Implementation of robot‐assisted curative resection for rare anorectal tumours on the basis of individualised treatment
Purpose To evaluate the validity of robot‐assisted curative operation for rare anorectal tumours, characterised by biological heterogeneity and anatomical complexity. Methods The present study evaluated 16 consecutive patients including three with anorectal squamous cell carcinoma (ARSCC), four with...
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| Veröffentlicht in: | The international journal of medical robotics + computer assisted surgery 2022-04, Vol.18 (2), p.e2348-n/a |
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| container_title | The international journal of medical robotics + computer assisted surgery |
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| creator | Kim, Jin Cheon Kim, Jihun Jung, Jay Kim, Chan Wook Yoon, Yong Sik Park, In Ja |
| description | Purpose
To evaluate the validity of robot‐assisted curative operation for rare anorectal tumours, characterised by biological heterogeneity and anatomical complexity.
Methods
The present study evaluated 16 consecutive patients including three with anorectal squamous cell carcinoma (ARSCC), four with anorectal mucosal melanoma (ARMM), seven with anorectal neuroendocrine tumour (ARNET), and two with other types of anorectal tumours.
Results
Of the three patients with ARSCC after chemoradiotherapy, two underwent abdominoperineal resection (APR), and one underwent ultralow anterior resection (uLAR)/total intersphincteric resection (ISR), surviving 56–76 months without recurrence. Of the four ARMM patients, APR and uLAR/total ISR were conducted in two patients, respectively, with variable survival outcomes. All seven patients with ARNET were treated with uLAR/ISR and LAR, surviving for 5–106 months to date.
Conclusions
Because most anorectal tumours are confined to the dermal and submucosal layers, robotic anorectal function preserving ISR is expected to achieve R0 resection. |
| doi_str_mv | 10.1002/rcs.2348 |
| format | Article |
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To evaluate the validity of robot‐assisted curative operation for rare anorectal tumours, characterised by biological heterogeneity and anatomical complexity.
Methods
The present study evaluated 16 consecutive patients including three with anorectal squamous cell carcinoma (ARSCC), four with anorectal mucosal melanoma (ARMM), seven with anorectal neuroendocrine tumour (ARNET), and two with other types of anorectal tumours.
Results
Of the three patients with ARSCC after chemoradiotherapy, two underwent abdominoperineal resection (APR), and one underwent ultralow anterior resection (uLAR)/total intersphincteric resection (ISR), surviving 56–76 months without recurrence. Of the four ARMM patients, APR and uLAR/total ISR were conducted in two patients, respectively, with variable survival outcomes. All seven patients with ARNET were treated with uLAR/ISR and LAR, surviving for 5–106 months to date.
Conclusions
Because most anorectal tumours are confined to the dermal and submucosal layers, robotic anorectal function preserving ISR is expected to achieve R0 resection.</description><identifier>ISSN: 1478-5951</identifier><identifier>EISSN: 1478-596X</identifier><identifier>DOI: 10.1002/rcs.2348</identifier><identifier>PMID: 34741383</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Anal Canal - surgery ; anorectal tumour ; Colorectal surgery ; Heterogeneity ; Humans ; Melanoma ; mucosal melanoma ; Neuroendocrine Tumors ; neuroendocrine tumour ; Proctectomy ; Rectal Neoplasms - pathology ; Robotic surgery ; Robotics ; Robots ; robot‐assisted operation ; Squamous cell carcinoma ; Survival ; Tumors</subject><ispartof>The international journal of medical robotics + computer assisted surgery, 2022-04, Vol.18 (2), p.e2348-n/a</ispartof><rights>2021 John Wiley & Sons Ltd.</rights><rights>2022 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3108-301a3022fb6acbb348280cc701d864a61cc3a73432597e07ad9cd86b42cd9863</cites><orcidid>0000-0003-4823-8619</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Frcs.2348$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Frcs.2348$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34741383$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Jin Cheon</creatorcontrib><creatorcontrib>Kim, Jihun</creatorcontrib><creatorcontrib>Jung, Jay</creatorcontrib><creatorcontrib>Kim, Chan Wook</creatorcontrib><creatorcontrib>Yoon, Yong Sik</creatorcontrib><creatorcontrib>Park, In Ja</creatorcontrib><title>Implementation of robot‐assisted curative resection for rare anorectal tumours on the basis of individualised treatment</title><title>The international journal of medical robotics + computer assisted surgery</title><addtitle>Int J Med Robot</addtitle><description>Purpose
To evaluate the validity of robot‐assisted curative operation for rare anorectal tumours, characterised by biological heterogeneity and anatomical complexity.
