Abstract
Abstract Introduction: Binh Dan hospital started to apply robotic in colorectal cancer surgery in November 2016. Our aim is to evaluate the safety of robotic surgery in management of rectal cancer. Material and Methods: Prospective case series study: 66 rectal cancer cases were operated by robotic da Vinci Surgical System (Si version) from November 2016 to July 2019 at Binh Dan hospital. Results: Men/Women ratio: 2,09. Average age: 61 yrs (23-85). Treatment: 8 cases of anterior resection, 35 cases of low anterior resection, 7 cases of ultra-low anterior resection, 16 cases of abdominal perineal resection. Post-operative pathology staging: stage I: 2 cases (3,03%), stage IIA: 9 cases (13,64%), stage IIB: 35 cases (53,03%), stage IIIB: 16 cases (24,24%), stage IIIC: 3 cases (4,55%), stage IVA: 1 case (1,51%). Intra-operative complications: one case of hemorrhage. Post-operative complications are : Surgical site infection in 12 cases, 1 case of urine retention, 1 case of ileus, 3 suspected case of anastomotic leak treatmented medially. Average length of stay after the operation is 9 days (6-16). Conclusion: The application of robotic surgery in rectal cancer is a safe and feasible procedure.
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