Introduction of the Robotic Surgery (da Vinci Surgical System) for Colorectal Cancer

Maruyama Tsunehiko, Sako Akihiro, Ueda Kazumitsu, Okumura Minoru, Ohkohchi Nobuhiro

doi:10.2974/kmj.66.155

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Other Title

手術支援ロボット手術（da Vinciサージカルシステム）の大腸癌手術への導入
症例報告手術支援ロボット手術(da Vinciサージカルシステム)の大腸癌手術への導入
ショウレイホウコクシュジュツシエンロボットシュジュツ(da Vinci サージカルシステム)ノダイチョウガンシュジュツエノドウニュウ

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Description

Robotic surgery for total prostatectomy was introduced to our hospital in November 2011. We report the introduction of robotic surgery for colorectal cancer in our hospital. We visited three main hospitals in Japan to observe robotic surgery. Our group, which included a nurse and a medical engineer, then went to Shizuoka Cancer center to study robotic surgery and acquired certification. We obtained approval from our Ethical Review Board to perform colorectal cancer with robotic surgery. The patient was a 67 year-old male. On endoscopic submucosal dissection of a lesion in the sigmoid colon, there was SM invasion greater than 1,000 μm, with vertical margin involvement. We invited an experienced instructor to supervise the surgery. Six ports were inserted into the abdominal cavity. We performed D3 dissection with preservation of the left colic artery; the sigmoid colon was mobilized and rectum was dissected supported by robotic surgery. Operative time was 6 hours 54 minutes. Four hours 43 minutes was with robotic support. Blood loss was 10 ml. The patient was discharged on postoperative day 8 without complications.

Journal

The Kitakanto Medical Journal

The Kitakanto Medical Journal 66 (2), 155-158, 2016

The Kitakanto Medical Society

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