Int J Med Robot - Open versus robot-assisted sphincter-saving operations in rectal cancer patients: techniques and comparison of outcomes between groups of 100 matched patients.

Tópicos

{ surgeri(1148) surgic(1085) robot(1054) }
{ time(1939) patient(1703) rate(768) }
{ group(2977) signific(1463) compar(1072) }
{ assess(1506) score(1403) qualiti(1306) }
{ patient(2837) hospit(1953) medic(668) }
{ high(1669) rate(1365) level(1280) }
{ design(1359) user(1324) use(1319) }
{ cancer(2502) breast(956) screen(824) }
{ risk(3053) factor(974) diseas(938) }
{ first(2504) two(1366) second(1323) }
{ method(1219) similar(1157) match(930) }
{ take(945) account(800) differ(722) }
{ general(901) number(790) one(736) }
{ medic(1828) order(1363) alert(1069) }
{ imag(1947) propos(1133) code(1026) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ featur(1941) imag(1645) propos(1176) }
{ howev(809) still(633) remain(590) }
{ perform(999) metric(946) measur(919) }
{ blood(1257) pressur(1144) flow(957) }
{ ehr(2073) health(1662) electron(1139) }
{ activ(1452) weight(1219) physic(1104) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ treatment(1704) effect(941) patient(846) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ case(1353) use(1143) diagnosi(1136) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ research(1085) discuss(1038) issu(1018) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: Although open resection using a sphincter-saving operation (SSO) remains the standard of care for rectal cancer, few studies have compared open and robot-assisted (RA) SSOs. This study aimed to compare the operative features, functional outcomes, and oncological validity of open and RA SSO for rectal cancer.METHODS: A total of 200 rectal cancer patients undergoing curative SSO were enrolled prospectively. The open and RA groups (n=100, respectively) were matched for clinical stage and operation type.RESULTS: The mean operation time was significantly longer in the RA group than in the open group (188 vs. 103 min, P<0.001), but it was significantly reduced in the latter half of the RA patients compared with that in the first half (164 vs. 214 min, P<0.001). The mean distal resection margin was significantly longer in the RA than in the open group (2.7 vs. 1.9 cm; P=0.001), but only one patient in either group had positive circumferential resection margin. Bowel peristalsis returned one day earlier in the RA than in the open group (P<0.001). Postoperative complication rates and anorectal functional outcomes were comparable between the two groups. The operator's physical discomfort, assessed on a visual analog scale, was significantly lower in the RA than in the open group (P<0.001).CONCLUSIONS: According to this short-term study, the RA SSO showed equivalent oncological safety, functional outcome, and morbidities to open SSO. Although the operation takes longer, the robotic system enables a technically versatile SSO with fine dissection in a limited surgical field.

Resumo Limpo

ckground although open resect use sphinctersav oper sso remain standard care rectal cancer studi compar open robotassist ra ssos studi aim compar oper featur function outcom oncolog valid open ra sso rectal cancermethod total rectal cancer patient undergo curat sso enrol prospect open ra group n respect match clinic stage oper typeresult mean oper time signific longer ra group open group vs min p signific reduc latter half ra patient compar first half vs min p mean distal resect margin signific longer ra open group vs cm p one patient either group posit circumferenti resect margin bowel peristalsi return one day earlier ra open group p postop complic rate anorect function outcom compar two group oper physic discomfort assess visual analog scale signific lower ra open group pconclus accord shortterm studi ra sso show equival oncolog safeti function outcom morbid open sso although oper take longer robot system enabl technic versatil sso fine dissect limit surgic field

Resumos Similares

Int J Med Robot - Robotic versus laparoscopic rectal resection: is there any real difference? A comparative single center study. ( 0,916456500422166 )
Int J Med Robot - Evolution of robotic nephrectomy for living donation: from hand-assisted to totally robotic technique. ( 0,885316630375107 )
Int J Med Robot - Comparison of robotic adrenalectomy with traditional laparoscopic adrenalectomy with a lateral transperitoneal approach: a single-surgeon experience. ( 0,876192901154702 )
