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Original Article
- Comparison of Short-term Outcomes of Laparoscopic-Assisted Colon Cancer Surgery Using a Joystick-Guided Endoscope Holder (Soloassist II) or a Human Assistant
- Jun Sung Kim, Won Cheol Park, Joo Hyun Lee
- Ann Coloproctol. 2019;35(4):181-186. Published online August 31, 2019
- DOI: https://doi.org/10.3393/ac.2018.10.18
- 5,983 View
- 116 Download
- 14 Web of Science
- 10 Citations
-
Abstract
PDF - Purpose
This study aimed to compare the short-term outcomes of laparoscopic-assisted colon cancer surgery in the Soloassist II-assisted (SA) group and in the human-assisted (HA) group.
Methods
A total of 76 patients with colon cancer who underwent laparoscopic-assisted right hemicolectomy and anterior resection performed by a single surgeon between January 2017 and May 2018 were recruited from the consecutively enrolled registry and retrospectively analyzed.
Results
Of 76 patients, 43 underwent surgery with human assistance and 33 underwent surgery using the Soloassist II system. The clinicopathologic characteristics were not statistically different between the 2 groups. In both HA and SA groups, no statistical difference was observed between operation time (220.23 ± 47.83 minutes vs. 218.03 ± 38.22 minutes, P = 0.829), total number of harvested lymph nodes (20.42 ± 10.86 vs. 20.24 ± 8.21, P = 0.938), and other parameters of short-term outcomes (length of hospital stay, blood loss, open conversion, time to flatus, time to soft diet, and complication events). Subgroup analyses did not show statistical differences.
Conclusion
Soloassist II can reduce the participation of a human assistant during surgery and is not inferior to human assistance in laparoscopic-assisted colon cancer surgery. Thus, it is a feasible instrument in laparoscopic-assisted colon cancer surgery that can provide positive short-term outcomes. -
Citations
Citations to this article as recorded by
- Pilot study of the use of a voice-controlled robotic scope holder for laparoscopic learning by residents in supervised autonomy
Fanny Duchateau, Aubert Agostini, Patrice Crochet, Antoine Netter
European Journal of Obstetrics & Gynecology and Reproductive Biology.2026; 317: 114856. CrossRef - Clinical advantages of a new collaborative assistant robot (ANSUR surgical unit) in laparoscopic appendectomy and cholecystectomy
Toshiya Higashi, Masaki Kimura, Yuki Kumazaki, Takuya Nakashima, Kimihiro Hattori, Mana Kawajiri, Takuya Suzuki, Koya Tochii, Shuji Takiguchi, Hidetoshi Matsunami
Journal of Robotic Surgery.2026;[Epub] CrossRef - Solo surgery for low rectal cancer: trans‐circular anal dilator low rectal dissection associated with laparoscopic total mesorectal excision—A Video Vignette
Crafa Francesco, Vanella Serafino, Emanuele Caruso, Madoka Hamada, Nozomi Ueno
Colorectal Disease.2024; 26(4): 805. CrossRef - Application and advantages of a joystick-controlled robotic scope holder in transoral endoscopic thyroidectomy vestibular approach: a comparative study
Suo-Hsien Wang, Tsai-Heng Hsieh, Wu-Po Chao, Ta-You Lo, Ting-shuo Huang, Yu-Hsien Chen
Updates in Surgery.2024; 76(4): 1425. CrossRef - Usefulness of robotic camera control assisted duet laparoscopic gastrectomy in patients with gastric cancer
Min Gyu Kim, Dong Baek Kang
Foregut Surgery.2024; 4(2): 57. CrossRef - Evaluation of the Efficiency of a Joystick-Guided Robotic Scope Holder Compared to That of Human Scopists: A Prospective Trial
Takuya Kudo, Shingo Kanaji, Hitoshi Harada, Yasushi Ohmura, Ryuichiro Sawada, Naoki Urakawa, Hironobu Goto, Hiroshi Hasegawa, Kimihiro Yamashita, Takeru Matsuda, Taro Oshikiri, Yoshihiro Kakeji
Surgical Innovation.2023; 30(5): 564. CrossRef - User interfaces for actuated scope maneuvering in surgical systems: a scoping review
