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...

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Autores principales:	Hongliang Yao, Tiegang Li, Weidong Chen, Sanlin Lei, Kuijie Liu, Bo Liu, Jiangjiao Zhou
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/d2cf6431651249bcb1409504f6285d20
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spelling	oai:doaj.org-article:d2cf6431651249bcb1409504f6285d202021-12-02T16:57:37ZRole of robotic natural orifice specimen extraction surgery in colorectal neoplasms10.1038/s41598-021-89323-z2045-2322https://doaj.org/article/d2cf6431651249bcb1409504f6285d202021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-89323-zhttps://doaj.org/toc/2045-2322Abstract 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.Hongliang YaoTiegang LiWeidong ChenSanlin LeiKuijie LiuBo LiuJiangjiao ZhouNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q 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
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.
format	article
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
title	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_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_sort	role of robotic natural orifice specimen extraction surgery in colorectal neoplasms
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/d2cf6431651249bcb1409504f6285d20
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Role of robotic natural orifice specimen extraction surgery in colorectal neoplasms

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