Endoskopie 2012; 21(1): 28-30

Our way with robot - year 2011

MUDr.Jan Rejholec, MUDr.Roman Maleček, MUDr.Martin Klíma

Robotické centrum Krajské zdravotní a. s., Ústí nad Labem

I have described the first experiences with robotic colorectal surgery in 2010. I have described a file of 55 patients, which went a robotic

assisted operation through, because of colorectal carcinoma. In this announcement we would like to inform of experiences from the third

year surgery with robotic system daVinci in the left colon and rectum area.

Methods: Patients operated in 2011 with robotic system daVinci for dg. rectal carcinoma was placed to this file. Patients had a coloscopy,

CT, EUS and laboratory examinations before the operation. According to staging patients had neoadjuvant oncology therapy. Standard

operation was low anterior resection with total excision of mesorectum with exclusion of high localization tumors. Protective ileostomy

was constructed in case of complete LAR + TME. Ileostomy was closed after tree month or according to an oncologist opinion.

Outcomes: In this text we describe some changes in the technique of the robotic low anterior resection in the point of robotic system

praxis. We describe patients which had operation in 2011, stages, time of the operation, time of the hospitalization.

Conclusion: Robotic assisted low anterior resection is a kind of the operation, which is full engage to a repertoire of Center of robotic

surgery – Krajská zdravotní, a. s. We believe that this method is full compared with an open operation, because it has benefits of miniinvasive

surgery and compared to the laparoscopic surgery has strong benefits in visualization, safety and stability of picture. These

attributes increases safety of the execute operation.

Keywords: daVinci; colorectal surgery; miniinvasive surgery

Published: December 1, 2012  Show citation