Robotic-assisted total mesorectal excision with the single-docking technique for patients with rectal cancer.

Abstract:

BACKGROUND:The robotic system has advantages of high-definition three-dimensional vision and articular instruments with high dexterity, allowing more precise dissection in the deep and narrow pelvic cavity. METHODS:We enrolled 95 patients with stage I-III rectal cancer (adenocarcinoma) who underwent totally robotic-assisted total mesorectal excision (TME) with single-docking technique at a single institution between September 2013 and December 2016. RESULTS:Of the 95 patients, 48 (50.5%) and 30 (31.6%) patients had lower and middle rectal cancers, respectively. Of the 75 (78.9%) patients undergoing preoperative concurrent chemoradiotherapy (CCRT), 27 (28.4%) exhibited pathologic complete response (pCR). Only four (4.2%) patients underwent abdominoperineal resection and the sphincter preservation rate was 95.8%. R0 resection was performed in 92 (96.8%) patients. Circumferential resection margin (CRM) and distal resection margin (DRM) were positive in 2 (2.1%) and 1 (1.1%) patients, respectively. The anastomotic leakage rate was 5.4% (5/95 patients). The overall complication rate was 17.9% (17/95 patients); most of them were mild. No 30-day hospital mortality occurred, and no patients required conversion to open surgery. In 92 patients undergoing R0 resection, 2-year overall survival was 94% and 2-year disease-free survival was 83%. CONCLUSIONS:The results demonstrated that totally robotic-assisted TME with the single-docking technique is safe and feasible for patients with rectal cancer, with or without preoperative CCRT. Moreover, favorable pCR rate, R0 resection rate, CRM, DRM, sphincter preservation rate, and short-term oncological outcomes can be achieved by combining this approach with appropriate preoperative CCRT.

journal_name

BMC Surg

journal_title

BMC surgery

authors

Huang CW,Tsai HL,Yeh YS,Su WC,Huang MY,Huang CM,Chang YT,Wang JY

doi

10.1186/s12893-017-0315-x

subject

Has Abstract

pub_date

2017-12-05 00:00:00

pages

126

issue

1

issn

1471-2482

pii

10.1186/s12893-017-0315-x

journal_volume

17

pub_type

杂志文章
  • Comparing laparoscopic cholecystectomy in patients with chronic obstructive pulmonary disease under spinal anesthesia and general anesthesia.

    abstract:BACKGROUND:Epidemiological data demonstrate that the worldwide prevalence of chronic obstructive pulmonary disease is increasing. These patients have an increased risk of mortality and morbidity and have constant limitations in airflow. Comparing laparoscopic cholecystectomy (LC) in patients with chronic obstructive pu...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-018-0396-1

    authors: Bayrak M,Altıntas Y

    更新日期:2018-08-20 00:00:00

  • Kimura's disease mimicking thoracic spine dumbbell neurogenic tumor: a case report and literature review.

    abstract:BACKGROUND:Kimura's disease is a rare, benign chronic inflammatory disease of unknown etiology that mostly affects Asians. The disease typically presents as subcutaneous masses in the head or neck region that are predominantly found in the preauricular and submandibular areas. CASE PRESENTATION:A 7-year-old boy presen...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-020-00870-0

    authors: Bi S,Gu J,Hu C

    更新日期:2020-09-21 00:00:00

  • Gastric stimulation: influence of electrical parameters on gastric emptying in control and diabetic rats.

    abstract:BACKGROUND:The aim of this study was to test the effect of different pulse frequencies and amplitudes during gastric stimulation (GS) on gastric emptying in the rat. METHODS:GS was performed in 2 groups of laparotomized rats: healthy control animals, and rats with acute diabetes. The effects of four pulse frequencies ...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-2-5

    authors: Le Blanc-Louvry I,Guerre F,Songné B,Ducrotté P

    更新日期:2002-07-30 00:00:00

  • A bilateral neoplasm in chest: a case report and literature review.

