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논문 기본 정보

자료유형
학술저널
저자정보
Michael Williams (The University of Queensland) Marlon Perera (The University of Queensland) François-Xavier Nouhaud (The University of Queensland) Geoffrey Coughlin (The University of Queensland)
저널정보
대한비뇨기과학회 Investigative and Clinical Urology Investigative and Clinical Urology Vol.62 No.1
발행연도
2021.1
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111 - 120 (10page)

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Purpose: To describe the surgical technique and examine the feasibility and outcomes following robotic pelvic exenteration and extended pelvic resection for rectal and/or urological malignancy. Materials and Methods: We present a case series of seven patients with locally advanced or synchronous urological and/or rectal malignancy who underwent robotic total or posterior pelvic exenteration between 2012–2016. Results: In total, we included seven patients undergoing pelvic exenteration or extended pelvic resection. The mean operative time was 485±157 minutes and median length of stay was 9 days (6–34 days). There was only one Clavien–Dindo complication grade 3 which was a vesicourethral anastomotic leak requiring rigid cystoscopy and bilateral ureteric catheter insertion. Eighty-five percent of patients had clear colorectal margins with a median margin of 3.5 mm (0.7–8.0 mm) while all urological margins were clear. Six out of seven patients had complete (grade 3) total mesorectal excision. Three patients experienced recurrence at a median of 22 months (21–24 months) post-operatively. Of the three recurrences, one was systemic only whilst two were both local and systemic. One patient died from complications of dual rectal and prostate cancer 31 months after the surgery. Conclusions: We report a large series examining robotic pelvic exenteration or extended pelvic resection and describe the surgical technique involved. The robotic approach to pelvic exenteration is highly feasible and demonstrates acceptable peri-operative and oncological outcomes. It has the potential to benefit patients undergoing this highly complex and morbid procedure.
#Colorectal cancer #Minimally invasive surgical procedures #Pelvic exenteration #Prostate cancer #Surgery

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참고문헌 (16)

참고문헌 신청
Shin US / 2016 / Oncologic outcomes of extended robotic resection for rectal cancer / Ann Surg Oncol 23:2249~2257 google schola Chen W / 2016 / Comparison of perioperative outcomes between laparoscopic and open surgery for mid-low rectal cancer with total mesorectal excision following neoadjuvant chemoradiotherapy / J Cancer Res Ther. 12(Supplement):C199~C204 google schola COLOR Study Group / 2000 / COLOR : a randomized clinical trial comparing laparoscopic and open resection for colon cancer / Dig Surg 17:617~622 google schola Chen K / 2017 / Laparoscopic versus open surgery for rectal cancer : a meta-analysis of classic randomized controlled trials and high-quality nonrandomized studies in the last 5 years / Int J Surg 39:1~10 google schola Guillou PJ / 2005 / Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer(MRC CLASICC trial) : multicentre, randomised controlled trial / Lancet 365:1718~1726 google schola

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