口机器人手术（RPRS），可以使用腕式器械进行淋巴管清扫，并通过额外的端口安全地横断直肠，同时保持单孔手术的美容优势。本研究的目的是比较左侧结肠癌减少端口与传统多端口机器人结肠切除术的临床病理结果。
研究组包括2013年8月至2016年1月期间接受RPRS的23例患者和接受多端口机器人手术（MPRS）的16例左侧结肠癌患者。
RPRS组的手术时间明显短于MPRS组（平均时间258±67分钟对319±66分钟，P = .009）。在饮食耐受性、术后疼痛评分、住院时间、术后并发症发生率和平均清扫淋巴结数量方面没有明显差异，但RPRS组的总切口长度明显更小（38±12毫米对83±6毫米，P = .013）。
本研究表明RPRS的可行性和安全性，其临床病理结果与左侧结肠癌的MPRS相当。
