Does robotic rectal cancer surgery improve the results of experienced laparoscopic surgeons? An observational single institution study comparing 168 robotic assisted with 184 laparoscopic rectal resections

Surgical Endoscopy
Rogier M P H CrollaGeorge P van der Schelling

Abstract

The role of robotic assistance in colorectal cancer surgery has not been established yet. We compared the results of robotic assisted with those of laparoscopic rectal resections done by two surgeons experienced in laparoscopic as well as in robotic rectal cancer surgery. Two surgeons who were already experienced laparoscopic colorectal surgeons in 2005 started robotic surgery with the daVinci SI system in 2012. All their rectal cancer resections between 2005 and 2015 were retrieved from a prospectively recorded colorectal database of routinely collected patient data. Multi-organ resections were excluded. Patient data, diagnostic data, data on preceding operations and neoadjuvant treatment, perioperative and operative data, logistic data, and short-term outcomes were gathered. Multivariable analyses (multiple linear and logistic regression) were used to assess differences in several outcomes between the two resection methods while adjusting for all potential confounders we could identify. Results are presented as adjusted mean differences for continuous outcome variables or as adjusted odds ratios (OR) for dichotomous outcome variables. Three hundred and fifty-two patients with rectal cancers were identified: 168 robotic and 18...Continue Reading

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Citations

May 8, 2019·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·L Z HydeR P Kiran
Jan 25, 2020·The British Journal of Surgery·J CrippaD W Larson
Apr 26, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·P GavriilidisS Di Saverio
Jan 17, 2021·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Jeroen C HolBart P L Witteman

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