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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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| Published in: | Irish journal of medical science 2022-04, Vol.191 (2), p.845-851 |
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| container_end_page | 851 |
| container_issue | 2 |
| container_start_page | 845 |
| container_title | Irish journal of medical science |
| container_volume | 191 |
| creator | Donlon, Noel E. Nugent, Tim S. Free, Ross Hafeez, Adnan Kalbassi, Resa Neary, Paul C. O’Riordain, Diarmuid S. |
| description | 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
|
| doi_str_mv | 10.1007/s11845-021-02625-z |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2512333733</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2512333733</sourcerecordid><originalsourceid>FETCH-LOGICAL-c347t-47dda86d56f9863937a84663fd633df00773d8599fc6ee9032a09585a0a836c23</originalsourceid><addsrcrecordid>eNp9UE1LxDAQDaLouvoHPEiPXqpJpk1bbyJ-gSCInkNMUol0m5ppRffXO7urHj0MyeR9kPcYOxL8VHBenaEQdVHmXAoaJct8ucVmolaQF6DkNpvxFSSkKvfYPuIb59CAKnbZHkBdqKZQMxYf40scg80-fMIJs84MJkW0caA3048-hZiy5NHbMcQes3a92tF0BLv1NWJ4XcTgMmt669M5AVnocQzjtNIQ038OZOQJPWA7renQH_6cc_Z8ffV0eZvfP9zcXV7c5xaKasyLyjlTK1eqtqFADVSGfqygdQrAtZS-AleXTdNa5X3DQRrelHVpuKlBWQlzdrLxHVJ8nzyOehHQ-q4zvY8TalkKCQAVzZzJDdVScEy-1UMKC5O-tOB6VbTeFK2pTb0uWi9JdPzjP70svPuT_DZLBNgQkKD-1Sf9FqdEZeB_tt_Y0otv</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2512333733</pqid></control><display><type>article</type><title>Robotic versus laparoscopic anterior resections for rectal and rectosigmoid cancer: an institutional experience</title><source>Springer Nature</source><creator>Donlon, Noel E. ; Nugent, Tim S. ; Free, Ross ; Hafeez, Adnan ; Kalbassi, Resa ; Neary, Paul C. ; O’Riordain, Diarmuid S.</creator><creatorcontrib>Donlon, Noel E. ; Nugent, Tim S. ; Free, Ross ; Hafeez, Adnan ; Kalbassi, Resa ; Neary, Paul C. ; O’Riordain, Diarmuid S.</creatorcontrib><description>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
< 0.01) and no significant difference in time to bowel movement or stoma functioning (
p
= 0.84). All patients had an R0 resection, and there was no statistical difference in lymph node yield between the groups (
p
= 0.14). Robotic surgery was associated with a longer operative duration (
p
< 0.001).
Conclusion
In this early experience, robotic surgery has proven feasible and safe and is comparable to laparoscopic surgery in terms of completeness of resection and recovery. As costs and operating times decline and as technology progresses, robotic surgery may one day replace traditional laparoscopic techniques.</description><identifier>ISSN: 0021-1265</identifier><identifier>EISSN: 1863-4362</identifier><identifier>DOI: 10.1007/s11845-021-02625-z</identifier><identifier>PMID: 33846946</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>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</subject><ispartof>Irish journal of medical science, 2022-04, Vol.191 (2), p.845-851</ispartof><rights>Royal Academy of Medicine in Ireland 2021</rights><rights>2021. Royal Academy of Medicine in Ireland.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-47dda86d56f9863937a84663fd633df00773d8599fc6ee9032a09585a0a836c23</citedby><cites>FETCH-LOGICAL-c347t-47dda86d56f9863937a84663fd633df00773d8599fc6ee9032a09585a0a836c23</cites><orcidid>0000-0002-4073-3896</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33846946$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Donlon, Noel E.</creatorcontrib><creatorcontrib>Nugent, Tim S.</creatorcontrib><creatorcontrib>Free, Ross</creatorcontrib><creatorcontrib>Hafeez, Adnan</creatorcontrib><creatorcontrib>Kalbassi, Resa</creatorcontrib><creatorcontrib>Neary, Paul C.</creatorcontrib><creatorcontrib>O’Riordain, Diarmuid S.</creatorcontrib><title>Robotic versus laparoscopic anterior resections for rectal and rectosigmoid cancer: an institutional experience</title><title>Irish journal of medical science</title><addtitle>Ir J Med Sci</addtitle><addtitle>Ir J Med Sci</addtitle><description>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
< 0.01) and no significant difference in time to bowel movement or stoma functioning (
p
= 0.84). All patients had an R0 resection, and there was no statistical difference in lymph node yield between the groups (
p
= 0.14). Robotic surgery was associated with a longer operative duration (
p
< 0.001).
