Abstract
OBJECTIVE: The objective of this study was to clarify the impact of robotic surgery (RS) in the management of mid and low rectal cancer in comparison with open surgery (OS) and laparoscopic surgery (LS). BACKGROUND: The benefits of RS in the treatment of rectal cancer have not yet been clearly described. METHODS: Using propensity scores for adjustment of sex, age, body mass index, tumor stage, and tumor height, a well-balanced cohort with 165 patients in each group, was created by matching each patient who underwent RS as the study group with one who underwent OS or LS as the control group (RS:OS = 1:1, RS:LS = 1:1 match). Pathological results, morbidity, perioperative recovery, and short-term oncological results were compared between the 3 groups. RESULTS: In RS and LS, the time to first flatus and resumed soft diet and length of hospital stay were significantly shortened compared with OS. Robotic surgery showed better recovery outcomes than LS with regard to time to resumed soft diet and length of hospital stay. The visual analog scale was significantly lower in the RS than in the OS and LS from postoperative days 1 to 5. The voiding problem and circumferential resection margin involvement rate were significantly lower in the RS group than in the OS group. No significant difference in 2-year disease-free survival was observed among the 3 groups. CONCLUSIONS: Robotic surgery may be an effective tool in the effort to maximize the advantages of minimally invasive surgery in the management of mid to low rectal cancer.
| Original language | English |
|---|---|
| Pages (from-to) | 95-101 |
| Number of pages | 7 |
| Journal | Annals of surgery |
| Volume | 257 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 2013 Jan 1 |
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All Science Journal Classification (ASJC) codes
- Surgery
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The impact of robotic surgery for mid and low rectal cancer : A case-matched analysis of a 3-arm comparison - Open, laparoscopic, and robotic surgery. / Kang, Jeonghyun; Yoon, Kyu Jong; Min, Byung Soh; Hur, Hyuk; Baik, Seung Hyuk; Kim, Nam Kyu; Lee, Kang Young.
In: Annals of surgery, Vol. 257, No. 1, 01.01.2013, p. 95-101.Research output: Contribution to journal › Article
TY - JOUR
T1 - The impact of robotic surgery for mid and low rectal cancer
T2 - A case-matched analysis of a 3-arm comparison - Open, laparoscopic, and robotic surgery
AU - Kang, Jeonghyun
AU - Yoon, Kyu Jong
AU - Min, Byung Soh
AU - Hur, Hyuk
AU - Baik, Seung Hyuk
AU - Kim, Nam Kyu
AU - Lee, Kang Young
PY - 2013/1/1
Y1 - 2013/1/1
N2 - OBJECTIVE: The objective of this study was to clarify the impact of robotic surgery (RS) in the management of mid and low rectal cancer in comparison with open surgery (OS) and laparoscopic surgery (LS). BACKGROUND: The benefits of RS in the treatment of rectal cancer have not yet been clearly described. METHODS: Using propensity scores for adjustment of sex, age, body mass index, tumor stage, and tumor height, a well-balanced cohort with 165 patients in each group, was created by matching each patient who underwent RS as the study group with one who underwent OS or LS as the control group (RS:OS = 1:1, RS:LS = 1:1 match). Pathological results, morbidity, perioperative recovery, and short-term oncological results were compared between the 3 groups. RESULTS: In RS and LS, the time to first flatus and resumed soft diet and length of hospital stay were significantly shortened compared with OS. Robotic surgery showed better recovery outcomes than LS with regard to time to resumed soft diet and length of hospital stay. The visual analog scale was significantly lower in the RS than in the OS and LS from postoperative days 1 to 5. The voiding problem and circumferential resection margin involvement rate were significantly lower in the RS group than in the OS group. No significant difference in 2-year disease-free survival was observed among the 3 groups. CONCLUSIONS: Robotic surgery may be an effective tool in the effort to maximize the advantages of minimally invasive surgery in the management of mid to low rectal cancer.
AB - OBJECTIVE: The objective of this study was to clarify the impact of robotic surgery (RS) in the management of mid and low rectal cancer in comparison with open surgery (OS) and laparoscopic surgery (LS). BACKGROUND: The benefits of RS in the treatment of rectal cancer have not yet been clearly described. METHODS: Using propensity scores for adjustment of sex, age, body mass index, tumor stage, and tumor height, a well-balanced cohort with 165 patients in each group, was created by matching each patient who underwent RS as the study group with one who underwent OS or LS as the control group (RS:OS = 1:1, RS:LS = 1:1 match). Pathological results, morbidity, perioperative recovery, and short-term oncological results were compared between the 3 groups. RESULTS: In RS and LS, the time to first flatus and resumed soft diet and length of hospital stay were significantly shortened compared with OS. Robotic surgery showed better recovery outcomes than LS with regard to time to resumed soft diet and length of hospital stay. The visual analog scale was significantly lower in the RS than in the OS and LS from postoperative days 1 to 5. The voiding problem and circumferential resection margin involvement rate were significantly lower in the RS group than in the OS group. No significant difference in 2-year disease-free survival was observed among the 3 groups. CONCLUSIONS: Robotic surgery may be an effective tool in the effort to maximize the advantages of minimally invasive surgery in the management of mid to low rectal cancer.
UR - http://www.scopus.com/inward/record.url?scp=84871612052&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84871612052&partnerID=8YFLogxK
U2 - 10.1097/SLA.0b013e3182686bbd
DO - 10.1097/SLA.0b013e3182686bbd
M3 - Article
C2 - 23059496
AN - SCOPUS:84871612052
VL - 257
SP - 95
EP - 101
JO - Annals of Surgery
JF - Annals of Surgery
SN - 0003-4932
IS - 1
ER -