Robotic versus laparoscopic sphincter-saving total mesorectal excision for mid or low rectal cancer in male patients after neoadjuvant chemoradiation therapy: comparison of long-term outcomes

2019 ◽  
Vol 14 (3) ◽  
pp. 393-399 ◽  
Author(s):  
Oktar Asoglu ◽  
Handan Tokmak ◽  
Baris Bakir ◽  
Vusal Aliyev ◽  
Sezer Saglam ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Total Mesorectal Excision ◽  
Neoadjuvant Chemoradiation ◽  
Chemoradiation Therapy ◽  
Low Rectal Cancer ◽  
Mesorectal Excision ◽  
Long Term Outcomes ◽  
Sphincter Saving ◽  
Male Patients

Sphincter-Saving Robotic Total Mesorectal Excision Provides Better Mesorectal Specimen and Good Oncological Local Control Compared with Laparoscopic Total Mesorectal Excision in Male Patients with Mid-Low Rectal Cancer

2021 ◽  
Author(s):  
Vusal Aliyev ◽  
Suha Goksel ◽  
Barıs Bakır ◽  
Koray Guven ◽  
Oktar Asoglu
Keyword(s):  
Rectal Cancer ◽  
Total Mesorectal Excision ◽  
Local Control ◽  
Operating Time ◽  
Laparoscopic Group ◽  
Low Rectal Cancer ◽  
Mesorectal Excision ◽  
Oncological Outcomes ◽  
Sphincter Saving ◽  
Male Patients

Introduction: Laparoscopic rectal resection with total mesorectal excision is a technically challenging procedure, and there are limitations in conventional laparoscopy. A surgical robotic system may help to overcome some of the limitations. The aim of our study was to compare long-term oncological outcomes of robotic and laparoscopic sphincter-saving total mesorectal excision in male patients with mid-low rectal cancer. Materials and Methods: The study was conducted as a retrospective review of a prospectively maintained database. One-hundred-three robotic and 84 laparoscopic sphincter-saving total mesorectal excisions were performed by a single surgeon between January 2011 and January 2020. Patient characteristics, perioperative recovery, postoperative complications, pathology results, and oncological outcomes were compared between the two groups. Results: The patients’ characteristics did not differ significantly between the two groups. Median operating time was longer in the robotic than in the laparoscopic group (180 minutes versus 140 minutes, p=0.033). Macroscopic grading of the specimen in the robotic group was complete in 96 (93.20%), near complete in four (3.88%) and incomplete in three (2.91%) patients. In the laparoscopic group, grading was complete in 37 (44.04%), near complete in 40 (47.61%) and incomplete in seven (8.33%) patients (p=0.03). The median length of follow up was 48 (9–102) months in the robotic, and 75.6 (11–113) months in the laparoscopic group. Overall, five-year survival was 87% in the robotic and 85.3% in the laparoscopic groups. Local recurrence rates were 3.8% and 7.14%, respectively, in the robotic and laparoscopic groups (p<0.05). Conclusion: Sphincter-saving robotic total mesorectal excision is a safe and feasible tool, which provides good mesorectal integrity and better local control in male patients with mid-low rectal cancer.

Comparison of Different Nodal Staging in Patients With Locally Advanced Mid-low Rectal Cancer After Long-term Neoadjuvant Chemoradiation Therapy

2019 ◽  
Vol 39 (4) ◽  
pp. 2113-2120
Author(s):  
NICCOLÒ PETRUCCIANI ◽  
MARIA CLOTILDE CARRA ◽  
ALEIX MARTÍNEZ-PÉREZ ◽  
GIULIO CESARE VITALI ◽  
FILIPPO LANDI ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Locally Advanced ◽  
Neoadjuvant Chemoradiation ◽  
Chemoradiation Therapy ◽  
Low Rectal Cancer ◽  
Nodal Staging ◽  
Neoadjuvant Chemoradiation Therapy

The long-term oncological outcomes of the 140 robotic sphincter-saving total mesorectal excision for rectal cancer: a single surgeon experience

2019 ◽  
Vol 14 (4) ◽  
pp. 655-661
Author(s):  
Vusal Aliyev ◽  
Handan Tokmak ◽  
Suha Goksel ◽  
Serhat Meric ◽  
Sami Acar ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Total Mesorectal Excision ◽  
Mesorectal Excision ◽  
Oncological Outcomes ◽  
Surgeon Experience ◽  
Sphincter Saving

scholarly journals Short and Long-Term Outcomes of Robotic versus Laparoscopic Total Mesorectal Excision for Rectal Cancer

Medicine ◽  
2015 ◽  
Vol 94 (11) ◽  
pp. e522 ◽  
Author(s):  
Min Soo Cho ◽  
Se Jin Baek ◽  
Hyuk Hur ◽  
Byung Soh Min ◽  
Seung Hyuk Baik ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Total Mesorectal Excision ◽  
Laparoscopic Total Mesorectal Excision ◽  
Mesorectal Excision ◽  
Long Term Outcomes ◽  
Short And Long Term

Long-term outcomes by a transanal approach to total mesorectal excision for rectal cancer

2017 ◽  
Vol 31 (12) ◽  
pp. 5248-5257 ◽  
Author(s):  
John H Marks ◽  
Elizabeth A. Myers ◽  
Erik L. Zeger ◽  
Albert S. Denittis ◽  
Mounica Gummadi ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Total Mesorectal Excision ◽  
Mesorectal Excision ◽  
Long Term Outcomes ◽  
Transanal Approach
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