Int J Med Robot - Surgical and pathological outcomes after right hemicolectomy: case-matched study comparing robotic and open surgery. ( 0,870860017560415 )
Comput. Aided Surg. - Minimally invasive posterior cervical microforaminotomy in the lower cervical spine and C-T junction assisted by O-arm-based navigation. ( 0,865407928004031 )
Int J Med Robot - Robotic-assisted laparoscopic abdominoperineal resection for anal cancer: feasibility and technical considerations. ( 0,862595410089597 )
Int J Med Robot - Robot-assisted hysterectomy vs total laparoscopic hysterectomy: a comparison of short-term surgical outcomes. ( 0,854622512626191 )
Int J Med Robot - Comparison of the initial surgical experience with robotic and laparoscopic myomectomy. ( 0,844810623075942 )
Int J Med Robot - Laparoscopic ventral hernia repair with primary closure versus no primary closure of the defect: potential benefits of the robotic technology. ( 0,842877220875989 )
Int J Med Robot - Robotic palliation for unresectable pancreatic cancer and distal cholangiocarcinoma. ( 0,83853857706412 )
Int J Med Robot - Robot-assisted single-incision total colectomy: a case report. ( 0,835740074814874 )
Int J Med Robot - Robot-assisted level II-IV neck dissection through a modified facelift incision: initial North American experience. ( 0,83464450087406 )
Int J Med Robot - Robotic presacral neurectomy - technique and results. ( 0,831925870285699 )
Int J Med Robot - Da Vinci robot-assisted system for thymectomy: experience of 55 patients in China. ( 0,831611873895591 )
Int J Med Robot - Docking of the da Vinci Si Surgical System? with single-site technology. ( 0,825480448953236 )
Int J Med Robot - Robot-assisted adrenalectomy: a technical option for the surgeon? ( 0,823824812577211 )
Int J Med Robot - Analysis of the learning curve for robotic hysterectomy for benign gynaecological disease. ( 0,82250736227139 )
Int J Med Robot - Robotic adrenalectomy: technical aspects, early results and learning curve. ( 0,819554536345627 )
Int J Med Robot - Robotic Anderson-Hynes dismembered pyeloplasty: initial experience. ( 0,816559437401989 )
Int J Med Robot - Percutaneous antegrade scaphoid screw placement: a feasibility and accuracy analysis of a novel electromagnetic navigation technique versus a standard fluoroscopic method. ( 0,810321463554899 )
Int J Med Robot - Robot-assisted partial and total splenectomy. ( 0,810127383558531 )
Int J Med Robot - Robotic transaxillary thyroidectomy with gasless approach in a girl with goitre. ( 0,809887364844574 )
Int J Med Robot - Learning curve and early clinical outcomes for a robotic surgery novice performing robotic single site cholecystectomy. ( 0,809326675267159 )
Int J Med Robot - Robotic giant hiatal hernia repair: 3year prospective evaluation and review of the literature. ( 0,80747503732139 )
Int J Med Robot - Robotic cholecystectomy and resident education: the UC Davis experience. ( 0,805996550753366 )
Int J Med Robot - Single-site robotic cholecystectomy: efficiency and cost analysis. ( 0,805646641577547 )
Int J Comput Assist Radiol Surg - Clinical, functional, and radiographic outcomes following total knee arthroplasty with patient-specific instrumentation, computer-assisted surgery, and manual instrumentation: a short-term follow-up study. ( 0,803010694971698 )
Int J Med Robot - Open vs robot-assisted laparoscopic gastric resection with D2 lymph node dissection for adenocarcinoma: a case-control study. ( 0,801596770361101 )
Int J Med Robot - Robotic revisional bariatric surgery: a comparative study with laparoscopic and open surgery. ( 0,801017658353171 )
Int J Comput Assist Radiol Surg - Volume slicing of cone-beam computed tomography images for navigation of percutaneous scaphoid fixation. ( 0,80048397371223 )
Int J Med Robot - Robotic-assisted pancreatic resection: a report of 47 cases. ( 0,798284862575993 )
Int J Med Robot - Evaluation of computer-assisted jaw reconstruction with free vascularized fibular flap compared to conventional surgery: a clinical pilot study. ( 0,797156272966312 )
Int J Med Robot - Robot-assisted laparoscopic management of cardia carcinoma according to Siewert recommendations. ( 0,792128991814266 )
Int J Med Robot - Robotic revisional bariatric surgery: single-surgeon case series. ( 0,786270482992004 )