Conclusion
In this early experience, robotic surgery has proven feasible and safe and is comparable to laparoscopic surgery in terms of completeness of resection and recovery. As costs and operating times decline and as technology progresses, robotic surgery may one day replace traditional laparoscopic techniques.</description><subject>Family Medicine</subject><subject>General Practice</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Laparoscopy - methods</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Rectal Neoplasms - surgery</subject><subject>Rectum - surgery</subject><subject>Retrospective Studies</subject><subject>Robotic Surgical Procedures - methods</subject><subject>Treatment Outcome</subject><issn>0021-1265</issn><issn>1863-4362</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9UE1LxDAQDaLouvoHPEiPXqpJpk1bbyJ-gSCInkNMUol0m5ppRffXO7urHj0MyeR9kPcYOxL8VHBenaEQdVHmXAoaJct8ucVmolaQF6DkNpvxFSSkKvfYPuIb59CAKnbZHkBdqKZQMxYf40scg80-fMIJs84MJkW0caA3048-hZiy5NHbMcQes3a92tF0BLv1NWJ4XcTgMmt669M5AVnocQzjtNIQ038OZOQJPWA7renQH_6cc_Z8ffV0eZvfP9zcXV7c5xaKasyLyjlTK1eqtqFADVSGfqygdQrAtZS-AleXTdNa5X3DQRrelHVpuKlBWQlzdrLxHVJ8nzyOehHQ-q4zvY8TalkKCQAVzZzJDdVScEy-1UMKC5O-tOB6VbTeFK2pTb0uWi9JdPzjP70svPuT_DZLBNgQkKD-1Sf9FqdEZeB_tt_Y0otv</recordid><startdate>20220401</startdate><enddate>20220401</enddate><creator>Donlon, Noel E.</creator><creator>Nugent, Tim S.</creator><creator>Free, Ross</creator><creator>Hafeez, Adnan</creator><creator>Kalbassi, Resa</creator><creator>Neary, Paul C.</creator><creator>O’Riordain, Diarmuid S.</creator><general>Springer International Publishing</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4073-3896</orcidid></search><sort><creationdate>20220401</creationdate><title>Robotic versus laparoscopic anterior resections for rectal and rectosigmoid cancer: an institutional experience</title><author>Donlon, Noel E. ; Nugent, Tim S. ; Free, Ross ; Hafeez, Adnan ; Kalbassi, Resa ; Neary, Paul C. ; O’Riordain, Diarmuid S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-47dda86d56f9863937a84663fd633df00773d8599fc6ee9032a09585a0a836c23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Family Medicine</topic><topic>General Practice</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Laparoscopy - methods</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Rectal Neoplasms - surgery</topic><topic>Rectum - surgery</topic><topic>Retrospective Studies</topic><topic>Robotic Surgical Procedures - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Donlon, Noel E.</creatorcontrib><creatorcontrib>Nugent, Tim S.</creatorcontrib><creatorcontrib>Free, Ross</creatorcontrib><creatorcontrib>Hafeez, Adnan</creatorcontrib><creatorcontrib>Kalbassi, Resa</creatorcontrib><creatorcontrib>Neary, Paul C.</creatorcontrib><creatorcontrib>O’Riordain, Diarmuid S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Irish journal of medical science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Donlon, Noel E.</au><au>Nugent, Tim S.</au><au>Free, Ross</au><au>Hafeez, Adnan</au><au>Kalbassi, Resa</au><au>Neary, Paul C.</au><au>O’Riordain, Diarmuid S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Robotic versus laparoscopic anterior resections for rectal and rectosigmoid cancer: an institutional experience</atitle><jtitle>Irish journal of medical science</jtitle><stitle>Ir J Med Sci</stitle><addtitle>Ir J Med Sci</addtitle><date>2022-04-01</date><risdate>2022</risdate><volume>191</volume><issue>2</issue><spage>845</spage><epage>851</epage><pages>845-851</pages><issn>0021-1265</issn><eissn>1863-4362</eissn><abstract>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
< 0.01) and no significant difference in time to bowel movement or stoma functioning (
p
= 0.84). All patients had an R0 resection, and there was no statistical difference in lymph node yield between the groups (
p
= 0.14). Robotic surgery was associated with a longer operative duration (
p
< 0.001).
Conclusion
In this early experience, robotic surgery has proven feasible and safe and is comparable to laparoscopic surgery in terms of completeness of resection and recovery. As costs and operating times decline and as technology progresses, robotic surgery may one day replace traditional laparoscopic techniques.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>33846946</pmid><doi>10.1007/s11845-021-02625-z</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-4073-3896</orcidid></addata></record> |
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| identifier | ISSN: 0021-1265 |
| ispartof | Irish journal of medical science, 2022-04, Vol.191 (2), p.845-851 |
| issn | 0021-1265 1863-4362 |
| language | eng |
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| source | Springer Nature |
| 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 |
| title | Robotic versus laparoscopic anterior resections for rectal and rectosigmoid cancer: an institutional experience |
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