直腸がん患者における低侵襲手術後の復職状況—多機関共同前向き観察研究の副次解析

Return-to-work after minimally invasive surgery in patients with rectal cancer : A secondary analysis of a multi-institutional prospective observational study

◆要旨：【目的】がん治療と仕事の両立支援のため，術後の復職状況に関する情報が必要である．直腸がんに対するロボット手術後の復職に関する報告はこれまでないため検討を行った．【方法】診断時に就労しており直腸がんに対して低侵襲手術を受けた60例をロボット群35例，腹腔鏡群25例に分け，術後復職状況を比較検討した．【結果】復職までの期間は，ロボット群1.0か月，腹腔鏡群1.3か月であったが，Ra/Rb/Pの症例ではロボット群1.0か月，腹腔鏡群2.0か月とロボット群で早期の復職がみられた．術後半年の従業割合はロボット群88％，腹腔鏡群70％であった．【結論】直腸がんに対するロボット手術は早期復職に寄与する可能性があり，今後さらなる検討が必要である．

　【Objective】Information on postoperative return-to-work is necessary to support the balance between cancer treatment and work. Since there have been no reports on return-to-work after robotic surgery for rectal cancer, we conducted the study. 【Methods】This is a secondary analysis of a multi-institutional prospective observational study. Sixty patients who were employed at diagnosis and who underwent minimally invasive surgery for rectal cancer were divided into the robotic group（35 patients） and the laparoscopic group（25 patients）, and their status of postoperative return-to-work was examined. 【Results】The time to return-to-work after surgery was 1.0 month in the robotic group and 1.3 months in the laparoscopic group, while the time was 1.0 month in the robotic group and 2.0 months in the laparoscopic group for patients with Ra/Rb/P tumors. The percentage of working patients at 6 months after surgery was 88％ in the robotic group and 70％ in the laparoscopic group. 【Conclusion】Robotic surgery for rectal cancer may contribute to early return-to-work, and further study is needed.