Robotic versus laparoscopic coloanal anastomosis with or without intersphincteric resection for rectal cancer
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| Názov: | Robotic versus laparoscopic coloanal anastomosis with or without intersphincteric resection for rectal cancer |
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| Autori: | Byung Soh Min, Nam Kyu Kim, Duck Hyoun Jeong, Sami Alasari, Se Jin Baek, Seung Hyuk Baik, Hyuk Hur |
| Prispievatelia: | Se Jin Baek, Sami AL-Asari, Duck Hyoun Jeong, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Nam Kyu Kim, Kim, Nam Kyu, Min, Byung Soh, Baek, Se Jin, Baik, Seung Hyuk, Jeong, Duck Hyoun, Hur, Hyuk |
| Zdroj: | Surgical Endoscopy. 27:4157-4163 |
| Informácie o vydavateľovi: | Springer Science and Business Media LLC, 2013. |
| Rok vydania: | 2013 |
| Predmety: | Male, Anastomosis, Adenocarcinoma/surgery, Anal Canal, Adenocarcinoma, Disease-Free Survival, 03 medical and health sciences, 0302 clinical medicine, Adenocarcinoma/secondary, Surgical/methods, Humans, Prospective Studies, Neoplasm Staging, Retrospective Studies, Adenocarcinoma/pathology, Local/epidemiology, Rectal Neoplasms, Conversion to Open Surgery/statistics & numerical data, Anastomosis, Surgical, Colonoscopy, Robotics, Anal Canal/surgery, Length of Stay, Middle Aged, Laparoscopy*/adverse effects, Rectal Neoplasms/mortality, Conversion to Open Surgery, 3. Good health, Rectal Neoplasms/surgery, Neoplasm Recurrence, Treatment Outcome, Length of Stay/statistics & numerical data, Lymphatic Metastasis, Adenocarcinoma/mortality, Female, Laparoscopy, Rectal Neoplasms/pathology, Surgical/adverse effects, Neoplasm Recurrence, Local, Follow-Up Studies |
| Popis: | Robotic surgery is increasingly used in the field of rectal cancer surgery. This study aimed to compare the short- and long-term outcomes between robotic and laparoscopic ultralow anterior resection (uLAR) and coloanal anastomosis (CAA). Between January 2007 and December 2010, a retrospective chart review was performed for all patients with low rectal cancer who underwent curative uLAR and CAA with or without intersphincteric resection using either a robotic or a laparoscopic approach. The study excluded patients with tumors invading the levator ani or external sphincter, patients with T4 cancers invading the prostate or vagina, and patients for whom an open approach was used. Patients' short- and long-term outcomes were evaluated. This study enrolled 84 consecutive patients (47 in the robotic group and 37 in the laparoscopic group). The patient characteristics and operative data did not differ significantly between the groups except for the rate of conversion to open surgery (robot, 2.1 % vs laparoscopy, 16.2 %; p = 0.02). The postoperative outcomes also were similar in the two groups, but the hospital stay was shorter in the robotic group than in the laparoscopic group (robot, 9 days vs laparoscopy, 11 days; p = 0.011). No postoperative mortality occurred. The median follow-up period was 31.5 months. No difference was shown in local recurrence, 3-year overall survival, or disease-free survival between the two groups. Robotic uLAR and CAA with or without ISR is a safe and feasible surgical approach with a lower conversion rate, a shorter hospital stay, and similar oncologic outcomes compared with a laparoscopic approach. Further prospective and case-control cohort studies with longer follow-up periods are required. |
| Druh dokumentu: | Article |
| Jazyk: | English |
| ISSN: | 1432-2218 0930-2794 |
| DOI: | 10.1007/s00464-013-3014-4 |
| Prístupová URL adresa: | https://pubmed.ncbi.nlm.nih.gov/23708725 https://pubmed.ncbi.nlm.nih.gov/23708725/ https://koreauniv.pure.elsevier.com/en/publications/robotic-versus-laparoscopic-coloanal-anastomosis-with-or-without- https://ir.ymlib.yonsei.ac.kr/handle/22282913/88520 https://link.springer.com/article/10.1007/s00464-013-3014-4 http://www.ncbi.nlm.nih.gov/pubmed/23708725 https://yonsei.pure.elsevier.com/en/publications/robotic-versus-laparoscopic-coloanal-anastomosis-with-or-without- |
| Rights: | Springer TDM CC BY NC ND |
| Prístupové číslo: | edsair.doi.dedup.....9a8f2f31aa43c4468eaf6c390dd1f10f |
| Databáza: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Robotic surgery is increasingly used in the field of rectal cancer surgery. This study aimed to compare the short- and long-term outcomes between robotic and laparoscopic ultralow anterior resection (uLAR) and coloanal anastomosis (CAA). Between January 2007 and December 2010, a retrospective chart review was performed for all patients with low rectal cancer who underwent curative uLAR and CAA with or without intersphincteric resection using either a robotic or a laparoscopic approach. The study excluded patients with tumors invading the levator ani or external sphincter, patients with T4 cancers invading the prostate or vagina, and patients for whom an open approach was used. Patients' short- and long-term outcomes were evaluated. This study enrolled 84 consecutive patients (47 in the robotic group and 37 in the laparoscopic group). The patient characteristics and operative data did not differ significantly between the groups except for the rate of conversion to open surgery (robot, 2.1 % vs laparoscopy, 16.2 %; p = 0.02). The postoperative outcomes also were similar in the two groups, but the hospital stay was shorter in the robotic group than in the laparoscopic group (robot, 9 days vs laparoscopy, 11 days; p = 0.011). No postoperative mortality occurred. The median follow-up period was 31.5 months. No difference was shown in local recurrence, 3-year overall survival, or disease-free survival between the two groups. Robotic uLAR and CAA with or without ISR is a safe and feasible surgical approach with a lower conversion rate, a shorter hospital stay, and similar oncologic outcomes compared with a laparoscopic approach. Further prospective and case-control cohort studies with longer follow-up periods are required. |
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| ISSN: | 14322218 09302794 |
| DOI: | 10.1007/s00464-013-3014-4 |