Comput. Aided Surg. - Comparison of manual rasping and robotic milling for short metaphyseal-fitting stem implantation in total hip arthroplasty: a cadaveric study. ( 0,785253423806361 )
Int J Med Robot - Evaluation of technical feasibility and safety of Single-Site? robotic right colectomy: three case reports. ( 0,775834566596729 )
Comput. Aided Surg. - Re-evaluation of the role of image guidance in minimally invasive pituitary surgery: benefits and outcomes. ( 0,775173562566773 )
Int J Med Robot - Robotic nerve-sparing radical parametrectomy: feasibility and technique. ( 0,771676943443466 )
Int J Med Robot - Transoral robotic surgery vs transoral laser microsurgery for resection of supraglottic cancer: a pilot surgery. ( 0,768974615967091 )
Int J Med Robot - Initial experience of robot-assisted thoracoscopic surgery in China. ( 0,768498463004611 )
Int J Med Robot - Outcomes of pancreatoduodenectomy with robotic surgery versus open surgery. ( 0,766441623616081 )
Int J Med Robot - Side-docking in robotic-assisted gynaecologic cancer surgery. ( 0,76316878558653 )
Int J Med Robot - Navigated treatment of metatarsal V fractures using a new image based guidance system. ( 0,76211719195023 )
Int J Med Robot - Totally robotic single-position 'flip' arm technique for splenic flexure mobilizations and low anterior resections. ( 0,762102324971735 )
Int J Med Robot - Robot assistance in liver surgery: a real advantage over a fully laparoscopic approach? Results of a comparative bi-institutional analysis. ( 0,761486665142951 )
Int J Med Robot - Overcoming extreme obesity with robotic surgery. ( 0,758533513648638 )
Int J Med Robot - 3D navigated implantation of the glenoid component in reversed shoulder arthroplasty. Feasibility and results in an anatomic study. ( 0,756161773283754 )
Int J Med Robot - Angiographic evaluation of graft patency in robotic-assisted coronary artery bypass surgery: 8 year follow-up. ( 0,750649189028485 )
Int J Comput Assist Radiol Surg - Force-detecting gripper and force feedback system for neurosurgery applications. ( 0,747628583684998 )
J Clin Monit Comput - Goal-directed intraoperative fluid therapy guided by stroke volume and its variation in high-risk surgical patients: a prospective randomized multicentre study. ( 0,745168190425807 )
Int J Med Robot - Robotic hepatobiliary and pancreatic surgery: lessons learned and predictors for conversion. ( 0,744164400010718 )
Int J Med Robot - Robotic sacral hysteropexy for pelvic organ prolapse. ( 0,742855910625141 )
Int J Med Robot - Totally robotic right colectomy: a preliminary case series and an overview of the literature. ( 0,741108437892862 )
Int J Med Robot - Accuracy of screw placement and radiation dose in navigated dorsal instrumentation of the cervical spine: a prospective cohort study. ( 0,737545528907041 )
Int J Med Robot - Early experience with robotic rectopexy. ( 0,735518958823162 )
Int J Med Robot - Robotic single-site hysterectomy: two institutions' preliminary experience. ( 0,735129394161061 )
J Clin Monit Comput - Intraoperative ICG plasma disappearance rate helps to predict absence of early postoperative complications after orthotopic liver transplantation. ( 0,733984094080734 )
Int J Med Robot - Image guidance shortens the learning curve for K-wire placement - an experimental study. ( 0,733654785310239 )
Int J Med Robot - Does robotic distal pancreatectomy surgery offer similar results as laparoscopic and open approach? A comparative study from a single medical center. ( 0,730941841226544 )
Int J Med Robot - Initial results of robot-assisted Ivor-Lewis oesophagectomy with intrathoracic hand-sewn anastomosis in the prone position. ( 0,727571661478947 )
Int J Med Robot - Optimizing single port surgery: a case report and review of technique in colon resection. ( 0,725848964303615 )
J Med Syst - Variability of subspecialty-specific anesthesia-controlled times at two academic institutions. ( 0,719102856300754 )
Int J Med Robot - Robotic resection of duodenal adenoma. ( 0,71768408624876 )
Int J Med Robot - Forces exerted during microneurosurgery: a cadaver study. ( 0,716604417192654 )
Int J Med Robot - Nerve sparing technique in robotic-assisted radical hysterectomy: results. ( 0,71616198019267 )
Int J Med Robot - Assessing the feasibility of full robotic interaortocaval nodal dissection for locally advanced gastric cancer. ( 0,715569547484603 )
Int J Comput Assist Radiol Surg - The role of automatic computer-aided surgical trajectory planning in improving the expected safety of stereotactic neurosurgery. ( 0,714442793489809 )
