Role of robotic natural orifice specimen extraction surgery in colorectal neoplasms
Abstract Natural orifice specimen extraction surgery (NOSES) is especially suitable for colorectal surgery. Until now, most of the reports published were about laparoscopic NOSES, the reports about robotic NOSES are extremely rare. This study aims to explore the safety and feasibility of robotic NOS...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2021-05-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-021-89323-z |
| _version_ | 1831834153760325632 |
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| author | Hongliang Yao Tiegang Li Weidong Chen Sanlin Lei Kuijie Liu Bo Liu Jiangjiao Zhou |
| author_facet | Hongliang Yao Tiegang Li Weidong Chen Sanlin Lei Kuijie Liu Bo Liu Jiangjiao Zhou |
| author_sort | Hongliang Yao |
| collection | DOAJ |
| description | Abstract Natural orifice specimen extraction surgery (NOSES) is especially suitable for colorectal surgery. Until now, most of the reports published were about laparoscopic NOSES, the reports about robotic NOSES are extremely rare. This study aims to explore the safety and feasibility of robotic NOSES for colorectal neoplasms. All patients underwent robotic NOSES from March 2016 to October 2019 in our hospital were enrolled for retrospective analysis. Clinicopathological data including patient characteristics, perioperative information and pathological information were collected and analyzed. According to the distance between tumor and anus or whether neoadjuvant chemoradiotherapy (nRCT) is performed, we grouped the cases and studied its influence on robotic NOSES. Also, we compared the previous reports on laparoscopic NOSES with our study and revealed advantages of robotic NOSES in terms of safety and feasibility. A total of 180 patients were enrolled. The average distance from the lower edge of the tumor to the anus was (8.64 ± 3.64) cm and maximum circumferential diameter (CDmax) of specimen was (3.5 ± 1.6) cm. In terms of safety, the average operation time, intraoperative blood loss, and postoperative hospital stay were (187.5 ± 78.3) min, (47.4 ± 34) mL, and (11.3 ± 7.5) days, respectively. In terms of feasibility, the average number of lymph node harvested was (14.8 ± 5). Robotic NOSES shows advantages in terms of safety and feasibility compared with laparoscopic NOSES. This procedure could not only be a safe procedure but also could achieve good oncological outcomes. |
| first_indexed | 2024-12-23T04:08:36Z |
| format | Article |
| id | doaj.art-d2cf6431651249bcb1409504f6285d20 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-23T04:08:36Z |
| publishDate | 2021-05-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-d2cf6431651249bcb1409504f6285d202022-12-21T18:00:34ZengNature PortfolioScientific Reports2045-23222021-05-011111910.1038/s41598-021-89323-zRole of robotic natural orifice specimen extraction surgery in colorectal neoplasmsHongliang Yao0Tiegang Li1Weidong Chen2Sanlin Lei3Kuijie Liu4Bo Liu5Jiangjiao Zhou6Department of General Surgery, The Second Xiangya Hospital of Central South UniversityDepartment of General Surgery, The Second Xiangya Hospital of Central South UniversityDepartment of General Surgery, The Second Xiangya Hospital of Central South UniversityDepartment of General Surgery, The Second Xiangya Hospital of Central South UniversityDepartment of General Surgery, The Second Xiangya Hospital of Central South UniversityDepartment of General Surgery, The Second Xiangya Hospital of Central South UniversityDepartment of General Surgery, The Second Xiangya Hospital of Central South UniversityAbstract Natural orifice specimen extraction surgery (NOSES) is especially suitable for colorectal surgery. Until now, most of the reports published were about laparoscopic NOSES, the reports about robotic NOSES are extremely rare. This study aims to explore the safety and feasibility of robotic NOSES for colorectal neoplasms. All patients underwent robotic NOSES from March 2016 to October 2019 in our hospital were enrolled for retrospective analysis. Clinicopathological data including patient characteristics, perioperative information and pathological information were collected and analyzed. According to the distance between tumor and anus or whether neoadjuvant chemoradiotherapy (nRCT) is performed, we grouped the cases and studied its influence on robotic NOSES. Also, we compared the previous reports on laparoscopic NOSES with our study and revealed advantages of robotic NOSES in terms of safety and feasibility. A total of 180 patients were enrolled. The average distance from the lower edge of the tumor to the anus was (8.64 ± 3.64) cm and maximum circumferential diameter (CDmax) of specimen was (3.5 ± 1.6) cm. In terms of safety, the average operation time, intraoperative blood loss, and postoperative hospital stay were (187.5 ± 78.3) min, (47.4 ± 34) mL, and (11.3 ± 7.5) days, respectively. In terms of feasibility, the average number of lymph node harvested was (14.8 ± 5). Robotic NOSES shows advantages in terms of safety and feasibility compared with laparoscopic NOSES. This procedure could not only be a safe procedure but also could achieve good oncological outcomes.https://doi.org/10.1038/s41598-021-89323-z |
| spellingShingle | Hongliang Yao Tiegang Li Weidong Chen Sanlin Lei Kuijie Liu Bo Liu Jiangjiao Zhou Role of robotic natural orifice specimen extraction surgery in colorectal neoplasms Scientific Reports |
| title | Role of robotic natural orifice specimen extraction surgery in colorectal neoplasms |
| title_full | Role of robotic natural orifice specimen extraction surgery in colorectal neoplasms |
| title_fullStr | Role of robotic natural orifice specimen extraction surgery in colorectal neoplasms |
| title_full_unstemmed | Role of robotic natural orifice specimen extraction surgery in colorectal neoplasms |
| title_short | Role of robotic natural orifice specimen extraction surgery in colorectal neoplasms |
| title_sort | role of robotic natural orifice specimen extraction surgery in colorectal neoplasms |
| url | https://doi.org/10.1038/s41598-021-89323-z |
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