Robotic approach may be associated with a lower risk of lung metastases compared to laparoscopic approach for mid-low rectal cancer after neoadjuvant chemoradiotherapy: a multivariate analysis on long-term recurrence patterns

Short-term outcomes of robotic vs. laparoscopic surgery for rectal cancer after neoadjuvant therapy: a meta-analysis

“…Compared with LS, RS significantly prolonged the operation time (MD 35.16 min; 95% CI: 16.24, 54.07; Heterogeneity: I 2 = 73%, P < 0.0001) between studies ( Figure 5A ). The pooled data from seven studies ( 5 – 8 , 13 , 15 , 20 ) showed that the blood loss in RS was similar to that in LS (MD −11.57 ml; 95% CI: −39.09, 15.94; Heterogeneity: I 2 = 75%, P = 0.0006) ( Figure 5B ).…”

“…Incidence of conversion to open surgery was reported in nine studies ( 7 , 13 – 20 ). Compared with LS, RS was associated with a lower risk of conversion to open surgery (OR 0.46, 95% CI 0.40, 0.53) ( Figure 3 ).…”

“…Postoperation mortality data were recorded in seven studies ( 6 , 7 , 13 , 16 , 17 , 19 , 20 ), five of which had no deaths in the RS and LS groups. The pooled results showed no significant difference in mortality between the RS and LS groups (OR 0.59, 95% CI 0.29, 1.21; Heterogeneity: I 2 = 0%, P = 0.63) ( Figure 4 ).…”

“…Ten studies ( 5 – 8 , 13 – 15 , 18 – 20 ) described the operative time. Compared with LS, RS significantly prolonged the operation time (MD 35.16 min; 95% CI: 16.24, 54.07; Heterogeneity: I 2 = 73%, P < 0.0001) between studies ( Figure 5A ).…”

“…A total of 341 participants in three studies ( 14 , 19 , 20 ) reported TME incomplete, and RS significantly reduced the risk of TME incomplete (OR 0.40, 95% CI 0.17, 0.93, P = 0.03) ( Figure 6A ). In addition, circumferential resection margin (CRM) positivity was comparable (OR 0.90, 95% CI 0.63, 1.27, P = 0.54) between the RS and LS groups ( Figure 6B ).…”