Hawa Hamza, Victor M. Baez, Abdulla Al-Ansari, Aaron T. Becker, Nikhil V. Navkar
Surgical Endoscopy.2023; 37(6): 4193. CrossRef - Comparison of robotic camera holders with human assistants in endoscopic surgery: a systematic review and meta-analysis
Guang-Ying Wan, Xiao-Yang Zhou, Hong-Xiang Duan, Zhen-Ya Zou, Man-Man Zhang, Jin-Bao Mao
Minimally Invasive Therapy & Allied Technologies.2023; 32(4): 153. CrossRef - Solo surgery laparoscopic intersphinteric resection (ISR) for Roullier type II low rectal cancer – Video correspondence
Crafa Francesco, Vanella Serafino, Alfonso Amendola, Madoka Hamada, Nozomi Ueno
Colorectal Disease.2023; 25(12): 2472. CrossRef - Autonomous Endoscope Robot Positioning Using Instrument Segmentation With Virtual Reality Visualization
Kateryna Zinchenko, Kai-Tai Song
IEEE Access.2021; 9: 72614. CrossRef
- Pilot study of the use of a voice-controlled robotic scope holder for laparoscopic learning by residents in supervised autonomy
Case Report
- Primary Undifferentiated Pleomorphic Sarcoma of the Colon Mesentery
- Joo Hyun Lee, Dong Baek Kang, Won Cheol Park
- Ann Coloproctol. 2019;35(3):152-154. Published online May 31, 2019
- DOI: https://doi.org/10.3393/ac.2018.03.11
- 6,056 View
- 117 Download
- 10 Web of Science
- 12 Citations
-
Abstract
PDF
- An undifferentiated pleomorphic sarcoma (UPS), also known as a malignant fibrous histiocytoma in the past, commonly involves the soft tissue of the extremities and the retroperitoneum. However, a primary UPS of the colon mesentery is very rare. A 69-year-old male patient visited our outpatient department for treatment of an enlarged, palpable mass in the right lower quadrant (RLQ). Computed tomography showed a 15-cm multilobulated, heterogeneous, enhanced mass in the RLQ, which we suspected originated from the colon. He underwent a right hemicolectomy, and the pathologic result was a colon mesenteric UPS. We report a rare case of a primary UPS of the colon mesentery and discuss the characteristics of this neoplasm in reference to the literature.
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Citations
Citations to this article as recorded by- A Rare Case of High-Grade Undifferentiated Pleomorphic Sarcoma of the Terminal Ileum in a 40-Year-Old Man: Successful Outcome and Prolonged Survival After Surgical Resection and Adjuvant Chemotherapy
Anusha Manje Gowda, Navkirat Kahlon
Cureus.2025;[Epub] CrossRef - Undifferentiated Pleomorphic Sarcoma of Caecum
Alex Xavier Chakiath, MP Nizamudheen, Bonny Aloysius Joseph, Prashanth Poolakkil
Kerala Surgical Journal.2025; 31(2): 92. CrossRef - Undifferentiated Pleomorphic Sarcoma of the Descending Colon: An Infrequent Occurrence
Pir Abdul Ahad Aziz Qureshi, Shah Zeb, Thordur Tryggvason, Arnar Þórisson
Cureus.2024;[Epub] CrossRef - High-grade undifferentiated pleomorphic sarcoma of the colon with node positivity and literature review of current therapeutic targets and future perspectives
Gogo-Ogute E Ibodeng, Jaime Said, Marcus Kwon, Jennifer Ra, Christopher D Johnson, John J Richards
International Journal of Case Reports and Images.2024; 15(2): 111. CrossRef - Undifferentiated spindle cell sarcoma at the anastomosis after ileocecal resection for colon cancer: A case report
Nao Kitasaki, Masatoshi Kochi, Marino Teshima, Masataka Nakagawa, Kazuhiro Toyota
International Journal of Surgery Case Reports.2024; 125: 110643. CrossRef - Primary Undifferentiated Pleomorphic Sarcoma of the Rectum
Rayees Ahmad Dar, Rauf Ahmad Wani, Fazl Qadir Parray, Zubaida Rasool
Indian Journal of Surgery.2023; 85(5): 1263. CrossRef - Undifferentiated high-grade pleomorphic sarcoma of the colon: a rare case report and literature review
