Division of Colon and Rectal Surgery, 38471Shizuoka Cancer Center, Nagaizumi, Japan.
Surg Innov. 2022 Jun;29(3):315-320. doi: 10.1177/15533506211030436. Epub 2021 Jul 6.
. The optimal radical surgical approach for rectal neuroendocrine tumor (NET) is unknown. . This study evaluated the short- and long-term outcomes of 27 patients who underwent robotic radical surgery for rectal NET between 2011 and 2019. . The median distance from the lower border of the tumor to the anal verge was 5.0 cm. The median tumor size was 9.5 mm. Six patients (22%) had lymph node metastasis. The incidences of postoperative complications of grade II and grade III or more according to the Clavien-Dindo classification were 11% and 0%, respectively. All patients underwent sphincter-preserving surgery, and no patients required conversion to open surgery. The median follow-up time was 48.9 months, and both the 3-year overall survival and relapse-free survival rates were 100%. . Short- and long-term outcomes of robotic surgery for rectal NET tumor were favorable. Robotic surgery may be a useful surgical approach for rectal NET.
. 直肠神经内分泌肿瘤(NET)的最佳根治性手术方法尚不清楚。. 本研究评估了 2011 年至 2019 年间 27 例接受机器人根治性手术治疗直肠 NET 患者的短期和长期结果。. 肿瘤下缘至肛缘的中位距离为 5.0cm。肿瘤大小的中位数为 9.5mm。6 例(22%)有淋巴结转移。根据 Clavien-Dindo 分类,术后并发症发生率为 II 级和 III 级或更高级别的分别为 11%和 0%。所有患者均行保留括约肌手术,无患者需要转为开放性手术。中位随访时间为 48.9 个月,3 年总生存率和无复发生存率均为 100%。. 机器人手术治疗直肠 NET 肿瘤的短期和长期结果良好。机器人手术可能是直肠 NET 的一种有用的手术方法。