    abstract:BACKGROUND:Myelolipoma is a rare neoplasm composed of yellowish adipose tissue and reddish-brown tissue corresponding to hematopoietic or hemorrhages. It typically occurs in adrenal glands as a solitary, well-circumscribed mass, and the thoracic location is extremely unusual. CASE PRESENTATION:We present a rare case w...

    journal_title:BMC surgery

    pub_type: 杂志文章,评审

    doi:10.1186/1471-2482-14-42

    authors: Shen C,Han Z,Che G

    更新日期:2014-07-09 00:00:00

  • Laparoscopic plug removal for femoral nerve colic pain after mesh & plug hernioplasty.

    abstract:BACKGROUND:Inguinal hernias account for 75% of abdominal wall hernias, with a lifetime risk of 27% in men and 3% in women. Major complications are recurrence, chronic pain, and surgical site infection, but their frequency is low. Few studies have reported a calcified mesh causing neuropathy by chronic compression of th...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-015-0046-9

    authors: Ohkura Y,Haruta S,Shinohara H,Lee S,Fukui Y,Kobayashi N,Momose K,Ueno M,Udagawa H

    更新日期:2015-05-17 00:00:00

  • Cotton Bezoar--a rare cause of intestinal obstruction: case report.

    abstract:BACKGROUND:Bezoars usually present as a mass in the stomach. The patient often has a preceding history of some psychiatric predisposition. Presentation could be in the form of trichophagy followed by trichobezoar (swallowing of hair leading to formation of bezoar), orphytobezoar (swallowing of vegetable fibres). Rapunz...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-3-5

    authors: Chintamani,Durkhure R,Singh JP,Singhal V

    更新日期:2003-09-04 00:00:00

  • Social disparities, health risk behaviors, and cancer.

    abstract:BACKGROUND:Overall cancer incidence rates decreased in the most recent time period in both men and women, largely due to improvements in surgical therapeutic approaches (tertiary prevention) and screening programs (secondary prevention), but differences in cancer incidence and survival according to socioeconomic status...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-13-S2-S17

    authors: Rametta S,Grosso G,Galvano F,Mistretta A,Marventano S,Nolfo F,Buscemi S,Gangi S,Basile F,Biondi A

    更新日期:2013-01-01 00:00:00

  • Perforated carcinoma of the caecum presenting as necrotising fasciitis of the abdominal wall, the key to early diagnosis and management.

    abstract:BACKGROUND:Necrotising Fasciitis is a life threatening soft tissue infection which requires aggressive, early surgical management. CASE PRESENTATION:We present a rare case of a retroperitoneal perforation of a carcinoma of the caecum presenting as a necrotising fasciitis of the anterior abdominal wall. CONCLUSION:Thi...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-6-11

    authors: Marron CD,McArdle GT,Rao M,Sinclair S,Moorehead J

    更新日期:2006-09-29 00:00:00

  • Is standardized care feasible in the emergency setting? A case matched analysis of patients undergoing laparoscopic cholecystectomy.

    abstract:BACKGROUND:Immediate laparoscopic cholecystectomy is the accepted standard for the treatment of acute cholecystitis. The aim of the present study was to evaluate the feasibility of a standardized approach with tailored care maps for pre- and postoperative care by comparing pain, nausea and patient satisfaction after el...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-016-0194-6

    authors: Grass F,Cachemaille M,Blanc C,Fournier N,Halkic N,Demartines N,Hübner M

    更新日期:2016-12-01 00:00:00

  • Relationship between the atlantodental interval and T1 slope after atlantoaxial fusion in patients with rheumatoid arthritis.

    abstract:BACKGROUND:Atlantoaxial fusion has been widely used for the treatment of atlantoaxial instability (AAI). However, atlantoaxial fusion sacrifices the motion of atlantoaxial articulation, and postoperative loss of cervical lordosis and aggravation of cervical kyphosis are observed. We investigated various factors under t...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-020-00900-x

    authors: Ha BJ,Won YD,Ryu JI,Han MH,Cheong JH,Kim JM,Chun HJ,Bak KH,Bae IS

    更新日期:2020-11-04 00:00:00

  • Use of Floseal®, a human gelatine-thrombin matrix sealant, in surgery: a systematic review.

