Abstract：
BACKGROUND: Rectal submucosal tumours are rare. The purpose of this study was to evaluate the safety and feasibility of robot-assisted rectal surgery.
METHODS: Patients who received robot-assisted intersphincteric resection (ISR) were included in the present study. Clinical outcomes, operating time, length of hospital stay and pathological status were analysed.
RESULTS: There were three patients with gastrointestinal tumours and three patients diagnosed with neuroendocrine tumours. The mean operating time was 369.2 min and the estimated blood loss was 66.7 ml. There were neither intraoperative complications nor conversions. On pathological examination, the mean number of lymph nodes harvested was 10.3 (range 3-16), the mean distal resection margin was 1.1 (range 0.1-3) cm and all six patients had the circumferential resection margins clear.
CONCLUSIONS: Our data show that robotic surgery is feasible and safe, with no morbidity or mortality, and that ISR provides bowel continuity and eliminates the need for colostomy. Copyright © 2015 John Wiley & Sons, Ltd.
METHODS: Patients who received robot-assisted intersphincteric resection (ISR) were included in the present study. Clinical outcomes, operating time, length of hospital stay and pathological status were analysed.
RESULTS: There were three patients with gastrointestinal tumours and three patients diagnosed with neuroendocrine tumours. The mean operating time was 369.2 min and the estimated blood loss was 66.7 ml. There were neither intraoperative complications nor conversions. On pathological examination, the mean number of lymph nodes harvested was 10.3 (range 3-16), the mean distal resection margin was 1.1 (range 0.1-3) cm and all six patients had the circumferential resection margins clear.
CONCLUSIONS: Our data show that robotic surgery is feasible and safe, with no morbidity or mortality, and that ISR provides bowel continuity and eliminates the need for colostomy. Copyright © 2015 John Wiley & Sons, Ltd.
摘要：
背景：直肠粘膜下肿瘤很少见。目的评价机器人辅助直肠手术的安全性和可行性。
方法：将接受机器人辅助括约肌间切除术（ISR）的患者纳入本研究。临床结果,操作时间,分析住院时间和病理状况。
结果：有3例胃肠道肿瘤患者和3例神经内分泌肿瘤患者。平均手术时间为369.2分钟，估计失血量为66.7ml。术中无并发症，无转归。在病理检查中，收集的平均淋巴结数为10.3（范围3-16），平均远端切缘为1.1(范围0.1~3)cm,所有6例患者的环周切缘均清晰.
结论：我们的数据表明机器人手术是可行且安全的，没有发病率或死亡率，ISR提供了肠道连续性，消除了结肠造口术的需要。版权所有©2015JohnWiley＆Sons，Ltd.
方法：将接受机器人辅助括约肌间切除术（ISR）的患者纳入本研究。临床结果,操作时间,分析住院时间和病理状况。
结果：有3例胃肠道肿瘤患者和3例神经内分泌肿瘤患者。平均手术时间为369.2分钟，估计失血量为66.7ml。术中无并发症，无转归。在病理检查中，收集的平均淋巴结数为10.3（范围3-16），平均远端切缘为1.1(范围0.1~3)cm,所有6例患者的环周切缘均清晰.
结论：我们的数据表明机器人手术是可行且安全的，没有发病率或死亡率，ISR提供了肠道连续性，消除了结肠造口术的需要。版权所有©2015JohnWiley＆Sons，Ltd.
