Original Article
Comparison of short-term outcomes between robot-assisted versus laparoscopic intersphincteric resection for low rectal cancer
Xiaolong Zhu, Peijing Yan, Liang Yao, Yulong Wang, Wenhan Liu, Binbin Du, Kehu Yang, Tiankang Guo, Xiongfei Yang
Published 2019-10-25
Cite as Chin J Colorec Dis (Electronic Edition), 2019, 08(5): 480-485. DOI: 10.3877/cma.j.issn.2095-3224.2019.05.008
Abstract
ObjectiveTo compare the short-term efficacy of robotic and laparoscopic sphincterotomy for low rectal cancer and to investigate the safety and feasibility of robotic sphincterotomy.
MethodsThe characteristics of patients underwent robot-assisted or laparoscopic intersphincteric resection for low rectal cancer were retrospectively collected from October 2015 to October 2017 in Gansu Provincial Hospital. Compared the operative time, intraoperative blood loss, intraoperative laparotomy, first ventilation time, postoperative hospital stays, complications, distance from the distant margin of the tumor, number of positive circumferential resection margins, number of lymph nodes removed, and other outcoms between two groups.
ResultsThe liquid diet time, first ventilation time and postoperative hospital stays of the robot group were shorter than the laparoscopic group (P<0.05). The intraoperative blood loss in the robot group was more than the laparoscopic group (P<0.05). There were no significant difference between two groups in postoperative complications or operation time. The total cost of the robotic group was higher than the laparoscopic group (P<0.001).
ConclusionsRobotic sphincterotomy for low rectal cancer is safe and feasible. Compared with laparoscopic surgery, the robotic surgery had rapider recovery of bowel function, shorter hospital stays, and more reliable short-term efficacy in oncology. Robotic sphincterotomy may be an effective treatment for the low rectal cancer.
Key words:
Rectal neoplasms; Robotic surgery; Laparoscopy surgery; Intersphincteric resection
Contributor Information
Xiaolong Zhu
Department of Clinical Medicine, Gansu University of Traditional Chinese Medicine, Lanzhou 730000, China
Department of Anorectal Surgery, Gansu Provincial Hospital, Lanzhou 730000, China
Peijing Yan
Institution of Clinical Research and Evidence Based Medicine, Gansu Provincial Hospital, Lanzhou 730000, China
Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China
Liang Yao
Institution of Clinical Research and Evidence Based Medicine, Gansu Provincial Hospital, Lanzhou 730000, China
Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China
Yulong Wang
Department of Anorectal Surgery, Gansu Provincial Hospital, Lanzhou 730000, China
Wenhan Liu
Department of Clinical Medicine, Gansu University of Traditional Chinese Medicine, Lanzhou 730000, China
Department of Anorectal Surgery, Gansu Provincial Hospital, Lanzhou 730000, China
Binbin Du
Department of Anorectal Surgery, Gansu Provincial Hospital, Lanzhou 730000, China
Kehu Yang
Institution of Clinical Research and Evidence Based Medicine, Gansu Provincial Hospital, Lanzhou 730000, China
Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China
Tiankang Guo
Institution of Clinical Research and Evidence Based Medicine, Gansu Provincial Hospital, Lanzhou 730000, China
Xiongfei Yang
Department of Anorectal Surgery, Gansu Provincial Hospital, Lanzhou 730000, China
