Robotic versus laparoscopic anterior resections for rectal and rectosigmoid cancer: an institutional experience

Introduction Colorectal surgery has evolved with the advent of laparoscopic techniques and now robotic-assisted surgery. There is significant literature supporting the use of laparoscopic techniques over open surgery with evidence of enhanced post-operative recovery, reduced use of opioids, smaller...

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Bibliographic Details
Published in:Irish journal of medical science 2022-04, Vol.191 (2), p.845-851
Main Authors: Donlon, Noel E., Nugent, Tim S., Free, Ross, Hafeez, Adnan, Kalbassi, Resa, Neary, Paul C., O’Riordain, Diarmuid S.
Format: Article
Language:English
Subjects:
Family Medicine
General Practice
Humans
Internal Medicine
Laparoscopy - methods
Medicine
Medicine & Public Health
Original Article
Rectal Neoplasms - surgery
Rectum - surgery
Retrospective Studies
Robotic Surgical Procedures - methods
Treatment Outcome
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Summary:Introduction Colorectal surgery has evolved with the advent of laparoscopic techniques and now robotic-assisted surgery. There is significant literature supporting the use of laparoscopic techniques over open surgery with evidence of enhanced post-operative recovery, reduced use of opioids, smaller incisions and equivalent oncological outcomes. Robotic minimally invasive surgery addresses some of the limitations of laparoscopic surgery, providing surgical precision and improvements in perception and dexterity with a resulting decrease in tissue damage. Methods We retrospectively reviewed the medical records of patients who underwent robotic-assisted anterior resection for cancer of the rectum or rectosigmoid junction in our institution since our robotic programme began in 2017. Patient demographics were identified via electronic databases and patient charts. A matched cohort of laparoscopic cases was identified. Results A total of 51 consecutive robotic-assisted anterior resections were identified and case matched with laparoscopic resections for comparison. Robotic-assisted surgery was associated with a shorter length of stay ( p  = 0.04), reduced initial post-operative analgesia requirements ( p  
ISSN:0021-1265
1863-4362
DOI:10.1007/s11845-021-02625-z