Robotic versus laparoscopic anterior resections for rectal and rectosigmoid cancer: an institutional experience
Autor: | Ross Free, Adnan Hafeez, Diarmuid S. O’Riordain, Resa Kalbassi, Timothy Nugent, Noel E Donlon, Paul Neary |
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Rok vydání: | 2021 |
Předmět: |
Laparoscopic surgery
medicine.medical_specialty business.industry Medical record medicine.medical_treatment Rectum General Medicine 030204 cardiovascular system & hematology Colorectal surgery Surgery Stoma 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure medicine Defecation Robotic surgery 030212 general & internal medicine business Lymph node |
Zdroj: | Irish Journal of Medical Science (1971 -). 191:845-851 |
ISSN: | 1863-4362 0021-1265 |
Popis: | 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. 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. 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 |
Databáze: | OpenAIRE |
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