1 Jul 2023
ArticleAn early experience with the Da Vinci Xi surgical system in colorectal surgery. A single-center study
Sercan Yüksel 1Uğur Topal 2Ece Batur 1Erdal Karaköse 3İsmail Çalıkoğlu 1Erdal Ercan 1Zafer Teke 3Hasan Bektaş 1
Affiliations
Article Info
1 Departments of General Surgery, University of Health Sciences, Başakşehir Çam and Sakura City Hospital, Istanbul, Turkey
2 Departments Surgery Oncology, University of Health Sciences, Başakşehir Çam and Sakura City Hospital, Istanbul, Turkey
3 Departments of Gastroenterological Surgery, University of Health Sciences, Başakşehir Çam and Sakura City Hospital, Istanbul, Turkey
Ann. Ital. Chir., 2023, 94(4), 100282;
Published: 1 Jul 2023
Copyright © 2023 Annali Italiani di Chirurgia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
AIM: Surgery is the optimum treatment approach in cases of colorectal cancer, with open or minimally invasive surgery options applied to patients in general surgery clinics. We present here an assessment of our use of robotic colorectal surgery for the treatment of colorectal cancer. METHOD: The outcomes of robotic colorectal surgeries performed in the General Surgery Clinic of Basaksehir Cam and Sakura City Hospital were evaluated. The demographic data, indications, type of surgery, complications, duration of postoperative stay and pathology results of the patients were recorded, and the surgical results were evaluated retrospectively. RESULTS: Of the 50 patients who underwent robotic colorectal surgery selected for the study, 19 were female and 31 were male, with a mean age of 60.9 years. Among the patients, 48% received neoadjuvant treatment and the most common tumor localization was the rectosigmoid region (40%), the most frequently performed operation was low anterior resection (44%). An ostomy was created in 50% of the patients, and two patients were converted. The mean duration of surgery was 191 minutes, the mean tumor diameter was 36 mm, the mean total number of lymph nodes dissected was 22.2 and the rate of complications of Clavien Dindo grade 3 or higher was 10%, namely anastomotic leak, anastomotic bleeding and chylous fistula. The mean length of hospital stay was 5 days, and one patient was reoperated due to the development of stomal necrosis. The rate of 90-day unplanned readmission was 10% and the most frequent cause was sub-ileus. One patient died in the postoperative period. CONCLUSION: Robotic surgery is a minimally invasive surgical approach that can be successfully applied in centers where perioperative and postoperative complications can be managed.
Keywords
- Colorectal Cancer
- Minimally Invasive Surgery
- Robotic Surgery
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