urogenital function
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2019 ◽  
Vol 34 (9) ◽  
pp. 4079-4088 ◽  
Author(s):  
Wenju Chang ◽  
Ye Wei ◽  
Li Ren ◽  
Mi Jian ◽  
Yijiao Chen ◽  
...  

Abstract Background Due to a limited patient sample size, substantial data on robotic rectal resection (RRR) is lacking. Here, we reported a large consecutive cases from the real word data to assess the safety and efficacy of RRR. Methods From September 2010 to June 2017, a total of 1145 consecutive RRR procedures were performed in patients with stage I–IV disease. We conducted an analysis based on information from a prospectively designed database to evaluate surgical outcomes, urogenital function, and long-term oncological outcomes. Results Of three types of RRR performed, 227 (24.2%) were abdominoperineal resections, 865 (75.5%) were anterior resections, and 3 (0.3%) were Hartmann. Conversion to an open procedure occurred in 5.9% of patients. The overall positive circumferential margin rate was 1.3%. Surgical complication rate and mortality were 16.2% and 0.8% within 30 days of surgery, respectively. Mean hospital stay after surgery and hospital cost were 6.3 ± 2.9 days and 10442.5 ± 3321.5 US dollars, respectively. Risk factors for surgical complications included male gender, tumor location (mid-low rectum), combined organ resection, and clinical T category (cT3–4). Urinary function and general sexual satisfaction decreased significantly 1 month after surgery for both sexes. Subsequently, both parameters increased progressively, and the values 1 year after surgery were comparable to those measured before surgery. At a median follow-up of 34.6 months, local recurrence and distant metastases occurred in 2.3% and 21.1% of patients, respectively. Conclusions Robotic rectal resection was safe with preserved urogenital function and arrived equivalent oncological outcomes in a nonselected group of patients with rectal cancer.



2018 ◽  
Vol 16 (1) ◽  
Author(s):  
Xiaoli Tang ◽  
Zheng Wang ◽  
Xiaoqing Wu ◽  
Meiyuan Yang ◽  
Daorong Wang


2018 ◽  
Vol 20 (6) ◽  
pp. O123-O134 ◽  
Author(s):  
A. Ledebo ◽  
D. Bock ◽  
M. Prytz ◽  
E. Haglind ◽  
E. Angenete


BMJ Open ◽  
2018 ◽  
Vol 8 (5) ◽  
pp. e021974 ◽  
Author(s):  
David Bock ◽  
Eva Angenete ◽  
Elisabeth Gonzales ◽  
Jane Heath ◽  
Eva Haglind


2017 ◽  
Vol 14 (2) ◽  
pp. 205-214 ◽  
Author(s):  
Maha Aleid ◽  
Asif Muneer ◽  
Sara Renshaw ◽  
Jason George ◽  
Andrew D. Jenkinson ◽  
...  


2016 ◽  
Vol 32 (2) ◽  
pp. 241-248 ◽  
Author(s):  
Sofoklis Panteleimonitis ◽  
Jamil Ahmed ◽  
Meghana Ramachandra ◽  
Muhammad Farooq ◽  
Mick Harper ◽  
...  


2016 ◽  
Vol 13 (5) ◽  
pp. S116
Author(s):  
M. Aleid ◽  
S. Cellek ◽  
A. Muneer ◽  
D. Ralph ◽  
M. Hashemi ◽  
...  




2014 ◽  
Vol 10 (6) ◽  
pp. 1160-1164 ◽  
Author(s):  
Hendt P. Versteegh ◽  
Cornelius E.J. Sloots ◽  
Katja P. Wolffenbuttel ◽  
Justin R. de Jong ◽  
Christien Sleeboom ◽  
...  
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