St. Mary's Medical Center, Huntington, WV, USA.
Charleston Area Medical Center Health Education and Research Institute, Charleston, USA.
J Robot Surg. 2023 Aug;17(4):1535-1539. doi: 10.1007/s11701-023-01561-7. Epub 2023 Mar 9.
Robotic colorectal procedures may overcome the disadvantages of laparoscopic surgery. While the literature has multiple studies from specialized centers, experience from general surgeons is minimal. The purpose of this case series is to review elective partial colon and rectal resections by a general surgeon. 170 consecutive elective partial colon and rectal resections were reviewed. The cases were analyzed by type of procedure and total cases. The outcomes analyzed were procedure time, conversion rate, length of stay, complications, anastomotic leak, and node retrieval in the cancer cases. There were 71 right colon resections, 13 left colon resections, 44 sigmoid colon resection sand 42 low anterior resections performed. The mean length of procedure was 149 min. The conversion rate was 2.4%. The mean length of stay was 3.5 days. The percentage of cases one or more complications was 8.2%. There were 3 anastomotic leaks out of 159 anastomoses (1.9%). The mean lymph node retrieval was 28.4 for the 96 cancer cases. Robot partial colon and rectal resections on the Da Vinci Xi robot can be completed safely and efficiently by a community general surgeon. Prospective studies are needed to demonstrate reproducibility by community surgeons performing robot colon resections.
机器人结直肠手术可能克服腹腔镜手术的缺点。虽然文献中有多个来自专业中心的研究，但普通外科医生的经验很少。本病例系列的目的是回顾普通外科医生进行的择期部分结肠和直肠切除术。回顾了 170 例连续的择期部分结肠和直肠切除术。通过手术类型和总例数对病例进行分析。分析的结果包括手术时间、转化率、住院时间、并发症、吻合口漏和癌症病例中的淋巴结检出率。行右半结肠切除术 71 例，左半结肠切除术 13 例，乙状结肠切除术 44 例，低位前切除术 42 例。手术平均时间为 149 分钟。转化率为 2.4%。平均住院时间为 3.5 天。有并发症的病例比例为 8.2%。在 159 个吻合口中，有 3 个发生吻合口漏（1.9%）。96 例癌症病例的平均淋巴结检出率为 28.4。社区普通外科医生可以在达芬奇 Xi 机器人上安全有效地完成机器人部分结肠和直肠切除术。需要前瞻性研究来证明社区外科医生进行机器人结肠切除术的可重复性。
