Robotic and laparoscopic total mesorectal excision for rectal cancer: a case-matched study

Baek, Jeong‐Heum; Pastor, Carlos; Pigazzi, Alessio

doi:10.1007/s00464-010-1204-x

Cited by 144 publications

(184 citation statements)

References 24 publications

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“…The authors concluded that robotic-assisted laparoscopic low anterior resection for rectal cancer is feasible in experienced hands and the technique may facilitate minimally invasive radical rectal surgery. The same group published 2 further case-matched reports with bigger series (Hellan et al, 2007;Baek et al, 2011) confirming their conclusion from the initial study. They particularly highlighted the low conversion rate with robotic assisted rectal surgery.…”

Section: Learning Curve In Robotic Rectal Surgerysupporting

confidence: 53%

Laparoscopic Surgery for Rectal Cancer: Approaches, Challenges and Outcome

Aly¹

2012

Contemporary Issues in Colorectal Surgical Practice

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Section: Learning Curve In Robotic Rectal Surgerysupporting

confidence: 53%

Laparoscopic Surgery for Rectal Cancer: Approaches, Challenges and Outcome

Aly¹

2012

Contemporary Issues in Colorectal Surgical Practice

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“…A number of reports have demonstrated a longer operation time with robotic surgery [9,[11][12][13], whereas others have reported no difference in operation time between robotic and laparoscopic surgeries [14][15][16][17][18]. Patriti et al reported a shorter operation time for robotic rectal resection; however, they are minority in this regard [19].…”

Section: Operation Timementioning

confidence: 99%

Recent advances in robotic surgery for rectal cancer

et al. 2015

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Robotic technology, which has recently been introduced to the field of surgery, is expected to be useful, particularly in treating rectal cancer where precise manipulation is necessary in the confined pelvic cavity. Robotic surgery overcomes the technical drawbacks inherent to laparoscopic surgery for rectal cancer through the use of multi-articulated flexible tools, three-dimensional stable camera platforms, tremor filtering and motion scaling functions, and greater ergonomic and intuitive device manipulation. Assessments of the feasibility and safety of robotic surgery for rectal cancer have reported similar operation times, blood loss during surgery, rates of postoperative morbidity, and circumferential resection margin involvement when compared with laparoscopic surgery. Furthermore, rates of conversion to open surgery are reportedly lower with increased urinary and male sexual functions in the early postoperative period compared with laparoscopic surgery, demonstrating the technical advantages of robotic surgery for rectal cancer. However, long-term outcomes and the cost-effectiveness of robotic surgery for rectal cancer have not been fully evaluated yet; therefore, large-scale clinical studies are required to evaluate the efficacy of this new technology.

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“…31 Most reports of robot-assisted rectal resection, however, have been based on limited numbers of patients. [32][33][34][35] A small prospective, comparative trial performed in Korean patients 36 compared laparoscopic to robotic-assisted low anterior resection. Although initially designed as a randomized study, the study had difficulty recruiting patients to accept randomization.…”

Section: Review Articlementioning

confidence: 99%