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

机译:开罗大学国立癌症研究所机器人结直肠手术的初步结果

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Background: 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 333min. 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 7.4days. 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.
机译:背景:关于微浸润性结直肠癌的现有文献表明,与开放手术相比,腹腔镜手术是可行的,并具有更好的短期结果,同时保持了相同的肿瘤学安全性。报告显示,机器人手术可能会克服腹腔镜干预的一些陷阱。工作目的:在一组埃及患者中评估机器人结直肠手术的早期结果,包括手术时间,手术和术后早期并发症,住院时间和病理结果。患者和方法:在开罗大学国家癌症研究所外科部门进行的病例系列研究。从2013年4月至2014年4月,共招募了10例埃及大肠癌病例(年龄在30至67岁之间,男5例,女5例)。所有病例均进行了机器人手术。结果:3例患者行低位前切除术,3例前切除术,1例全直肠切除术,1例腹部手术切除术,1例左半结肠切除术和1例结肠造口术。该研究报告没有死亡和两种发病率。平均手术时间为333min。仅一名患者完成了向开放的转换。所有患者均完成了直肠系膜全切术,外周切缘阴性,一名患者远端切缘阳性。平均去除的淋巴结为10.7。平均住院天数为7.4天。结论:据我们所知,这是第一项报道机器人结直肠癌对埃及患者进行干预的结果的研究。我们的初步结果表明,大肠癌的机器人辅助手术可以安全并根据肿瘤学原理进行。

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