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Operative and long‐term oncological outcomes in patients undergoing robotic versus laparoscopic surgery for rectal cancer
Author(s) -
Bilgin Ismail Ahmet,
Bas Mustafa,
Aytac Erman,
Benlice Cigdem,
Esen Eren,
Kirbiyik Ebru,
Kiziltas Cansu,
Aghayeva Afag,
Ozben Volkan,
Hamzaoglu Ismail,
Karahasanoglu Tayfun,
Baca Bilgi
Publication year - 2020
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.2168
Subject(s) - medicine , perioperative , robotic surgery , colorectal cancer , surgery , laparoscopic surgery , randomized controlled trial , demographics , laparoscopy , cancer , general surgery , demography , sociology
Background This study aimed to compare short‐ and long‐term outcomes after robotic versus laparoscopic approach in patients undergoing curative surgery for rectal cancer. Methods Patients undergoing elective robotic and laparoscopic resection for rectal cancer were included. Perioperative clinical characteristics, postoperative short‐ and long‐term outcomes were compared between groups. Results There were 72 and 44 patients in robotic (RG) and laparoscopic (LG) groups respectively. No differences were detected regarding patients' demographics, histopathologic outcomes, conversion rates and 30‐day overall postoperative complication rates. Operative time was longer in the RG (341 ± 111.7 vs. 263 ± 97.5 min, p = 0.001) and length of stay was longer in the LG (4.4 ± 1.9 vs. 6.4 ± 2.9 days, p = 0.001). The 5‐year overall and disease‐free survival rates were similar (97.1% and 94.9%, p = 0.78; 86.2% and 82.7%, p = 0.72) between the groups. Conclusion This study showed both short and long‐term outcomes of a limited number of included patients between the robotic and laparoscopic surgery were similar. However, future studies and randomized trials are necessary to establish these findings.