Xu Han, Linxian Zhao, Yu Mu, Guoliang Liu, Guohong Zhao, Hongyu He, Shu Wang, Jiannan Li
BMC Gastroenterology.2022;[Epub] CrossRef - 68Ga-FAPI Versus 18F-FDG PET/CT in Recurrent Undifferentiated Pleomorphic Sarcoma of Colon Mesentery
Linqi Zhang, Zhidong Liu, Shuqin Jiang, Qiao He, Rusen Zhang
Clinical Nuclear Medicine.2022; 47(10): e651. CrossRef - Surgical management of primary undifferentiated pleomorphic sarcoma of the rectum: a case report and review of the literature
Keita Kodera, Masato Hoshino, Sumika Takahashi, Suguru Hidaka, Momoko Kogo, Ryosuke Hashizume, Tomonori Imakita, Mamoru Ishiyama, Masaichi Ogawa, Ken Eto
World Journal of Surgical Oncology.2022;[Epub] CrossRef - Primary undifferentiated pleomorphic sarcoma of the jejunal mesentery with a complicated course: A case report
Jochen Jure, Marc E Vuylsteke
Archives of Community Medicine and Public Health.2022; 8(2): 052. CrossRef - Surgical resection of undifferentiated pleomorphic sarcoma (UPS) with jejunal perforation, a suspected case of metastasis of lung cancer
Ryotaro Eto, Isamu Hoshino, Nobuhiro Takiguchi, Toru Tonooka, Hisashi Gunji, Naoki Kuwayama, Itaru Sonoda, Makiko Itami, Masayuki Otsuka, Yoshihiro Nabeya
Clinical Journal of Gastroenterology.2021; 14(5): 1386. CrossRef - Ultrasound and contrast enhanced CT imaging of a colon mesentery leiomyosarcoma
Peter Obel Otto, Martina K. Loft, Peter Grimm, Søren Rafael Rafaelsen, Malene Roland V. Pedersen
European Journal of Radiology Open.2021; 8: 100376. CrossRef
- A Rare Case of High-Grade Undifferentiated Pleomorphic Sarcoma of the Terminal Ileum in a 40-Year-Old Man: Successful Outcome and Prolonged Survival After Surgical Resection and Adjuvant Chemotherapy
Original Article
- Comparison of a Hemorrhoidectomy With Ultrasonic Scalpel Versus a Conventional Hemorrhoidectomy
- Dae Ro Lim, Dae Hyun Cho, Joo Hyun Lee, Jae Hwan Moon
- Ann Coloproctol. 2016;32(3):111-116. Published online June 30, 2016
- DOI: https://doi.org/10.3393/ac.2016.32.3.111
- 10,528 View
- 119 Download
- 17 Web of Science
- 23 Citations
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Abstract
PDF
Purpose A variety of instruments, including circular staplers, ultrasonic scalpels, lasers, and bipolar electrothermal devices, are currently used when performing a hemorrhoidectomy. This study compared outcomes between hemorrhoidectomies performed with an ultrasonic scalpel and conventional methods.
Methods The study was a randomized prospective review of data available between May 2013 and December 2013, involving 50 patients who had undergone a hemorrhoidectomy for grade III or IV internal hemorrhoids. The hemorrhoidal pedicle was coagulated with an ultrasonic device in the ultrasonic scalpel group (n = 25) and sutured with 3-0 vicryl material after excision in the conventional method group (n = 25).
Results The patients' demographics, clinical characteristics, and lengths of hospital stay were similar in both groups. The mean ages of the conventional and the ultrasonic scalpel groups were, respectively, 20.8 ± 1.6 and 22.4 ± 5.0 years (P = 0.240). In comparison with the conventional method group, the ultrasonic scalpel group had a shorter operation time (P < 0.005), less postoperative pain on the visual analogue scale score (for example, P = 0.211 on postoperative day 1), and less postoperative bleeding (P = 0.034). No significant differences in postoperative complications were observed between the 2 groups.
Conclusion A hemorrhoidectomy using an ultrasonic scalpel is an effective and safe procedure. The ultrasonic scalpel reduces the operation time, the postoperative blood loss, and the postoperative pain. Long-term follow-up with larger-scale studies is required to evaluate normal activity after a hemorrhoidectomy performed with an ultrasonic scalpel.