Methods
The present study evaluated 16 consecutive patients including three with anorectal squamous cell carcinoma (ARSCC), four with anorectal mucosal melanoma (ARMM), seven with anorectal neuroendocrine tumour (ARNET), and two with other types of anorectal tumours.
Results
Of the three patients with ARSCC after chemoradiotherapy, two underwent abdominoperineal resection (APR), and one underwent ultralow anterior resection (uLAR)/total intersphincteric resection (ISR), surviving 56–76 months without recurrence. Of the four ARMM patients, APR and uLAR/total ISR were conducted in two patients, respectively, with variable survival outcomes. All seven patients with ARNET were treated with uLAR/ISR and LAR, surviving for 5–106 months to date.
Conclusions
Because most anorectal tumours are confined to the dermal and submucosal layers, robotic anorectal function preserving ISR is expected to achieve R0 resection.</description><subject>Anal Canal - surgery</subject><subject>anorectal tumour</subject><subject>Colorectal surgery</subject><subject>Heterogeneity</subject><subject>Humans</subject><subject>Melanoma</subject><subject>mucosal melanoma</subject><subject>Neuroendocrine Tumors</subject><subject>neuroendocrine tumour</subject><subject>Proctectomy</subject><subject>Rectal Neoplasms - pathology</subject><subject>Robotic surgery</subject><subject>Robotics</subject><subject>Robots</subject><subject>robot‐assisted operation</subject><subject>Squamous cell carcinoma</subject><subject>Survival</subject><subject>Tumors</subject><issn>1478-5951</issn><issn>1478-596X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kclKxTAUhoMozuATSMCNm2qmtulSLg4XBEFduAtpeoqRtrkmqXJ3PoLP6JOYOoLgKiH_d77k5CC0R8kRJYQdexOOGBdyBW1SUcosr4q71Z99TjfQVggPhIhcFGIdbXBRCsol30TLeb_ooIch6mjdgF2LvatdfHt51SHYEKHBZvQpfALsIYD5wFrnsdcesB6cT2e6w3Hs3egDTmm8B1zrVD3p7NDYJ9uMurMhyaIHHaf7dtBaq7sAu1_rNro9O72dXWSXV-fz2cllZjglMuOEak4Ya-tCm7pOTTJJjCkJbWQhdEGN4brkgrO8KoGUuqlMSmrBTFPJgm-jw0_twrvHEUJUvQ0Guk4P4MagUplgVS6rCT34gz6kjob0OMUKLoq8okL-Co13IXho1cLbXvulokRN01BpGmqaRkL3v4Rj3UPzA35_fwKyT-DZdrD8V6SuZzcfwnc_mpYr</recordid><startdate>202204</startdate><enddate>202204</enddate><creator>Kim, Jin Cheon</creator><creator>Kim, Jihun</creator><creator>Jung, Jay</creator><creator>Kim, Chan Wook</creator><creator>Yoon, Yong Sik</creator><creator>Park, In Ja</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7SC</scope><scope>7SP</scope><scope>7TB</scope><scope>8FD</scope><scope>F28</scope><scope>FR3</scope><scope>JQ2</scope><scope>K9.</scope><scope>L7M</scope><scope>L~C</scope><scope>L~D</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4823-8619</orcidid></search><sort><creationdate>202204</creationdate><title>Implementation of robot‐assisted curative resection for rare anorectal tumours on the basis of individualised treatment</title><author>Kim, Jin Cheon ; Kim, Jihun ; Jung, Jay ; Kim, Chan Wook ; Yoon, Yong Sik ; Park, In Ja</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3108-301a3022fb6acbb348280cc701d864a61cc3a73432597e07ad9cd86b42cd9863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Anal Canal - surgery</topic><topic>anorectal tumour</topic><topic>Colorectal surgery</topic><topic>Heterogeneity</topic><topic>Humans</topic><topic>Melanoma</topic><topic>mucosal melanoma</topic><topic>Neuroendocrine Tumors</topic><topic>neuroendocrine tumour</topic><topic>Proctectomy</topic><topic>Rectal Neoplasms - pathology</topic><topic>Robotic surgery</topic><topic>Robotics</topic><topic>Robots</topic><topic>robot‐assisted