Efficacy of reinforcing sutures for prevention of anastomotic leakage after low anterior resection for rectal cancer: A systematic review and meta‐analysis

Wang, Shuanhu; Zhang, Yi; Tao, Song; Liu, Yakui; Shi, Yi; Guan, Jiajia; Liu, Mulin

doi:10.1002/cnr2.1941

Cited by 2 publications

(2 citation statements)

References 29 publications

(58 reference statements)

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“…A recent systematic review and meta-analysis by Wang et al demonstrated a lower incidence of anastomosis leakage (RR 0.41, 95% CI 0.25-0.66) in patients with reinforcing sutures with a leakage rate of 4.4% compared to the 11.9% for whom no reinforce suture was performed. [10] Our data align with the existing literature that compares SPRS with single-incision laparoscopic surgery (SILS), showing comparable operation times [6,7]. Our mean operation time of 222.4min is longer than that reported by Change et al (185min) but shorter than the comparative analysis performed by Keller et al (296min).…”

Section: Discussionsupporting

confidence: 89%

Early Single Center Experience of DaVinci<sup>®</sup> Single-Port (SP) Robotic Surgery in Colorectal Patients

Cho,

Kim

2024

Preprint

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Background DaVinci Single-Port (SP) robotic surgery offers several benefits compared to traditional multiport laparoscopic or robotic surgeries. One of the main advantages is that it allows for a minimally invasive approach, resulting in a single, smaller incision and reduced trauma to the patient’s body leading to less postoperative pain, faster recovery, and reduced risk of complications. The cosmesis of a single port with minimal visible scarring is also an attractive aspect to the patients; however, many surgeons use an additional port for energy device, stapler use, and drain insertion. Pure single port surgery with one incision is still rare. Here we share our experience of first 10 cases using SP robotic platform in colorectal surgery. Methods From May 2023 to December 2023, colorectal patients who underwent SP-robotic surgery were analyzed. Placement of the incision was umbilicus for 8 patients, and right lower quadrant for 2 patients through which ileostomy maturation was performed. Data including perioperative parameters and postoperative outcomes were analyzed with a median follow-up of 4.6months (range 0.6-7.4months). Results A total number of 10 colorectal patients underwent DaVinci Single-Port robotic colorectal surgery at our institution during this period. Demographics of the patients showed 4 males (40%) and 6 females (60%) with a median age of 63.5years (range 50-75years). Median body mass index (BMI) was 22.89kg/m2 (range 19.92-26.84kg/m2), and 9 patients were diagnosed with colorectal cancer and 1 patient was diagnosed with rectal gastrointestinal tumor. One patient underwent anterior resection and cholecystectomy simultaneously. Mean operation time was 222min (range 142-316min), and mean wound size was 3.25cm (range 2.5-4.5cm). Nine patients underwent surgery with single incision through which single port trocar was inserted, and one patient had one additional port for drain insertion. Mean hospital stay was 6 days (range 4-8 days) with 1 postoperative complication of bleeding requiring transfusion, but there was no re-admission within 30 days. Conclusion Overall, our experience with single-port robotic colorectal surgery has been promising. With only one patient with additional port for drain insertion, all nine patients underwent SP-robotic surgery with single incision for colon as well as rectal surgeries. Compared to an average postoperative length of stay of 6.5-8 days in laparoscopic colorectal surgeries reported in literature, SP-robotic surgery showed faster recovery of 6 days highlighting its benefits in patient recovery and satisfaction.

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Section: Discussionsupporting

confidence: 89%

Early Single Center Experience of DaVinci<sup>®</sup> Single-Port (SP) Robotic Surgery in Colorectal Patients

Cho,

Kim

2024

Preprint

View full text Add to dashboard Cite

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“…However, intracorporeal reinforcing suturing of the anastomosis using the robotic system can reduce the possible occurrence of anastomosis leakage. A recent systematic review and meta-analysis by Wang et al demonstrated a lower incidence of anastomosis leakage (RR 0.41, 95% CI 0.25-0.66) in patients with reinforcing sutures, with a leakage rate of 4.4% compared to the 11.9% for whom no reinforcing suture was performed [14].…”

Section: Discussionmentioning

confidence: 99%

Early Single-Center Experience of DaVinci® Single-Port (SP) Robotic Surgery in Colorectal Patients

Cho,

Kim

2024

JCM

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Background: DaVinci® single-port (SP) robotic surgery offers several benefits compared to traditional multiport laparoscopic or robotic surgeries. One of the main advantages is that it allows for a minimally invasive approach, resulting in a single, smaller incision and reduced trauma to the patient’s body, leading to less postoperative pain, faster recovery, and reduced risk of complications. The cosmesis of a single port with minimal visible scarring is also an attractive aspect to the patients; however, many surgeons use an additional port for energy device, stapler use, and drain insertion. Pure single-port surgery with one incision is still rare. Here, we share our experience of our first 10 cases using the SP robotic platform in colorectal surgery. Methods: From May 2023 to December 2023, colorectal patients who underwent SP robotic surgery were analyzed. Placement of the incision was the umbilicus for eight patients, and right lower quadrant for two patients, through which ileostomy maturation was performed. Data on perioperative parameters and postoperative outcomes were analyzed, with a median follow-up of 4.6 months (range 0.6–7.4 months). Results: A total of 10 colorectal patients underwent DaVinci® single-port robotic colorectal surgery at our institution during this period. The patient demographic was four males (40%) and six females (60%) with a median age of 63.5 years (range 50–75 years). Median body mass index (BMI) was 22.89 kg/m2 (range 19.92–26.84 kg/m2). Nine patients were diagnosed with colorectal cancer, and one patient was diagnosed with a rectal gastrointestinal tumor. One patient underwent anterior resection and cholecystectomy simultaneously. Mean operation time was 222 min (range 142–316 min), and mean wound size was 3.25 cm (range 2.5–4.5 cm). Nine patients underwent surgery with single incision through which a single-port trocar was inserted, and one patient had one additional port for drain insertion. Mean hospital stay was 6 days (range 4–8 days) with one postoperative complication of bleeding requiring transfusion, but there was no readmission within 30 days. Conclusions: Overall, our experience with single-port robotic colorectal surgery has been promising. With only one patient with additional port for drain insertion, all nine patients underwent SP-robotic surgery with single incision for colon as well as rectal surgeries. Compared to an average postoperative length of stay of 6.5-8 days in laparoscopic colorectal surgeries reported in literature, SP-robotic surgery 33showed faster recovery of 6 days highlighting its benefits in patient recovery and satisfaction.

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Efficacy of reinforcing sutures for prevention of anastomotic leakage after low anterior resection for rectal cancer: A systematic review and meta‐analysis

Cited by 2 publications

References 29 publications

Early Single Center Experience of DaVinci<sup>®</sup> Single-Port (SP) Robotic Surgery in Colorectal Patients

Early Single Center Experience of DaVinci<sup>®</sup> Single-Port (SP) Robotic Surgery in Colorectal Patients

Early Single-Center Experience of DaVinci® Single-Port (SP) Robotic Surgery in Colorectal Patients

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