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
Rok vydání: 2021
Předmět:
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