Initial experience of abdominal total mesorectal excision for rectal cancer using the da Vinci single port system

From November 2021 to February 2022, 15 patients underwent total abdominal mesorectal excision for rectal cancer using the da Vinci single port system. The clinical and pathological results were analyzed retrospectively. All surgeries were performed without conversion. The mean distance from the tum...

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Main Authors: Wed Alshalawi, Chul Seung Lee, In Kyeong Kim, Yoon Suk Lee
Format: Article
Language:English
Published: The Korean Society of Endo-Laparoscopic & Robotic Surgery 2023-12-01
Series:Journal of Minimally Invasive Surgery
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Online Access:http://www.e-jmis.org/journal/view.html?doi=10.7602/jmis.2023.26.4.208
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author Wed Alshalawi
Chul Seung Lee
In Kyeong Kim
Yoon Suk Lee
author_facet Wed Alshalawi
Chul Seung Lee
In Kyeong Kim
Yoon Suk Lee
author_sort Wed Alshalawi
collection DOAJ
description From November 2021 to February 2022, 15 patients underwent total abdominal mesorectal excision for rectal cancer using the da Vinci single port system. The clinical and pathological results were analyzed retrospectively. All surgeries were performed without conversion. The mean distance from the tumor to the anal verge was 10 cm (range, 2-15 cm). The mean operative time was 191 minutes, the median docking time was 4 minutes (range, 2-10 minutes), and the estimated blood loss was 20 mL (range, 20-50 mL). The mean number of lymph nodes harvested was 16.5, the mean distal resection margin was 3.52 cm, and all patients had circumferential and distal tumor-free resection margins. One patient had minor anastomotic leakage. The mean length of hospital stay was 5.8 ± 2.5 days. Abdominal total mesorectal excision using the da Vinci single port system for rectal cancer is technically feasible and safe, with acceptable pathological and short-term clinical outcomes.
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issn 2234-778X
language English
publishDate 2023-12-01
publisher The Korean Society of Endo-Laparoscopic & Robotic Surgery
record_format Article
series Journal of Minimally Invasive Surgery
spelling doaj-art-74c5bb85ce324d069023e6427b2cb0b12025-08-20T03:01:06ZengThe Korean Society of Endo-Laparoscopic & Robotic SurgeryJournal of Minimally Invasive Surgery2234-778X2023-12-0126420821410.7602/jmis.2023.26.4.208jmis.2023.26.4.208Initial experience of abdominal total mesorectal excision for rectal cancer using the da Vinci single port systemWed Alshalawi0Chul Seung Lee1In Kyeong Kim2Yoon Suk Lee3Division of Colorectal Surgery, Department of General Surgery, King Saud Medical City, Riyadh, Saudia ArabiaDivision of Colorectal Surgery, Department of Surgery, Hansol Hospital, Seoul, KoreaDivision of Colorectal Surgery, Department of Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, KoreaDivision of Colorectal Surgery, Department of Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, KoreaFrom November 2021 to February 2022, 15 patients underwent total abdominal mesorectal excision for rectal cancer using the da Vinci single port system. The clinical and pathological results were analyzed retrospectively. All surgeries were performed without conversion. The mean distance from the tumor to the anal verge was 10 cm (range, 2-15 cm). The mean operative time was 191 minutes, the median docking time was 4 minutes (range, 2-10 minutes), and the estimated blood loss was 20 mL (range, 20-50 mL). The mean number of lymph nodes harvested was 16.5, the mean distal resection margin was 3.52 cm, and all patients had circumferential and distal tumor-free resection margins. One patient had minor anastomotic leakage. The mean length of hospital stay was 5.8 ± 2.5 days. Abdominal total mesorectal excision using the da Vinci single port system for rectal cancer is technically feasible and safe, with acceptable pathological and short-term clinical outcomes.http://www.e-jmis.org/journal/view.html?doi=10.7602/jmis.2023.26.4.208rectal neoplasmslow anterior resectionrobotic surgical proceduresminimally invasive surgery
spellingShingle Wed Alshalawi
Chul Seung Lee
In Kyeong Kim
Yoon Suk Lee
Initial experience of abdominal total mesorectal excision for rectal cancer using the da Vinci single port system
Journal of Minimally Invasive Surgery
rectal neoplasms
low anterior resection
robotic surgical procedures
minimally invasive surgery
title Initial experience of abdominal total mesorectal excision for rectal cancer using the da Vinci single port system
title_full Initial experience of abdominal total mesorectal excision for rectal cancer using the da Vinci single port system
title_fullStr Initial experience of abdominal total mesorectal excision for rectal cancer using the da Vinci single port system
title_full_unstemmed Initial experience of abdominal total mesorectal excision for rectal cancer using the da Vinci single port system
title_short Initial experience of abdominal total mesorectal excision for rectal cancer using the da Vinci single port system
title_sort initial experience of abdominal total mesorectal excision for rectal cancer using the da vinci single port system
topic rectal neoplasms
low anterior resection
robotic surgical procedures
minimally invasive surgery
url http://www.e-jmis.org/journal/view.html?doi=10.7602/jmis.2023.26.4.208
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AT chulseunglee initialexperienceofabdominaltotalmesorectalexcisionforrectalcancerusingthedavincisingleportsystem
AT inkyeongkim initialexperienceofabdominaltotalmesorectalexcisionforrectalcancerusingthedavincisingleportsystem
AT yoonsuklee initialexperienceofabdominaltotalmesorectalexcisionforrectalcancerusingthedavincisingleportsystem