Preliminary results of robotic colorectal surgery at the National Cancer Institute, Cairo University

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• 作者：Ashraf Saad Zaghloul ; Ahmed Mostafa Mahmoud ; ^{drbarbary@yahoo.com" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Minimally invasive surgery ; Robotic-assisted ; Colorectal cancer ; Egypt
• 刊名：Journal of the Egyptian National Cancer Institute
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：28
• 期：3
• 页码：169-174
• 全文大小：2019 K

文摘

The available literature on minimally invasive colorectal cancer demonstrates that laparoscopic approach is feasible and associated with better short term outcomes than open surgery while maintaining equivalent oncologic safety. Reports have shown that robotic surgery may overcome some of the pitfalls of laparoscopic intervention.

Objective of the work

To evaluate early results of robotic colorectal surgery, in a cohort of Egyptian patients, regarding operative time, operative and early post-operative complications, hospital stay and pathological results.

Patients and methods

A case series study which was carried out in surgical department at National Cancer Institute, Cairo University. Ten Egyptian cases of colorectal cancer (age ranged from 30 to 67, 5 males and 5 females) were recruited from the period of April 2013 to April 2014. Robotic surgery was performed to all cases.

Results

Three patients had low anterior resection, three anterior resection, one total proctectomy, one abdominoperineal resection, one left hemicolectomy and one colostomy. The study reported no mortalities and two morbidities. The mean operative time was 333 min. The conversion to open was done in only one patient. A total mesorectal excision with negative circumferential margin was accomplished in all patients, distal margin was positive in one patient. Mean lymph nodes removed was 10.7. Mean hospital stay was 7.4 days.

Conclusion

To the best of our knowledge, this is the first study reporting the outcomes of robotic colorectal cancer intervention in Egyptian patients. Our preliminary results suggest that robotic-assisted surgery for colorectal cancer can be carried out safely and according to oncological principles.