Robotic-assisted vs. conventional laparoscopic surgery for rectal cancer: short-term outcomes at a single center

Yamaguchi, Takashi; Kinugasa, Yusuke; Shiomi, Akio; Tomioka, Hiroyuki; Kagawa, Hiroyasu; Yamakawa, Yushi

doi:10.1007/s00595-015-1266-4

Cited by 87 publications

(94 citation statements)

References 29 publications

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“…Other recent developments in rectal surgery may have an impact in the future but have yet to find their place in IBD surgery. Proponents of robotic surgery argue that a reduced risk of urinary and sexual dysfunction may be one of the great advantages, and we await trial data .…”

Section: Proctectomy and Proctocolectomymentioning

confidence: 99%

The Association of Coloproctology of Great Britain and Ireland consensus guidelines in surgery for inflammatory bowel disease

et al. 2018

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Aim There is a requirement of an expansive and up to date review of surgical management of inflammatory bowel disease (IBD) that can dovetail with the medical guidelines produced by the British Society of Gastroenterology. Methods Surgeons who are members of the ACPGBI with a recognised interest in IBD were invited to contribute various sections of the guidelines. They were directed to produce a procedure based document using literature searches that were systematic, comprehensible, transparent and reproducible. Levels of evidence were graded. An editorial board was convened to ensure consistency of style, presentation and quality. Each author was asked to provide a set of recommendations which were evidence based and unambiguous. These recommendations were submitted to the whole guideline group and scored. They were then refined and submitted to a second vote. Only those that achieved >80% consensus at level 5 (strongly agree) or level 4 (agree) after 2 votes were included in the guidelines. Results All aspects of surgical care for IBD have been included along with 157 recommendations for management. Conclusion These guidelines provide an up to date and evidence based summary of the current surgical knowledge in the management of IBD and will serve as a useful practical text for clinicians performing this type of surgery.

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Section: Proctectomy and Proctocolectomymentioning

confidence: 99%

The Association of Coloproctology of Great Britain and Ireland consensus guidelines in surgery for inflammatory bowel disease

et al. 2018

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“…Pour ce travail, nous nous sommes intéressés aux articles récents (< cinq ans) comparant les deux voies d'abord et n'incluant que des patients atteints d'un cancer du rectum. Nous avons ainsi sélectionné au total dix articles comportant quatre études cas-témoins [11][12][13][14], dont une à partir d'un registre national [14], et six comparaisons rétro-spectives de cohorte [15][16][17][18][19][20]. Nous avons recherché dans ces articles lorsqu'ils étaient disponibles les paramètres pré-, per-et postopératoires (critères de faisabilité et de sécu-rité chirurgicales) mais également les résultats sur la qualité de l'exérèse (marge circonférentielle, caractère complet du mésorectum, nombre de ganglions prélevés), la survie et la récidive locale (critères de validité oncologiques).…”

Section: Résultats De La Proctectomie Robot-assistéeunclassified

“…Les résultats de la morbidité globale (Tableau 3) sont rapportés dans neuf des dix études sélectionnées [11][12][13][15][16][17][18][19][20]. Les chiffres rapportés sont globalement comparables (de l'ordre de 20 à 40 % en fonction des définitions des complications), sans différence entre les voies d'abord.…”

Section: Morbidité Postopératoireunclassified

“…Les chiffres rapportés sont globalement comparables (de l'ordre de 20 à 40 % en fonction des définitions des complications), sans différence entre les voies d'abord. L'essai japonais [18] est le seul à retrouver une morbidité inférieure à 10 % et une différence significative en faveur du robot sur les complications urologiques (p = 0,018). Le taux de fistule anastomotique après procédure robotisée est retrouvé dans ces neuf études (entre 0 et 11,4 %), mais seules quatre séries [12,[16][17][18] ont réalisé un test statistique sur cette donnée.…”

Section: Morbidité Postopératoireunclassified

“…Les résultats en termes de durée d'hospitalisation (Tableau 4) sont globalement favorables à l'abord robotisé et statistiquement significatifs dans deux essais [18,19].…”

Section: Durée D'hospitalisationunclassified

See 2 more Smart Citations

Robotic surgery in rectal cancer

Coget¹,

Colombo²,

Mourrégot³

et al. 2016

Oncologie

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La proctectomie laparoscopique est désormais le standard dans la prise en charge des cancers du rectum. Elle reste toutefois techniquement difficile, ce qui semble limiter sa généralisation. La chirurgie robotique a été développée pour pallier ces difficultés, mais sa place reste à définir en chirurgie rectale. Cette analyse de la littérature récente montre la faisabilité et la sécurité oncologique de la procédure robot-assistée avec des résultats comparables à la laparoscopie en termes de suites postopératoires et de survie. Elle semblerait permettre une diminution du taux de conversion et de la durée d'hospitalisation et permettrait une meilleure dissection du rectum se traduisant par de meilleurs résultats fonctionnels génito-urinaires. Ces avantages pourraient justifier le surcoût de cette procédure. Mots clés Cancer du rectum · Proctectomie · Chirurgie robotique/Proctectomie · Rectal cancer · RobotiqueAbstract Laparoscopic surgery is now the standard therapy for rectal cancer. It remains technically challenging which limits its application. Robotic surgery is a new technology that enables a surgeon to perform minimally invasive operations with more facilities. This review of current literature shows feasibility and oncological safety of robotic rectal cancer surgery. Robotic rectal surgery is associated with comparable postoperative and oncological results when compared with laparoscopic rectal surgery. It appears to be an effective alternative with a lower conversion rate to open surgery, and better recovery in voiding and sexual function. These potential benefits of robotic surgery could justify its costs.

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Recent updates in the surgical treatment of colorectal cancer

Matsuda

Yamashita

Hasegawa

et al. 2018

Annals of Gastroent Surgery

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Because of recent advances in medical technology and new findings of clinical trials, treatment options for colorectal cancer are evolutionally changing, even in the last few years. Therefore, we need to update the treatment options and strategies so that patients can receive optimal and tailored treatment. The present review aimed to elucidate the recent global trends and update the surgical treatment strategies in colorectal cancer by citing the literature published in the last 2 years, namely 2016 and 2017. Although laparoscopic surgery is still considered the most common approach for the treatment of colorectal cancer, new surgical technologies such as transanal total mesorectal excision, robotic surgery, and laparoscopic lateral pelvic lymph node dissection are emerging. However, with the recent evidence, superiority of the laparoscopic approach to the open approach for rectal cancer seems to be controversial. Surgeons should notice the risk of adverse outcomes associated with unfounded and uncontrolled use of these novel techniques. Many promising results are accumulating in preoperative and postoperative treatment including chemotherapy, chemoradiotherapy, and targeted therapy. Development of new biomarkers seems to be essential for further improvement in the treatment outcomes of colorectal cancer patients.

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Robotic-assisted vs. conventional laparoscopic surgery for rectal cancer: short-term outcomes at a single center

Abstract: The short-term outcomes in this series provide further evidence that RALS may be superior to CLS for rectal cancer.

Cited by 87 publications

References 29 publications

The Association of Coloproctology of Great Britain and Ireland consensus guidelines in surgery for inflammatory bowel disease

The Association of Coloproctology of Great Britain and Ireland consensus guidelines in surgery for inflammatory bowel disease

Robotic surgery in rectal cancer

Recent updates in the surgical treatment of colorectal cancer

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