Efficacy of a robotic stapler on symptomatic anastomotic leakage in robotic low anterior resection for rectal cancer.

Surgery Today
Kai ChenShunsuke Kasai

Abstract

Clinical evidence demonstrating risk factors for anastomotic leakage including robotic staplers has remained limited, even though the use of robotic surgery has increased substantially. The purpose of this study was to evaluate the effects of robotic staplers on symptomatic anastomotic leakage in robotic low anterior resection for rectal cancer. A total of 427 consecutive patients with primary rectal cancer who underwent robotic low anterior resection without diverting stoma were investigated retrospectively. Symptomatic anastomotic leakage was defined as anastomotic leakage of Clavien-Dindo Grade ≥ II. We compared the symptomatic anastomotic leakage rates between manual and robotic staplers using propensity score matching and investigated the risk factors for symptomatic anastomotic leakage. After propensity score matching, 168 pairs of manual and robotic stapler cases were selected. The symptomatic anastomotic leakage rate was significantly higher for manual staplers (6.5%) than for robotic staplers (1.2%, p = 0.02). In a multivariate analysis, the use of a manual stapler (p = 0.04, OR 4.86, 95% CI 1.08-21.8) and anastomosis < 4 cm from the anal verge (p < 0.01, OR 4.36, 95% CI 1.48-12.9) were identified as independent risk f...Continue Reading

References

May 1, 1981·The British Journal of Surgery·R J Heald, R J Leicester
Aug 6, 2010·International Journal of Colorectal Disease·Akio ShiomiYoshihiro Moriya
Feb 12, 2013·The Lancet Oncology·Martijn Hgm van der PasUNKNOWN COlorectal cancer Laparoscopic or Open Resection II (COLOR II) Study Group
Feb 22, 2013·Annals of Surgery·Seiichiro YamamotoUNKNOWN Japan Society of Laparoscopic Colorectal Surgery
Jun 20, 2014·International Journal of Colorectal Disease·Akio ShiomiHiroyasu Kagawa
Oct 7, 2015·JAMA : the Journal of the American Medical Association·Andrew R L StevensonUNKNOWN ALaCaRT Investigators
Feb 9, 2016·Diseases of the Colon and Rectum·Zheqin R LuSatish K Warrier
Nov 29, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jeremy L HolzmacherVincent Obias
Jan 24, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Deniz AtasoyTayfun Karahasanoglu
Feb 8, 2018·International Journal of Colorectal Disease·Nobuaki HoshinoNorio Saito
Mar 28, 2019·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Koki OtsukaAkira Sasaki
Jul 11, 2019·Journal of Robotic Surgery·P TejedorJim S Khan
Feb 8, 2020·Diseases of the Colon and Rectum·Daniel Kverneng HultbergMartin Rutegård

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