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Surgery Today

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01-08-2016 | Original Article

Robotic-assisted vs. conventional laparoscopic surgery for rectal cancer: short-term outcomes at a single center

Authors: Tomohiro Yamaguchi, Yusuke Kinugasa, Akio Shiomi, Hiroyuki Tomioka, Hiroyasu Kagawa, Yushi Yamakawa

Published in: Surgery Today | Issue 8/2016

Abstract

Purposes

Several retrospective studies have demonstrated the safety and technical feasibility of robotic-assisted laparoscopic surgery (RALS). The aim of the present study was to clarify the advantages of RALS for rectal cancer by comparing its short-term outcomes with those of conventional laparoscopic surgery (CLS).

Methods

Between April, 2010 and April, 2015, a total of 974 patients underwent proctectomy for rectal cancer. After the exclusion of those who underwent open surgery, high anterior resection, lateral lymph node dissection, or multiple resection, 442 patients were enrolled in this study, including 203 who underwent RALS and 239 who underwent CLS. We compared the short-term outcomes of these two groups.

Results

There was no case of conversion to open surgery in the RALS group, but 8 (3.3 %) cases in the CLS group (p = 0.009). Operative time was not significantly different, but blood loss was significantly less in the RALS group than in the CLS group (p < 0.001). The postoperative hospital stay was shorter in the RALS group than in the CLS group (p < 0.001). The rate of urinary retention was significantly lower in the RALS group than in the CLS group (p = 0.018).

Conclusion

The short-term outcomes in this series provide further evidence that RALS may be superior to CLS for rectal cancer.

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Title: Robotic-assisted vs. conventional laparoscopic surgery for rectal cancer: short-term outcomes at a single center
Authors: Tomohiro Yamaguchi
Yusuke Kinugasa
Akio Shiomi
Hiroyuki Tomioka
Hiroyasu Kagawa
Yushi Yamakawa
Publication date: 01-08-2016
Publisher: Springer Japan
Published in: Surgery Today / Issue 8/2016
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-015-1266-4

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Robotic-assisted vs. conventional laparoscopic surgery for rectal cancer: short-term outcomes at a single center

Abstract

Purposes

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purposes

Methods

Results

Conclusion

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