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Citations
Citations to this article as recorded by- Real-world outcomes of hemorrhoidectomy with and without advanced energy devices: A propensity score-matched analysis from a tertiary center
I-Chun Huang, Hsin Hsu, Jayson Enn Ming Wong, Kun-Yu Tsai, Shu-Huan Huang
Current Problems in Surgery.2026; 77: 101981. CrossRef - A prospective clinical study comparing the use of conventional electrocautery and harmonic scalpel for hemorrhoidectomy
Shweta B. Gupta, Arti S. Mitra
International Surgery Journal.2025; 12(9): 1474. CrossRef - Harmonic Scalpel Versus Monopolar Electrotome in Endoscopic-Assisted Transaxillary Dual-Plane Augmentation Mammaplasty: A Retrospective Study in 122 Patients
Lu Lu, Qiang Hou, Zheyuan Hu, Zuochao Yao, Jiachao Xiong, Jianghui Ying, Meiqing Sun, Hui Wang, Hua Jiang
Aesthetic Plastic Surgery.2024; 48(3): 273. CrossRef - Laser hemorrhoidoplasty procedure versus harmonic scalpel hemorrhoidectomy: a comparative study for the treatment of grades III and IV hemorrhoids
Ehab Loutfy, Hatem Elgohary, Mahmoud E. Elkashlan, Mohamed G. Abdelrahman, Wael Omar
The Egyptian Journal of Surgery.2024; 43(2): 572. CrossRef - Hemorrhoidectomy Using the Harmonic Scalpel versus the Ferguson Technique
Mustafa Abdullah Aldawoodi, Raed Esttaifan Rezqallah
Journal of Coloproctology.2024; 44(04): e225. CrossRef - Psychological states could affect postsurgical pain after hemorrhoidectomy: A prospective cohort study
Geng Wang, Yuanjue Wu, Yang Cao, Rui Zhou, Kaixiong Tao, Linfang Wang
Frontiers in Surgery.2023;[Epub] CrossRef - Modified ultrasound scalpel haemorrhoidectomy versus conventional haemorrhoidectomy for mixed haemorrhoids: a study protocol for a single-blind randomised controlled trial
Keqiang Yu, Haijun Li, Ping Xue, Zhidi Xie, Minghui Tang, Hongbo He, Jing Wu
Trials.2023;[Epub] CrossRef - PROSPECT guideline for haemorrhoid surgery
Alexis Bikfalvi, Charlotte Faes, Stephan M. Freys, Girish P. Joshi, Marc Van de Velde, Eric Albrecht
European Journal of Anaesthesiology Intensive Care.2023; 2(3): e0023. CrossRef - Challenges and prospects of laser haemorrhoidoplasty in a low resource setting: The Luth experience
ThomasOlagboyega Olajide, OlanrewajuSamuel Balogun, ChristopherO Bode, OluwoleAyoola Atoyebi
Journal of West African College of Surgeons.2023; 13(3): 96. CrossRef - CLINICAL AND MORPHOLOGICAL EVALUATION OF THE EFFECTIVENESS OF USING RADIO WAVE AND HIGH-FREQUENCY ELECTROSURGERY TECHNOLOGIES FOR THE TREATMENT OF COMBINED ANORECTAL DISEASES
V. V. Balytskyy, M. P. Zakharash, O. G. Kuryk
World of Medicine and Biology.2022; 18(80): 19. CrossRef - Pain at the First Post-hemorrhoidectomy Defecation Is Associated with Stool Form
Takaaki Yano, Daijiro Kabata, Seiichi Kimura
Journal of the Anus, Rectum and Colon.2022; 6(3): 168. CrossRef - PAIN SYNDROME IN PATIENTS AFTER COMBINED OPERATIONS FOR COMBINED ANORECTAL DISEASES USING MODERN SURGICAL TECHNOLOGIES
Vitaliy V. Balytskyy
Wiadomości Lekarskie.2022; 75(9): 2238. CrossRef - Micronized purified flavonoid fraction in the treatment of hemorrhoidal disease
Philippe Godeberge, Parvez Sheikh, Varut Lohsiriwat, Abel Jalife, Yury Shelygin
Journal of Comparative Effectiveness Research.2021; 10(10): 801. CrossRef - Is There a Relationship Between Stool Consistency and Pain at First Defecation After Limited Half Hemorrhoidectomy? A Pilot Study
Takaaki Yano
Annals of Coloproctology.2021; 37(5): 306. CrossRef - Safety and Effectiveness of Tailored Hemorrhoidectomy in Outpatients Setting
Giovanni Tomasicchio, Gennaro Martines, Giuliano Lantone, Rigers Dibra, Giuseppe Trigiante, Michele De Fazio, Arcangelo Picciariello, Donato Francesco Altomare, Marcella Rinaldi
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Klinicheskaia khirurgiia.2021; 88(5-6): 36. CrossRef - Comparison of surgical procedures implemented in recent years for patients with grade III and IV hemorrhoids: a network meta-analysis
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International Journal of Colorectal Disease.2019; 34(6): 1001. CrossRef - Stapled Hemorrhoidectomy Versus Transanal Hemorrhoidal Dearterialization in the Treatment of Hemorrhoids: An Updated Meta-Analysis
Li Xu, Honglei Chen, Yunfei Gu
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MohamedS Amar, MohammedN Nassar
World Journal of Colorectal Surgery.2019; 8(4): 107. CrossRef - Comparative Analysis of Triple Hemostatic Open Hemorrhoidectomy Versus Traditional Open Hemorrhoidectomy
Muhammad Shamim
Annals of Colorectal Research.2018;[Epub] CrossRef - Is there any benefit of harmonic scalpel for hemorrhoidectomy versus conventional diathermy?
Doğan Yıldırım, Turgut Dönmez, Okan Murat Aktürk, Ahmet Kocakuşak, Mikail Çakır, Mustafa Ertuğrul Yurtteri
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Annals of Coloproctology.2016; 32(3): 90. CrossRef
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