scholarly journals Robotic surgery for rectal cancer at Binh Dan Hospital: The early results

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Vĩnh Hưng Trần ◽  
Keyword(s):  
Rectal Cancer ◽  
Robotic Surgery ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Da Vinci ◽  
Case Series ◽  
Da Vinci Surgical System ◽  
Suspected Case ◽  
Early Results ◽  
Case Series Study

Tóm tắt Đặt vấn đề: Bệnh viện Bình Dân bắt đầu sử dụng robot trong phẫu thuật ung thư trực tràng từ tháng 11/2016. Mục tiêu của chúng tôi là tìm hiểu tính an toàn trong việc sử dụng robot để điều trị ung thư trực tràng. Phương pháp nghiên cứu: Nghiên cứu mô tả tiến cứu: 41 trường hợp ung thư trực tràng được phẫu thuật bằng robot da Vinci thế hệ Si tại Bệnh viện Bình Dân từ 11/2016 đến 07/2018. Kết quả: Tỉ lệ nam: nữ là 2,15. Tuổi trung bình là 62 tuổi (23-85). Phương pháp điều trị: 2 trường hợp cắt trước miệng nối cao, 22 trường hợp cắt trước miệng nối thấp, 6 trường hợp cắt trước miệng nối cực thấp, 10 trường hợp phẫu thuật Miles. Giai đoạn giải phẫu bệnh sau mổ: 2 trường hợp giai đoạn I (4,88%), 5 trường hợp giai đoạn IIA (12,2%), 24 trường hợp giai đoạn IIB (58,54%), 6 trường hợp giai đoạn IIIB (14,63%), 3 trường hợp giai đoạn IIIC (7,32%), 1 trường hợp giai đoạn IVA (2,44%). Thời gian phẫu thuật chung trung bình là 213,66 phút. Không có tai biến phẫu thuật. Sau phẫu thuật: có 6 trường hợp nhiễm trùng vết mổ, 1 trường hợp bí tiểu do u xơ tuyến tiền liệt, 1 trường hợp liệt ruột sau mổ kéo dài, 1 trường hợp nghi ngờ xì miệng nối được điều trị nội khoa. Thời gian nằm viện trung bình 8 ngày (6-16 ngày). Kết luận: Kết quả bước đầu cho thấy phẫu thuật robot trong điều trị ung thư trực tràng là an toàn và khả thi. Abstract Introduction: Binh Dan hospital started to implement the robotic surgery in treatment of colorectal cancer in November 2016. Our aim was to evaluate the effectiveness of robotic surgery in management of rectal cancer. Material and Methods: Prospective case series study: 41 rectal cancer cases were operated by robotic da Vinci Surgical System (Si version) from November 2016 to July 2018 at Binh Dan hospital. Results: Men/Women ratio:2.15. Average age: 62 yrs (23-85). Treatment procedures: 2 cases of anterior resection, 23 cases of low anterior resection, 6 cases of ultra-low anterior resection, 10 cases of abdomino - perineal resection. Post-operative pathology staging: stage I: 2 cases (4.88%), stage IIA: 5 cases (12.2%), stage IIB: 24 cases (58.54%), stage IIIB: 6 cases (14.63%), stage IIIC: 3 cases (7.32%), stage IVA: 1 case (2.44%). No per-operative complication was recorded. Post-operative complications recorded including 6 cases of surgical site infection, 1 case of urine retention, 1 case of ileus, 1 suspected case of leakage of anastomotic and treated by internal medicine. Average length of stay after the operation was 8 days (6-16). Conclusion: The implementation of robotic surgery in rectal cancer treatment is a safe and feasible procedure. Keyword: Rectal cancer; Robotic surgery

scholarly journals Robotic surgery for rectal cancer at Binh Dan Hospital: the early results

2019 ◽  
Vol 9 (4) ◽  
Author(s):  
Vinh Hung Tran ◽  
Keyword(s):  
Rectal Cancer ◽  
Robotic Surgery ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Case Series ◽  
Da Vinci Surgical System ◽  
Suspected Case ◽  
Early Results ◽  
Case Series Study ◽  
Operative Complications

Abstract Introduction: Binh Dan hospital started to apply robotic in colorectal cancer surgery in November 2016. Our aim is to evaluate the safety of robotic surgery in management of rectal cancer. Material and Methods: Prospective case series study: 66 rectal cancer cases were operated by robotic da Vinci Surgical System (Si version) from November 2016 to July 2019 at Binh Dan hospital. Results: Men/Women ratio: 2,09. Average age: 61 yrs (23-85). Treatment: 8 cases of anterior resection, 35 cases of low anterior resection, 7 cases of ultra-low anterior resection, 16 cases of abdominal perineal resection. Post-operative pathology staging: stage I: 2 cases (3,03%), stage IIA: 9 cases (13,64%), stage IIB: 35 cases (53,03%), stage IIIB: 16 cases (24,24%), stage IIIC: 3 cases (4,55%), stage IVA: 1 case (1,51%). Intra-operative complications: one case of hemorrhage. Post-operative complications are : Surgical site infection in 12 cases, 1 case of urine retention, 1 case of ileus, 3 suspected case of anastomotic leak treatmented medially. Average length of stay after the operation is 9 days (6-16). Conclusion: The application of robotic surgery in rectal cancer is a safe and feasible procedure.

