“…27.5%), as it was replaced with intersphincteric resection. Our operative time in the robot-assisted group was shorter than in other reports, as the lithotomy position and primary closure of the wound saved time [ 6 8 ]. We did not experience any conversion to open APR.…”
Section: Discussionmentioning
confidence: 74%
“…Although the laparoscopic approach provides a magnified view, it still has technical inconveniences due to the levering effect and the failure to maintain triangulation using long-shaft instruments. Recently, several investigations covering small case-series reported that robot-assisted APR presents technical efficiencies and has encouraging outcomes [ 6 7 8 ]. The present study aimed to objectively evaluate robot-assisted APR in comparison with open APR, in terms of operative elements and initial oncological outcomes.…”
PurposeThe present study aimed to objectively evaluate robot-assisted abdominoperineal resection (APR) in comparison with open APR, in terms of operative elements and initial oncological outcomes.MethodsA total of 118 patients with lower rectal adenocarcinoma who had undergone curative APR were consecutively enrolled between June 2010 and June 2016, i.e., robot-assisted group (n = 40) and open group (n = 78).ResultsTransabdominal extralevator muscle excision was more frequently performed in the robot-assisted group than in the open group (68% vs. 42%, P = 0.012). In the robot-assisted group, the pain score at one day after surgery was less than in the open group, and the resumption of bowel function was earlier (P = 0.043 and P = 0.002, respectively). The occurrence of circumferential resection margin involvement (CRM+) was more than 5 times greater in the open group than in the robot-assisted group, presenting a marginal significance (P = 0.057). Although important postoperative morbidity did not generally differ between the 2 groups, voiding difficulty and male sexual dysfunction appeared to be encountered more frequently in the open group than in the robot-assisted group.ConclusionThe robot-assisted APR facilitated transabdominal extralevator excision and bowel recovery and demonstrated a trend towards reduced CRM+.
“…27.5%), as it was replaced with intersphincteric resection. Our operative time in the robot-assisted group was shorter than in other reports, as the lithotomy position and primary closure of the wound saved time [ 6 8 ]. We did not experience any conversion to open APR.…”
Section: Discussionmentioning
confidence: 74%
“…Although the laparoscopic approach provides a magnified view, it still has technical inconveniences due to the levering effect and the failure to maintain triangulation using long-shaft instruments. Recently, several investigations covering small case-series reported that robot-assisted APR presents technical efficiencies and has encouraging outcomes [ 6 7 8 ]. The present study aimed to objectively evaluate robot-assisted APR in comparison with open APR, in terms of operative elements and initial oncological outcomes.…”
PurposeThe present study aimed to objectively evaluate robot-assisted abdominoperineal resection (APR) in comparison with open APR, in terms of operative elements and initial oncological outcomes.MethodsA total of 118 patients with lower rectal adenocarcinoma who had undergone curative APR were consecutively enrolled between June 2010 and June 2016, i.e., robot-assisted group (n = 40) and open group (n = 78).ResultsTransabdominal extralevator muscle excision was more frequently performed in the robot-assisted group than in the open group (68% vs. 42%, P = 0.012). In the robot-assisted group, the pain score at one day after surgery was less than in the open group, and the resumption of bowel function was earlier (P = 0.043 and P = 0.002, respectively). The occurrence of circumferential resection margin involvement (CRM+) was more than 5 times greater in the open group than in the robot-assisted group, presenting a marginal significance (P = 0.057). Although important postoperative morbidity did not generally differ between the 2 groups, voiding difficulty and male sexual dysfunction appeared to be encountered more frequently in the open group than in the robot-assisted group.ConclusionThe robot-assisted APR facilitated transabdominal extralevator excision and bowel recovery and demonstrated a trend towards reduced CRM+.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