    abstract:BACKGROUND:Surgical bleeding can be associated with an increased risk of morbidity and mortality across all surgical areas. Thus, numerous products have been developed to achieve haemostasis. A flowable haemostatic matrix such as Floseal® can quickly and reliably stop bleeding across the full spectrum of bleeding scena...

    journal_title:BMC surgery

    pub_type: 杂志文章,评审

    doi:10.1186/1471-2482-14-111

    authors: Echave M,Oyagüez I,Casado MA

    更新日期:2014-12-20 00:00:00

  • Electroesophagogram in gastroesophageal reflux disease with a new theory on the pathogenesis of its electric changes.

    abstract:BACKGROUND:In view of the disturbed esophageal peristaltic activity and abnormal esophageal motility in gastroesophageal reflux disease, (GERD), we investigated the hypothesis that these changes result from a disordered myoelectric activity of the esophagus. METHODS:The electric activity of the esophagus (electroesoph...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-4-13

    authors: Shafik A,El-Sibai O,Shafik I,Shafik A

    更新日期:2004-10-05 00:00:00

  • Banded Roux-en-Y gastric bypass in patients with super morbid obesity (BRandY-study): protocol of a cohort study with 10 year follow-up.

    abstract:BACKGROUND:Weight loss outcomes after bariatric surgery are less favorable in super morbidly obese patients (BMI ≥50 kg/m2). Non-response, either defined as insufficient weight loss or weight regain after initial successful weight loss, is a matter of serious concern in these patients. The primary banded Roux-en-Y gast...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-020-00784-x

    authors: Romeijn MM,Leclercq WKG,Luijten AAPM,Janssen L,van Dielen FMH

    更新日期:2020-06-05 00:00:00

  • Reconstructed gastric conduit obstruction caused by a bezoar after esophagectomy: a case report.

    abstract:BACKGROUND:Bezoars are rare but may cause gastrointestinal obstruction and ulcers. To the best of our knowledge, only two cases of bezoars in the reconstructed gastric conduit have been reported, but there has been no report on reconstructed gastric conduit obstruction due to bezoars. CASE PRESENTATION:A 60-year-old m...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-019-0525-5

    authors: Hatoyama K,Taniyama Y,Sakurai T,Hikage M,Sato C,Okamoto H,Takaya K,Onodera Y,Kamei T

    更新日期:2019-06-07 00:00:00

  • Potential role of probiotics on colorectal cancer prevention.

    abstract:BACKGROUND:Colorectal cancer represents the most common malignancy of the gastrointestinal tract. Owing to differences in dietary habits and lifestyle, this neoplasm is more common in industrialized countries than in developing ones. Evidence from a wide range of sources supports the assumption that the link between di...

    journal_title:BMC surgery

    pub_type: 杂志文章,评审

    doi:10.1186/1471-2482-12-S1-S35

    authors: Uccello M,Malaguarnera G,Basile F,D'agata V,Malaguarnera M,Bertino G,Vacante M,Drago F,Biondi A

    更新日期:2012-01-01 00:00:00

  • Emergency general surgery in Rwandan district hospitals: a cross-sectional study of spectrum, management, and patient outcomes.

    abstract:BACKGROUND:Management of emergency general surgical conditions remains a challenge in rural sub-Saharan Africa due to issues such as insufficient human capacity and infrastructure. This study describes the burden of emergency general surgical conditions and the ability to provide care for these conditions at three rura...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-017-0323-x

    authors: Mpirimbanyi C,Nyirimodoka A,Lin Y,Hedt-Gauthier BL,Odhiambo J,Nkurunziza T,Havens JM,Omondi J,Rwamasirabo E,Ntirenganya F,Toma G,Mubiligi J,Bayitondere S,Riviello R

    更新日期:2017-12-01 00:00:00

  • Single mutidrug resistant enterobacteriacae donor-derived infection in four solid organ transplant recipients: a case report.

