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Surgical Endoscopy

Published in:

01-01-2011

S052: a comparison of robot-assisted, laparoscopic, and open surgery in the treatment of rectal cancer

Authors: Jun Seok Park, Gyu-Seog Choi, Kyoung Hoon Lim, You Seok Jang, Soo Han Jun

Published in: Surgical Endoscopy | Issue 1/2011

Abstract

Background

In recent years, robot-assisted surgery using the da Vinci System^® has been proposed as an alternative to traditional open or laparoscopic procedures. The aim of this study was to compare the short-term outcomes for open, laparoscopic, and robot-assisted rectal resection for cancer.

Methods

Two hundred sixty-three patients with rectal cancer who underwent curative resection between 2007 and 2009 were included. Patients were classified into an open surgery group (OS, n = 88), a laparoscopic surgery group (LAP, n = 123), and a robot-assisted group (RAP, n = 52). Data analyzed include operating time, length of recovery, methods of specimen extraction, quality of total mesorectal excision, and morbidity.

Results

The mean operating time was 233.8 ± 59.2 min for the OS group, 158.1 ± 49.2 min for the LAP group, and 232.6 ± 52.4 min for the RAP group (p < 0.001). Patients from the LAP and RAP groups recovered significantly faster than did those from the OS group (p < 0.05). The proportion of operations performed through a natural orifice (intracorporeal anastomosis with transanal or transvaginal retrieval of specimens) was significantly higher in the RAP group (p < 0.001). The specimen quality—with a distal resection margin, harvested lymph nodes, and circumferential margin—did not differ among the three groups. The overall complication rates were 20.5, 12.2, and 19.2% in the OS, LAP, and RAP groups, respectively (p = 0.229).

Conclusions

RAP and LAP reproduce the equivalent short-term results of standard OS while providing the advantages of minimal access. For the experienced laparoscopic colorectal oncologist, use of the da Vinci robot resulted in no significant short-term clinical benefit over the conventional laparoscopic approach.

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Title: S052: a comparison of robot-assisted, laparoscopic, and open surgery in the treatment of rectal cancer
Authors: Jun Seok Park
Gyu-Seog Choi
Kyoung Hoon Lim
You Seok Jang
Soo Han Jun
Publication date: 01-01-2011
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 1/2011
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-010-1166-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

S052: a comparison of robot-assisted, laparoscopic, and open surgery in the treatment of rectal cancer

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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