TY - JOUR
T1 - The double bipolar method for robotic total mesorectal excision in patients with rectal cancer
AU - Katsuno, Hidetoshi
AU - Hanai, Tsunekazu
AU - Endo, Tomoyoshi
AU - Morise, Zenichi
AU - Uyama, Ichiro
N1 - Publisher Copyright:
© 2022, The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd.
PY - 2022/6
Y1 - 2022/6
N2 - Although meta-analyses and systematic reviews have clarified the benefits of robotic surgery, few studies have focused on robotic rectal surgery (RRS) and the use of Endowrist® instruments. Therefore, we evaluated RRS using the double bipolar method (DBM) and compared its short-term outcomes with those of RRS using the single bipolar method (SBM). This study enrolled 157 consecutive patients and all procedures were performed by the same surgeon and recorded through short video clips. We analyzed the patient demographics and short-term clinical outcomes. Although this observational study has several limitations, the console time for total mesorectal excision using the DBM was significantly shorter than that using the SBM. Although the DBM did not demonstrate a specific learning curve, it was a safe and feasible procedure even for patients with advanced disease. Further studies are needed to evaluate the cost-effectiveness of the DBM.
AB - Although meta-analyses and systematic reviews have clarified the benefits of robotic surgery, few studies have focused on robotic rectal surgery (RRS) and the use of Endowrist® instruments. Therefore, we evaluated RRS using the double bipolar method (DBM) and compared its short-term outcomes with those of RRS using the single bipolar method (SBM). This study enrolled 157 consecutive patients and all procedures were performed by the same surgeon and recorded through short video clips. We analyzed the patient demographics and short-term clinical outcomes. Although this observational study has several limitations, the console time for total mesorectal excision using the DBM was significantly shorter than that using the SBM. Although the DBM did not demonstrate a specific learning curve, it was a safe and feasible procedure even for patients with advanced disease. Further studies are needed to evaluate the cost-effectiveness of the DBM.
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U2 - 10.1007/s00595-021-02418-y
DO - 10.1007/s00595-021-02418-y
M3 - Article
C2 - 35000035
AN - SCOPUS:85122753221
SN - 0941-1291
VL - 52
SP - 978
EP - 985
JO - Surgery Today
JF - Surgery Today
IS - 6
ER -