Robotic colorectal cancer surgery in China: a nationwide retrospective observational study
| Autor: | Ren Zhao, Fanghai Han, Weitang Yuan, Zhiwei Jiang, Guodong He, Kang Wang, Xiongfei Yang, Taiyuan Li, Xuejun Sun, Jianmin Xu, Ming Zhong, Ye Wei, Baoqing Jia, Xiaorong Li, Cheng Zhang, Zongyou Chen, Hongliang Yao, Ziqiang Wang, Dalu Kong, Longwei Cheng, Xin Wang, Yongxiang Li, Yingjiang Ye, Bo Tang, Kaixiong Tao, Yulong He, Xiaoqiao Zhang, Yanbing Zhou, Pan Chi, Weidong Tong, Qingyang Feng |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Colorectal cancer Rectum Anastomotic Leak Robotic Surgical Procedures Risk Factors medicine Humans Robotic surgery Digestive System Surgical Procedures Retrospective Studies Proctectomy business.industry Rectal Neoplasms Anastomosis Surgical Postoperative complication Retrospective cohort study Middle Aged medicine.disease Primary tumor Colorectal surgery Surgery medicine.anatomical_structure Female business Abdominal surgery |
| Zdroj: | Surgical endoscopy. 35(12) |
| ISSN: | 1432-2218 |
| Popis: | Robotic colorectal cancer surgery is widely accepted and applied. However, there is still no objective and comprehensive assessment on the data of nationwide multicenter series. A total of 28 medical centers in Mainland China participated in this nationwide retrospective observational study. From the first case performed in each center to the last until December 2017, patients with robotic resection for primary tumor and pathologically confirmed colorectal adenocarcinoma were consecutively enrolled. Clinical, pathological and follow-up data were collected and analyzed. A total of 5389 eligible patients were finally enrolled in this study, composing 72.2% of the total robotic colorectal surgery volume of Mainland China in the same period. For resections of one bowel segment of primary tumor, the postoperative mortality rate was 0.08% (4/5063 cases), and the postoperative complication rate (Clavien–Dindo grade II or higher) was 8.6% (434/5063 cases). For multiple resections, the postoperative mortality rate was 0.6% (2/326 cases), and the postoperative complication rate was 16.3% (53/326 cases). Out of 2956 patients receiving sphincter-preserving surgery in only primary resection, 130 (4.4%) patients had anastomotic leakage. Traditional low anterior resection (tumor at middle rectum) (OR 2.384, P |
| Databáze: | OpenAIRE |
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