지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 1,028 - 1,035 (8page)
이용수
초록· 키워드
오류제보하기
Purpose: By integrating intraoperative near infrared fluorescence imaging into a robotic system, surgeons can identify the vascular anatomy in real-time with the technical advantages of robotics that is useful for meticulous lymphovascular dissection.
Herein, we report our initial experience of robotic low ligation of the inferiormesenteric artery (IMA) with real-time identification of the vascular system for rectal cancer using the Firefly technique. Materials and Methods: The study group included 11 patients who underwent a robotic total mesorectal excision with preservation of the left colic artery for rectal cancer using the Firefly technique betweenJuly 2013 and December 2013. Results: The procedures included five low anterior resections and six ultra-low anterior resections with loop ileostomy. The median total operation time was 327 min (226‒490). The low ligation time was 10 min (6‒20), and the time interval between indocyanine green injection and division of the sigmoid artery was 5 min (2‒8). The estimated blood loss was 200 mL (100‒500). The median time to soft diet was 4 days (4‒5), and the median length of stay was 7 days (5‒9). Three patients developed postoperative complications; one patients developed anal stricture, one developed ileus, and one developed non-complicatedintraabdominal fluid collection. The median total number of lymph nodes harvested was 17 (9‒29). Conclusion: Robotic low ligation of the IMA with real-time identification of the vascular system for rectal cancer using the Firefly techniqueis safe and feasible. This technique can allow for precise lymph node dissectionalong the IMA and facilitate the identification of the left colic branch of the IMA.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Chapuis PH / 1985 / A multivariate analysis of clinical and pathological variables in prognosis after resection of large bowel cancer / Br J Surg 72 : 698 ~ 702
Chin CC / 2008 / The oncologic benefit of high ligation of the inferior mesenteric artery in the surgical treatment of rectal or sigmoid colon cancer / Int J Colorectal Dis 2
Hellan M / 2014 / The influence of fluorescence imaging on the location of bowel transection during robotic left-sided colorectal surgery / Surg Endosc 28 : 1695 ~ 1702
Hinoi T / 2013 / Effect of left colonic artery preservation on anastomotic leakage in laparoscopic anterior resection for middle and low rectal cancer / World J Surg 37 : 29
Hoer J / 2000 / Preserving autonomic nerves in rectal surgery. Results of surgical preparation on human cadavers with fixed pelvic sections / Chirurg 71 : 1222 ~ 1229
Chin CC / 2008 / The oncologic benefit of high ligation of the inferior mesenteric artery in the surgical treatment of rectal or sigmoid colon cancer / Int J Colorectal Dis 2
Hellan M / 2014 / The influence of fluorescence imaging on the location of bowel transection during robotic left-sided colorectal surgery / Surg Endosc 28 : 1695 ~ 1702
Hinoi T / 2013 / Effect of left colonic artery preservation on anastomotic leakage in laparoscopic anterior resection for middle and low rectal cancer / World J Surg 37 : 29
Hoer J / 2000 / Preserving autonomic nerves in rectal surgery. Results of surgical preparation on human cadavers with fixed pelvic sections / Chirurg 71 : 1222 ~ 1229
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