operation</topic><topic>Squamous cell carcinoma</topic><topic>Survival</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Jin Cheon</creatorcontrib><creatorcontrib>Kim, Jihun</creatorcontrib><creatorcontrib>Jung, Jay</creatorcontrib><creatorcontrib>Kim, Chan Wook</creatorcontrib><creatorcontrib>Yoon, Yong Sik</creatorcontrib><creatorcontrib>Park, In Ja</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Computer and Information Systems Abstracts</collection><collection>Electronics & Communications Abstracts</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>Technology Research Database</collection><collection>ANTE: Abstracts in New Technology & Engineering</collection><collection>Engineering Research Database</collection><collection>ProQuest Computer Science Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>Computer and Information Systems Abstracts Academic</collection><collection>Computer and Information Systems Abstracts Professional</collection><collection>MEDLINE - Academic</collection><jtitle>The international journal of medical robotics + computer assisted surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Jin Cheon</au><au>Kim, Jihun</au><au>Jung, Jay</au><au>Kim, Chan Wook</au><au>Yoon, Yong Sik</au><au>Park, In Ja</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Implementation of robot‐assisted curative resection for rare anorectal tumours on the basis of individualised treatment</atitle><jtitle>The international journal of medical robotics + computer assisted surgery</jtitle><addtitle>Int J Med Robot</addtitle><date>2022-04</date><risdate>2022</risdate><volume>18</volume><issue>2</issue><spage>e2348</spage><epage>n/a</epage><pages>e2348-n/a</pages><issn>1478-5951</issn><eissn>1478-596X</eissn><abstract>Purpose
To evaluate the validity of robot‐assisted curative operation for rare anorectal tumours, characterised by biological heterogeneity and anatomical complexity.
Methods
The present study evaluated 16 consecutive patients including three with anorectal squamous cell carcinoma (ARSCC), four with anorectal mucosal melanoma (ARMM), seven with anorectal neuroendocrine tumour (ARNET), and two with other types of anorectal tumours.
Results
Of the three patients with ARSCC after chemoradiotherapy, two underwent abdominoperineal resection (APR), and one underwent ultralow anterior resection (uLAR)/total intersphincteric resection (ISR), surviving 56–76 months without recurrence. Of the four ARMM patients, APR and uLAR/total ISR were conducted in two patients, respectively, with variable survival outcomes. All seven patients with ARNET were treated with uLAR/ISR and LAR, surviving for 5–106 months to date.
Conclusions
Because most anorectal tumours are confined to the dermal and submucosal layers, robotic anorectal function preserving ISR is expected to achieve R0 resection.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34741383</pmid><doi>10.1002/rcs.2348</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-4823-8619</orcidid></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Anal Canal - surgery anorectal tumour Colorectal surgery Heterogeneity Humans Melanoma mucosal melanoma Neuroendocrine Tumors neuroendocrine tumour Proctectomy Rectal Neoplasms - pathology Robotic surgery Robotics Robots robot‐assisted operation Squamous cell carcinoma Survival Tumors |
| title | Implementation of robot‐assisted curative resection for rare anorectal tumours on the basis of individualised treatment |
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