scholarly journals Low Anterior Resection of Rectal Cancer and Vaginal Specimen Extraction with Da Vinci Xi

2018 ◽  
Author(s):  
Tuğrul Çakır ◽  
Arif Aslaner
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Da Vinci ◽  
Loop Ileostomy ◽  
Colorectal Anastomosis ◽  
Operation Time ◽  
Da Vinci Xi ◽  
Specimen Extraction ◽  
First Case

Introduction: Novel robotic surgery systems (da Vinci Xi) are superior to classical open and laparoscopic techniques with its clear and three-dimensional view. We aimed to present the first case low anterior resection of rectal cancer and vaginal specimen extraction with Da Vinci Xi.Case: A 75-year-old female patient with rectum adenocarcinoma was undergone robotic-assisted low anterior resection (LAR) of the rectum, vaginal removal of the specimen, colorectal anastomosis and loop ileostomy. The operation time was 190 minutes. There were no postoperative complications. Pathological tumor stage was stage pT1N0 with negative proximal, distal and radial resection margins. The patient was discharged on the third postoperative day.Conclusion: Robot-assisted LAR, total mesorectal excision, vaginal removal of the specimen, colorectal anastomosis, and loop ileostomy can be performed easily and safely with Da Vinci Xi at early stage rectal cancer. And the vaginal extraction of the specimen avoids us from a traditional abdominal incision.

scholarly journals Simultaneous robot-assisted surgery for rectal cancer and prostatic lesions

2020 ◽  
Vol 2020 (9) ◽  
Author(s):  
Yutaka Kojima ◽  
Kazuhiro Sakamoto ◽  
Shigeo Horie ◽  
Yuichi Tomiki ◽  
Masaya Kawai ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Robotic Surgery ◽  
Anterior Resection ◽  
Surgical Procedure ◽  
Low Anterior Resection ◽  
Gastrointestinal Surgery ◽  
Pelvic Surgery ◽  
Robot Assisted ◽  
The World ◽  
Robot Assisted Surgery

Abstract Robotic surgery has become prevalent in many departments all over the world because of its usefulness. It is used in many cases, as well as in gastrointestinal surgery, which treats the rectum as pelvic surgery, urology and gynecology. We experienced two cases of joint surgery, with urology as pelvic surgery. The patient underwent robot-assisted low anterior resection, combined prostate resection and ileostomy for prostate invasion of rectal cancer. He was discharged without any complications. Robotic surgery was considered to be useful in surgery to manipulate the same area. In addition, it was considered that smoother and safer surgical procedure could be possible by conducting preoperative meetings with the participating departments.

scholarly journals Robotic surgery at Binh Dan Hospital: 3 years experiences

2020 ◽  
Vol 10 (4) ◽  
Author(s):  
Vinh Hung Tran
Keyword(s):  
Robotic Surgery ◽  
Thoracic Surgery ◽  
General Surgery ◽  
Da Vinci ◽  
Transitional Cell ◽  
Case Series ◽  
Genital Prolapse ◽  
Learning Curves ◽  
Kidney Tumors ◽  
Case Series Study

Objectives: Since November 2016 the Robotic surgery has been initially applied on adult patients for the first time in Vietnam. The aim of the study was to evaluate the outcomes of application of the da Vinci SiTM robot in General Surgery and Urology at Binh Dan Hospital in over 03 years. Materials and Methods: From November 2016 to July 2020, the prospective case-series study for 1030 cases including: 324 cases in General Surgery + Thoracic Surgery cases and 706 cases in Urology are operated by the da Vinci SiTM robot system. We evaluated the short-term outcomes. Results: In 324 cases of General Surgery: 134 rectal cancer cases, 92 colon cancer cases, 50 hepatobiliary surgery cases, 34 gastric cancer cases, 09 thoracic surgery cases, 04 esophageal surgery cases, 01 hiatus hernia case. In 706 cases of Urology: 264 cases of prostate cancer, 214 cases of adrenal and kidney tumors, 160 cases of bladder tumor, 30 cases of ureteropelvic junction obstruction cases, 20 cases of upper tract transitional cell tumor, 09 cases of genital prolapse, 05 cases of retroperitoneal tumor, 02 cases of tumors beside the seminal vesicles, 01 case of patent urachus cancer, 01 case of urethra cancer. Conclusions: Robotic surgery, with many advantages than conventional laparoscopic surgery thanks to technological innovations (3D-HD monitor and optical system, the robotic arms with wrists, the comfortable console table, precise surgical…) has helped the surgeons to perform the sophisticated procedures in the narrow space easily with shorter learning curves. Our initial series of 1030 cases operated by this system have achieved encouraging outcomes.

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