| Robotic-assisted extralevator abdominoperineal resection in the lithotomy position: technique and early outcomes. | |
| | |
MedLine Citation:
|
PMID: 23025934 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Extralevator abdominoperineal resection (E-APR) has been advocated as a superior procedure to achieve negative circumferential resection margins (CRMs) for sphincter-invading rectal cancers. An open total mesorectal excision is performed followed by perineal dissection with resection of the levators in the prone position. We describe a novel minimally invasive robotic approach carried out in the lithotomy position. Using the robotic arms to dissect the rectum and divide the levator fibers at their origin, the dissection is carried out in the ischiorectal space as distally as possible. From May to July 2011, six cases of robotic E-APR for rectal cancer were performed. The mean age was 54.5 years old. Mean operating time was 335 minutes. Mean estimated blood loss was 250 mL. There were no conversions to the open approach. A cylindrical specimen was obtained in all patients without perforation. All CRMs were negative. Mean hospital stay was 5 days. Two patients developed perineal wound infections and one developed a small bowel obstruction postoperatively. Robotic-assisted E-APR performed in the lithotomy position is safe and feasible. Future studies are needed to define the benefits of this technique. |
| | |
Authors:
|
Celeste Y Kang; Joseph C Carmichael; Jeffrey Friesen; Michael J Stamos; Steven Mills; Alessio Pigazzi |
Related Documents
:
|
6829294 - Auditory evoked brainstem responses (abr) in coma due to severe head trauma. 23543284 - Euro-notes status paper: from the concept to clinical practice. 23466344 - Treatment of axillary osmidrosis with the use of versajet. 11764134 - Attendance of patients with minor head injury in an emergency department observation ward. 20173614 - Laparoscopy-assisted gastrectomy for patients with earlier upper abdominal open surgery. 9232564 - Transrectal and transvaginal abscess drainage. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The American surgeon Volume: 78 ISSN: 1555-9823 ISO Abbreviation: Am Surg Publication Date: 2012 Oct |
Date Detail:
|
Created Date: 2012-10-02 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0370522 Medline TA: Am Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 1033-7 Citation Subset: IM |
Affiliation:
|
Department of Surgery, University of California, Irvine, School of Medicine, Irvine, California, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Analysis of radiation exposure during endovascular aneurysm repair.
Next Document: FAST Enough? A Validation Study for Focused Assessment with Sonography for Trauma Ultrasounds in a L...