Title

Totally robotic vs hybrid abdominoperineal resection: A retrospective multicenter analysis

Document Type

Journal Article

Publication Date

4-1-2020

Journal

International Journal of Medical Robotics and Computer Assisted Surgery

Volume

16

Issue

2

DOI

10.1002/rcs.2073

Keywords

abdominoperineal excision; abdominoperineal resection; rectal cancer; rectal surgery; robotic surgery

Abstract

© 2019 John Wiley & Sons, Ltd Introduction: Laparoscopic abdominoperineal resection (APR) for low rectal cancers is technically demanding. Robotic assistance may be of help and can be hybrid (HAPR) or totally robotic (RAPR). The present study describes outcomes of robotic APR and compares both approaches. Material and methods: A multicentric retrospective analysis of rectal cancer patients undergoing either HAPR or RAPR was conducted. Patients' demographics, surgeons' experience, oncologic results, and intraoperative and postoperative outcomes were collected. Results: One hundred twenty-five patients were included, 48 in HAPR group and 77 in RAPR group. Demographics and comorbidities were comparable. Operative time was reduced in RAPR group (266.9 ± 107.8 min vs 318.9 ± 75.1 min, P =.001). RAPR patients were discharged home more frequently (91.18% vs 66.67%, P =.001), and experienced fewer parastomal hernias (3.71% vs 9.86%, P =.001). Conclusion: RAPR is safe and feasible with appropriate oncologic outcomes. Totally robotic approach reduces operative time and may improve functional outcomes.

This document is currently not available here.

Share

COinS