Int J Med Robot - Accuracy of a computer-assisted planning and placement system for anatomical femoral tunnel positioning in anterior cruciate ligament reconstruction. ( 0,713304324027728 )
Int J Med Robot - A shape memory alloy-actuated surgical instrument with compact volume. ( 0,713247065425279 )
Comput. Aided Surg. - Navigated percutaneous lumbosacral interbody fusion: a feasibility study. ( 0,713119624531132 )
Int J Med Robot - Robotic central pancreatectomy with stented pancreaticogastrostomy: operative details. ( 0,712476393954766 )
Int J Med Robot - A navigation system for open liver surgery: design, workflow and first clinical applications. ( 0,71195303245489 )
Int J Med Robot - Initial laboratory experience with a novel ultrasound probe for standard and single-port robotic kidney surgery: increasing console surgeon autonomy and minimizing instrument clashing. ( 0,709413916549998 )
Int J Med Robot - Sequential robot-assisted radical right nephrectomy and cholecystectomy: a safe combined procedure. ( 0,70723829124797 )
Int J Med Robot - Robotic surgery for deep endometriosis: a paradigm shift. ( 0,706868860893222 )
Comput. Aided Surg. - Robotic assisted microsurgery in hypothenar hammer syndrome: a case report. ( 0,704623451086904 )
Int J Med Robot - Laparoendoscopic single-site surgery using a multi-functional miniature in vivo robot. ( 0,704282784452485 )
Int J Comput Assist Radiol Surg - A fluorolaser navigation system to guide linear surgical tool insertion. ( 0,704261896714865 )
Comput. Aided Surg. - 3D fluoroscopic navigated reaming of the glenoid for total shoulder arthroplasty (TSA). ( 0,702861838553009 )
Comput Math Methods Med - Visual measurement of suture strain for robotic surgery. ( 0,701332301871437 )
Comput. Aided Surg. - Double-bundle ACL reconstruction: novice surgeons utilizing computer-assisted navigation versus experienced surgeons. ( 0,701088614413352 )
Int J Med Robot - Robot-assisted laparoscopic (RAL) surgery for gastric cancer. ( 0,698974642666753 )
Int J Med Robot - Navigated vs arthroscopic-guided drilling for reconstruction of acromioclavicular joint injuries: accuracy and feasibility. ( 0,698654239247159 )
Int J Comput Assist Radiol Surg - Suspension laryngoscopy using a curved-frame trans-oral robotic system. ( 0,697861221707507 )
Int J Med Robot - Kinematic fundamentals of a biomechatronic laparoscopy system. ( 0,696892892698457 )
Int J Med Robot - Remote controlled robot assisted cardiac navigation: feasibility assessment and validation in a porcine model. ( 0,695914771113442 )
J. Med. Internet Res. - Online doctor reviews: do they track surgeon volume, a proxy for quality of care? ( 0,695138860445607 )
Comput. Aided Surg. - Morphometric analysis of anatomical implant forms for minimally invasive acetabular fracture osteosynthesis. ( 0,694805451683449 )
J Telemed Telecare - Telemedicine in vascular surgery: clinical experience in a single centre. ( 0,693558162784636 )
Int J Med Robot - Robotic right colectomy using the Da Vinci Single-Site? platform: case report. ( 0,691733058090991 )
Int J Comput Assist Radiol Surg - Neurosurgical robotic system for brain tumor removal. ( 0,691317306528138 )
Int J Comput Assist Radiol Surg - Microsurgical robotic system for vitreoretinal surgery. ( 0,690851207401463 )
Int J Comput Assist Radiol Surg - Development and evaluation of a master-slave robot system for single-incision laparoscopic surgery. ( 0,69036204513073 )
Int J Med Robot - Robotic-assisted laparoscopic radical cystectomy in the octogenarian. ( 0,689205681372982 )
Comput. Aided Surg. - Computer guidance system for single-incision bimanual robotic surgery. ( 0,688470526403496 )
Int J Med Robot - Application study of medical robots in vascular intervention. ( 0,687673731104162 )
Int J Med Robot - Robotic single-access splenectomy using the Da Vinci Single-Site? platform: a case report. ( 0,687084647022632 )
Int J Comput Assist Radiol Surg - Mobile locally operated detachable end-effector manipulator for endoscopic surgery. ( 0,68588253720537 )
Comput. Aided Surg. - Navigated versus conventional transfixation of AC joint injuries: feasibility and accuracy. ( 0,685503320692687 )
Int J Med Robot - da Vinci? single-site platform: anthropometrical, docking and suturing considerations for hysterectomy in the cadaver model. ( 0,683858101292978 )