Open AccessRobotic vs. TaTME Rectal Surgery (ROTA STUDY) Matched Cohort Trial for Mid to Low Rectal Cancer Surgery Evaluation Trial in the Hands of an Experienced Surgeon
Author(s) -
Ravish Jootun,
Pedja Cuk,
Mark Bremholm Ellebæk,
Per Vadgaard Andersen,
Søren Salomon,
Gunnar Baatrup,
Issam AlNajami,
Jim Khan
Publication year - 2022
Publication title -
international journal of surgery protocols
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.291
H-Index - 4
ISSN - 2468-3574
DOI - 10.29337/ijsp.163
Subject(s) - medicine , total mesorectal excision , robotic surgery , surgery , colorectal cancer , clinical trial , prospective cohort study , cohort , stage (stratigraphy) , randomized controlled trial , general surgery , cancer , paleontology , biology
Recent novel surgical techniques for resection of low rectal cancer have been introduced and these approaches have the potential to overcome anatomical limitations like obesity, narrow male pelvis and bulky and low tumours. Two of these procedures are robotic low anterior resection (RLAR) and transanal total mesorectal excision (TaTME).Both approaches have distinct advantages and limitations. There has been no head to head trial comparing RLAR and TaTME for patients with mid to low rectal cancer undergoing surgery by experienced surgeons. Previous studies looking at the oncological outcomes of either TaTME or robotic TME included many centres where the surgeons were on a learning curve and hence the true oncological outcomes and clinical benefits can not be measured accurately.