| International Session（Symposium）4(JSGS・JSGE・JGES) |
| Fri. November 6th 14:30 - 17:00 Room 2: Kobe International Exhibition Hall No.2 Building Hall (South) |
| TaTME and Robotic surgery for lower rectal cancer | |||
| Yusuke Suwa1, Jun Watanabe1, Itaru Endo2 | |||
| 1Gastroenterological Center, Yokohama City University Medical Center, 2Department of Gastroenterological Surgery, Yokohama City University | |||
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| Backgrounds: Although the study comparing TaTME and Robotic surgery for rectal cancer was limited, both procedures have been increased recently. Methods: We started 2 team TaTME in 2017, and Robotic TME (R-TME) in 2015. We performed TaTME on 81, R-TME on 20 patients for lower rectal cancer, and retrospectively compared outcomes. Outcomes: Patients backgrounds in TaTME and R-TME were 62 / 63 yr-old, and BMI was 23.8 / 22.9. Distance between tumor and anal verge was 50 / 50mm (p=0.064). Duration of operation was 249 / 318min (p<0.01), amount of bleeding 75 / 13ml (p=0.004). Hartmann procedure was performed on 5 / 1. The number of postoperative complication were 23 / 7 (28.4 / 35.0%, p=0.563), and anastomosis leakage was 4 / 4 (5.3 / 21.1%, p=0.0274). Depth of tumor ≥T3 was 23 / 8 (28.14 / 40.0%), DM was 16 / 20mm (p=0.330), and RM<1mm was 1 / 0 (1.2 / 0.0%, p=0.618). Conclusions: Although TaTME needs more surgeons than R-TME, the duration of operation was shorter and the rate of leakage was lower. The oncological outcomes were similar. The choice of the procedure depends on the situation of the facility. |
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Index Term 1: TaTME Index Term 2: Robotics Surgery |
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