Choi Moon Suk, Yun Seong Hyeon, Shin Jung Kyong, Park Yoon Ah, Huh Jung Wook, Cho Yong Beom, Kim Hee Cheol, Lee Woo Yong
Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Ann Coloproctol. 2022 Feb;38(1):88-92. doi: 10.3393/ac.2021.00395.0056. Epub 2021 Oct 18.
Recently, abdominoperineal resection (APR) using a robot has been demonstrated in other studies. However, there has been no report on APR for rectal cancer using the single-port robot (SPR) platform. In response to this research gap, we described the clinical experience of APR using a SPR. From April 2019 to March 2020, APR using a SPR platform was performed in a total of 4 patients. Three patients had a transumbilical approach, and 1 patient had a transstoma site approach. The average operation time was 307 minutes, and the patient docking time to the SPR platform was 133.5 minutes. There were no complications during the operation, and no laparoscopy or open conversion. No reoperation occurred within 30 days. Mild postoperative complications occurred in 2 patients. We found that APR has safety and feasibility in surgery using an SPR platform. There was no intraoperative event and severe postoperative complications.
最近，其他研究已证明使用机器人进行腹会阴联合切除术（APR）。然而，尚无关于使用单孔机器人（SPR）平台进行直肠癌APR的报道。针对这一研究空白，我们描述了使用SPR进行APR的临床经验。2019年4月至2020年3月，共对4例患者使用SPR平台进行了APR。3例患者采用经脐入路，1例患者采用经造口部位入路。平均手术时间为307分钟，患者与SPR平台对接时间为133.5分钟。术中无并发症，未转为腹腔镜手术或开放手术。30天内未发生再次手术。2例患者出现轻度术后并发症。我们发现，在使用SPR平台的手术中，APR具有安全性和可行性。术中无不良事件，术后无严重并发症。