    abstract:BACKGROUND:Bacteraemia of the donor is not considered to be contraindication of organ procurement. On the other hand, infection of solid organ transplant recipients remains to be a major cause of their morbidity and mortality. When using organs from bacteraemic donors, individual risks need to be assessed and the appro...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-019-0574-9

    authors: Kieslichova E,Protus M,Nemcova D,Uchytilova E

    更新日期:2019-08-14 00:00:00

  • Removal of a broken acupuncture needle in retroperitoneum by laparoscopy: a case report.

    abstract:BACKGROUND:Acupuncture is a famous traditional medicine in China, but the complications caused by broken acupuncture needles have been rarely reported. It seems easy to remove the foreign matters usually, but things become difficulty in special issues. Here, we reported a recently encountered case to provide an importa...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-019-0572-y

    authors: Liu ZH,Wang HD,Xu X,Man LB

    更新日期:2019-08-06 00:00:00

  • Anatomical study of simple landmarks for guiding the quick access to humeral circumflex arteries.

    abstract:BACKGROUND:The posterior and anterior circumflex humeral artery (PCHA and ACHA) are crucial for the blood supply of humeral head. We aimed to identify simple landmarks for guiding the quick access to PCHA and ACHA, which might help to protect the arteries during the surgical management of proximal humeral fractures. M...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-14-39

    authors: Chen YX,Zhu Y,Wu FH,Zheng X,Wangyang YF,Yuan H,Xie XX,Li DY,Wang CJ,Shi HF

    更新日期:2014-06-26 00:00:00

  • Gastric volvulus through Morgagni hernia and intestinal diverticulosis in an adult patient: a case report.

    abstract:BACKGROUND:Morgagni's hernia (MH) is a rare type of congenital diaphragmatic hernia with limited available literature. Late presentations are infrequent and the ones complicated due to gastric volvulus are even rarer. Another uncommon association of MH is with small bowel diverticulosis. We herein discussed a case of g...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-018-0399-y

    authors: Ladiwala ZFR,Sheikh R,Ahmed A,Zahid I,Memon AS

    更新日期:2018-08-29 00:00:00

  • Identification of population of bacteria from culture negative surgical site infection patients using molecular tool.

    abstract:BACKGROUND:Managing surgical site infections, with negative culture report in routine diagnosis is a common dilemma in microbiology accounting more than 30% worldwide. The present study attempted to identify the presence of bacterial spp. if any in wound aspirates/swabs of culture negative surgical site infections of h...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-020-01016-y

    authors: Behera HS,Chayani N,Bal M,Khuntia HK,Pati S,Das S,Ranjit M

    更新日期:2021-01-07 00:00:00

  • The effect of melatonin on bacterial translocation following ischemia/reperfusion injury in a rat model of superior mesenteric artery occlusion.

    abstract:BACKGROUND:Acute mesenteric ischemia is a life-threatening vascular emergency resulting in tissue destruction due to ischemia-reperfusion injury. Melatonin, the primary hormone of the pineal gland, is a powerful scavenger of reactive oxygen species (ROS), including the hydroxyl and peroxyl radicals, as well as singlet ...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-015-0003-7

    authors: Ozban M,Aydin C,Cevahir N,Yenisey C,Birsen O,Gumrukcu G,Aydin B,Berber I

    更新日期:2015-03-08 00:00:00

  • Laparoscopic and open surgery for pheochromocytoma.

    abstract:BACKGROUND:Laparoscopic adrenalectomy is a promising alternative to open surgery although concerns exist in regard to laparoscopic treatment of pheocromocytoma. This report compares the outcome of laparoscopic and conventional (open) resection for pheocromocytoma particular in regard to intraoperative hemodynamic stabi...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-1-2

    authors: Edwin B,Kazaryan AM,Mala T,Pfeffer PF,Tønnessen TI,Fosse E

    更新日期:2001-01-01 00:00:00

  • Structure and surgical dissection layers of the bare area of the liver.

