Perioperative outcomes of laparoscopic low anterior resection using ArtiSential® versus robotic approach in patients with rectal cancer: a propensity score matching analysis

• Published in: Techniques in coloproctology 2024-12, Vol.28 (1), p.25, Article 25
• Main Authors: Kim, I. K., Lee, C. S., Bae, J. H., Han, S. R., Alshalawi, W., Kim, B. C., Lee, I. K., Lee, D. S., Lee, Y. S.
• Format: Article
• Language: English
• Subjects: Abdominal Surgery; Colorectal cancer; Colorectal Surgery; Gastroenterology; Humans; Laparoscopy; Medicine; Medicine & Public Health; Original Article; Proctology; Propensity Score; Rectal Neoplasms - surgery; Retrospective Studies; Robotic surgery; Robotic Surgical Procedures; Surgery
• ISSN: 1123-6337; 1128-045X; 1128-045X
• DOI: 10.1007/s10151-023-02895-y

Background Total mesorectal excision using conventional straight fixed devices may be technically difficult because of the narrow and concave pelvis. Several laparoscopic articulating tools have been introduced as an alternative to robotic systems. The aim of this study was to compare perioperative outcomes between laparoscopic low anterior resection using ArtiSential ® and robot-assisted surgery for rectal cancer. Methods This retrospective study included 682 patients who underwent laparoscopic or robotic low anterior resection  for rectal cancer from September 2018 to December 2021. Among them, 82 underwent laparoscopic surgery using ArtiSential ® (group A) and 201 underwent robotic surgery (group B). A total of 73 [group A; 66.37 ± 11.62; group B 65.79 ± 11.34] patients were selected for each group using a propensity score matching analysis. Results There was no significant difference in the baseline characteristics between group A and B. Mean operative time was longer in group B than A (163.5 ± 61.9 vs 250.1 ± 77.6 min, p