Departmental Bulletin Paper 当院における内視鏡手術支援ロボット(ダ・ヴィンチ)を用いた腹腔鏡下結腸・直腸切除術の有用性と安全性の検討

園田, 寛道  ,  清水, 智治  ,  太田, 裕之  ,  三宅, 亨  ,  植木, 智之  ,  貝田, 佐知子  ,  飯田, 洋也  ,  赤堀, 浩也  ,  山口, 剛  ,  森, 毅  ,  谷, 眞至

30 ( 1 )  , pp.93 - 96 , 2017-07-03 , 滋賀医科大学雑誌編集委員会
ISSN:0912-3016
Description
【Introduction】 There are many reports on the utilities of robotic surgery for colorectal cancer using da Vinci Surgical System○R from overseas mainly from Korea, Europe and the United States. However, robotic colorectal surgery has not been approved not only by Japanese Health Insurance System but also by Advanced Medical Technology in Japan.【Objective】 We aimed to confirm the safety and effectiveness of robotic colorectal surgery.【Method】We examined the results of 5 patients who underwent robotic colorectal surgery in Shiga University of Medical Science hospital.【Results】: All five cases were rectal malignancies and were performed low anterior resection. The median operation time was 402 minutes (range: 387-565 minutes). Intraoperative blood loss was uncountable in 3 of 5cases, and intraoperative blood loss of the other 2 cases were 30ml and 50ml, respectively. The adverse events occurred in 2 cases (40%). However, there were not any postoperative complications considered to be caused by da Vinci Surgical System○R. All cases are still alive without any recurrence (median follow-up periods: 26 months (range: 7-31 months). All cases were completed by robotic surgery without conversion.【Conclusion】Robot assisted laparoscopic colorectal surgery at our hospital has been safely performed.
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