The impact of robotic surgery on quality of life, urinary and sexual function following total mesorectal excision for rectal cancer: a propensity score‐matched analysis with laparoscopic surgery

Kim, H. J.; Choi, Gyu–Seog; Park, J. S.; Park, S. Y.; Yang, Chun‐Seok; Lee, H. J.

doi:10.1111/codi.14051

Cited by 101 publications

(117 citation statements)

References 34 publications

(60 reference statements)

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“…The postoperative scores were comparable with preoperative scores at 6 months in the robotic group and at 12 months in the laparoscopic group. Of 48 sexually active men in each group, erectile function scores decreased postoperatively, returning to preoperative levels at 6 months in the robotic group and at 12 months in the laparoscopic groups . Robotic TME in patients with rectal cancer is associated with a lower rate of conversion and lower incidence of urinary retention compared with laparoscopic TME.…”

Section: Arguments For (Khan Banerjee Kim)mentioning

confidence: 86%

Robotic rectal surgery has advantages over laparoscopic surgery in selected patients and centres

et al. 2018

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Section: Arguments For (Khan Banerjee Kim)mentioning

confidence: 86%

Robotic rectal surgery has advantages over laparoscopic surgery in selected patients and centres

et al. 2018

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“…Several studies have assessed urinary and sexual function after RALS and CLS using the International Prostate Symptom Score (IPSS) and the International Index of Erectile Function questionnaire (Table ) . Some of these studies showed significantly improved urinary continence at 3, 6, and 12 months after TME performed by RALS.…”

Section: Urogenital Functionmentioning

confidence: 99%

Robotic‐assisted surgery for rectal cancer: Current state and future perspective

Matsuyama

Kinugasa

Nakajima

et al. 2018

Annals of Gastroent Surgery

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Interest in minimally invasive surgery has increased in recent decades. Robotic‐assisted laparoscopic surgery (RALS) was introduced as the latest advance in minimally invasive surgery. RALS has the potential to provide better clinical outcomes in rectal cancer surgery, allowing for precise dissection in the narrow pelvic space. In addition, RALS represents an important advancement in surgical education with respect to use of the dual‐console robotic surgery system. Because the public health insurance systems in Japan have covered the cost of RALS for rectal cancer since April 2018, RALS has been attracting increasingly more attention. Although no overall robust evidence has yet shown that RALS is superior to laparoscopic or open surgery, the current evidence supports the notion that technically demanding subgroups (patients with obesity, male patients, and patients treated by extended procedures) may benefit from RALS. Technological innovation is a constantly evolving field. Several companies have been developing new robotic systems that incorporate new technology. This competition among companies in the development of such systems is anticipated to lead to further improvements in patient outcomes as well as drive down the cost of RALS, which is one main concern of this new technique.

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“…Sexual function returned to baseline at 6 months in the robotic group, but did not return to baseline until 12 months after surgery in the laparoscopic group. Overall, this study showed that although quality of life worsens initially after surgery, the robotic group had an earlier return to baseline quality of life than the laparoscopic group [35] .…”

Section: Robotic Surgery For Rectal Cancermentioning

confidence: 64%

“…Furthermore, several small single center short term studies demonstrated a significant improvement in sexual function. One study even showed a modest improvement in bladder function in robotic surgery patients compared to laparoscopic surgery patients [29][30][31][32][33][34][35][36] . Benefits have been attributed to the superior dissection allowed by robotic surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Two larger single center studies have been done more recently. One was a quality of life study using a propensity score matched analysis, studying a total of 260 patients (130 robotic and 130 laparoscopic) [35] . Patients were given questionnaires (EORTC QLQ-C30, IPSS, and IIEF-5) preoperatively and at 3, 6, and 12 months after surgery.…”

Section: Robotic Surgery For Rectal Cancermentioning

confidence: 99%

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Quality of life after minimally invasive surgery for rectal cancer

Chen¹,

Ayscue²,

Bayasi³

et al. 2018

MIS

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of life after minimally invasive surgery for rectal cancer. Mini-invasive Surg 2018;2:42. http://dx. AbstractTraditional open surgical technique for rectal cancer is associated with significant morbidity and impact on quality of life. Multiple structures are at risk during total mesorectal excision, which may have profound impact on sexual function, and urinary and fecal continence. In addition, having a temporary or permanent ostomy can have a significant effect on overall well-being. Patients have reported post-operative problems such as chronic wounds, poor body image, inhibited work and social function. Minimally invasive surgery (MIS) is an evolving component of colon and rectal cancer treatment that may have benefits over open surgery. The increasing role of laparoscopy for colon and rectal cancer has been associated with decreased morbidity, improved pain control, and reduced length of stay. However, laparoscopic surgery in rectal cancer remains technically difficult due to the inherent limitations of operating in the pelvis. Robotic surgery is a newer method for treating rectal cancer developed to overcome these limitations. Transanal endoscopic microsurgery and transanal MIS are techniques to achieve local excision, avoiding proctectomy in select patients, potentially improving functional outcomes. Transanal total mesorectal excision is an even newer technique to facilitate dissection of low rectal cancers. Controversy remains about equivalence in oncologic outcomes when these MIS approaches are used for rectal cancer. Even more unclear is the effect of MIS approaches on quality of life and how they compare to open surgery. This review discusses the most current evidence on the impact of various MIS techniques on quality of life after rectal cancer surgery. Keywords:Quality of life, rectal cancer, minimally invasive surgery, laparoscopic, robotic, transanal endoscopic microsurgery, transanal minimally invasive surgery, transanal total mesorectal excision DECLARATIONS Authors' contributionsConception and design of the work, acquisition, analysis, interpretation of data, drafting and revising the work: Chen JH, Bello BL Conception and design of the work, revising the work:

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The impact of robotic surgery on quality of life, urinary and sexual function following total mesorectal excision for rectal cancer: a propensity score‐matched analysis with laparoscopic surgery

Abstract: The robotic approach for TME was associated with less impairment of urinary and sexual function; QoL was comparable to the laparoscopic approach.

Cited by 101 publications

References 34 publications

Robotic rectal surgery has advantages over laparoscopic surgery in selected patients and centres

Robotic rectal surgery has advantages over laparoscopic surgery in selected patients and centres

Robotic‐assisted surgery for rectal cancer: Current state and future perspective

Quality of life after minimally invasive surgery for rectal cancer

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