    abstract:BACKGROUND:The bare area was reportedly formed by direct adhesion between the liver and diaphragm, meaning that the bare area lacked serosal components. This study aimed to analyze the structure of the bare area by an integrated study of surgical and laparoscopic images and pathological studies and describe surgical pr...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-020-00830-8

    authors: Ishii T,Seo S,Ito T,Ogiso S,Fukumitsu K,Taura K,Kaido T,Uemoto S

    更新日期:2020-07-31 00:00:00

  • Complete pathological response (ypT0N0M0) after preoperative chemotherapy alone for stage IV rectal cancer.

    abstract:BACKGROUND:Complete pathological response occurs in 10-20% of patients with rectal cancer who are treated with neoadjuvant chemoradiation therapy prior to pelvic surgery. The possibility that complete pathological response of rectal cancer can also occur with neoadjuvant chemotherapy alone (without radiation) is an int...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-14-4

    authors: Naiken SP,Toso C,Rubbia-Brandt L,Thomopoulos T,Roth A,Mentha G,Morel P,Gervaz P

    更新日期:2014-01-17 00:00:00

  • Mesenteric ischemia: the importance of differential diagnosis for the surgeon.

    abstract:BACKGROUND:Intestinal ischemia is an abdominal emergency that accounts for approximately 2% of gastrointestinal illnesses. It represents a complex of diseases caused by impaired blood perfusion to the small and/or large bowel including acute arterial mesenteric ischemia (AAMI), acute venous mesenteric ischemia (AVMI), ...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-13-S2-S51

    authors: Reginelli A,Iacobellis F,Berritto D,Gagliardi G,Di Grezia G,Rossi M,Fonio P,Grassi R

    更新日期:2013-01-01 00:00:00

  • Unusual case of exacerbation of sub-acute descending necrotizing mediastinitis.

    abstract::Descending necrotizing mediastinitis is a life-threatening complication of an oropharyngeal infection that requires prompt and aggressive medical and surgical therapy. Herein, we report unusual case of man suffering of sub-acute mediastinal infection due to odontoiatric abscess which exacerbated at 3 months after its ...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-13-S2-S31

    authors: Di Crescenzo V,Laperuta P,Napolitano F,Carlomagno C,Danzi M,Amato B,Garzi A,Vitale M

    更新日期:2013-01-01 00:00:00

  • Technical considerations and outcomes for ileal ureter replacement: a retrospective study in China.

    abstract:BACKGROUND:Ileal ureter replacement is an alternative treatment for various length ureter defects. We present our experience and outcome of ileal ureter replacement in China. METHODS:We retrospectively collected data of patients who underwent ileal ureter replacement between January 2010 and January 2015. We reviewed ...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-019-0472-1

    authors: Zhong W,Hong P,Ding G,Yang K,Li X,Bao J,Bao G,Cui L,Men C,Li Z,Zhang P,Chu N,Zhou L

    更新日期:2019-01-18 00:00:00

  • Atherosclerosis of the right posterior hepatic artery in a patient with hilar cholangiocarcinoma undergoing left trisectionectomy: a case report of a therapeutic pitfall.

    abstract:BACKGROUND:We experienced a rare case of benign arterial stricture of the right posterior hepatic artery (RPHA) caused by atherosclerosis in a patient with hilar cholangiocarcinoma. CASE PRESENTATION:A 75-year-old man was referred to our hospital for the detailed investigation of serum hepatobiliary enzyme elevation. ...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-018-0415-2

    authors: Goto Y,Kojima S,Nomura Y,Muroya D,Arai S,Sakai H,Kawahara R,Hisaka T,Akagi Y,Tanaka H,Okuda K

    更新日期:2018-09-24 00:00:00

  • Severe pancreatitis complicated by abdominal compartment syndrome managed with decompressive laparotomy: a case report.

    abstract:BACKGROUND:Abdominal compartment syndrome (ACS) is an uncommon complication of severe pancreatitis. It is defined as a sustained intraabdominal pressure (IAP) > 20 mmHg (with or without an abdominal perfusion pressure (APP) < 60 mmHg), associated with new organ dysfunction/failure. ACS confers a poor prognosis and shou...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-019-0575-8

    authors: Lee AHH,Lee WS,Anderson D

    更新日期:2019-08-17 00:00:00