Clinical effects of da Vinci® robotic-assisted total mesorectal excision for rectal cancer
[Objectives] To compare and analyze the clinical effect between laparoscopic and da Vinci® robotic-assisted total mesorectal excision (TME) for rectal cancer. [Methods] A retrospective analysis was conducted on the clinical data of 193 rectal cancer patients treated in the Department of Colorectal S...
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| Format: | Article |
| Language: | zho |
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Editorial Office of Journal of Colorectal & Anal Surgery
2024-06-01
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| Series: | 结直肠肛门外科 |
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| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=274&cateName=2024%E5%B9%B4%20%E7%AC%AC30%E5%8D%B7%20%E7%AC%AC3%E6%9C%9F |
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| author | Sun Zhanyuan Li Hai Hou Shaohua Chang Xin Zhou Jie Yang Bao |
| author_facet | Sun Zhanyuan Li Hai Hou Shaohua Chang Xin Zhou Jie Yang Bao |
| author_sort | Sun Zhanyuan |
| collection | DOAJ |
| description | [Objectives] To compare and analyze the clinical effect between laparoscopic and da Vinci® robotic-assisted total mesorectal excision (TME) for rectal cancer. [Methods] A retrospective analysis was conducted on the clinical data of 193 rectal cancer patients treated in the Department of Colorectal Surgery, General Hospital of Ningxia Medical University, from October 2022 to October 2023. Patients were divided into two groups based on surgical approach: laparoscopic-assisted TME (laparoscopic group, n=136) and robotic-assisted TME (robotic group, n=57). General information, clinicopathological characteristics, surgical-related indicators, and postoperative complication-related indicators were compared between the two groups. [Results] Statistically significant differences were observed in age, BMI, and history of abdominal surgery between the two groups (P<0.05). In contrast, no significant differences were found in gender and history of diabetes (P>0.05). Significant differences were noted in hospitalization costs, ASA classification, and the number of lymph nodes dissected (P<0.05). No significant differences were observed in pathological type, degree of differentiation, TNM stage of the tumor, tumor size, and preoperative neoadjuvant chemotherapy (P>0.05). Statistically significant differences were observed in operative time, intraoperative blood loss, length of hospital stay, first flatus time, first defecation time, and the need for preventive stoma (P<0.05). No significant differences were found in the surgical approach and drain removal time (P>0.05). There were no significant differences in postoperative complication-related indicators between the two groups (P>0.05). [Conclusion] The da Vinci® robotic surgical system and laparoscopy demonstrate similar oncologic outcomes when applied to TME for rectal cancer. Surgeons in the Western region should carefully weigh the pros and cons of this technology when actively pursuing its implementation, aiming to maximize patient benefits. |
| format | Article |
| id | doaj-art-dc20b1294dec466792b9400ff2650ebe |
| institution | OA Journals |
| issn | 1674-0491 |
| language | zho |
| publishDate | 2024-06-01 |
| publisher | Editorial Office of Journal of Colorectal & Anal Surgery |
| record_format | Article |
| series | 结直肠肛门外科 |
| spelling | doaj-art-dc20b1294dec466792b9400ff2650ebe2025-08-20T02:31:02ZzhoEditorial Office of Journal of Colorectal & Anal Surgery结直肠肛门外科1674-04912024-06-0130331131610.19668/j.cnki.issn1674-0491.2024.03.012Clinical effects of da Vinci® robotic-assisted total mesorectal excision for rectal cancerSun Zhanyuan0Li Hai1Hou Shaohua2Chang Xin3Zhou Jie4Yang Bao5Clinical Medical College, Ningxia Medical University, Yinchuan 750000, Ningxia, ChinaClinical Medical College, Ningxia Medical University, Yinchuan 750000, Ningxia, ChinaClinical Medical College, Ningxia Medical University, Yinchuan 750000, Ningxia, ChinaClinical Medical College, Ningxia Medical University, Yinchuan 750000, Ningxia, ChinaDepartment of Colorectal Surgery, General Hospital of Ningxia Medical University, Yinchuan 750000, Ningxia, ChinaDepartment of Colorectal Surgery, General Hospital of Ningxia Medical University, Yinchuan 750000, Ningxia, China[Objectives] To compare and analyze the clinical effect between laparoscopic and da Vinci® robotic-assisted total mesorectal excision (TME) for rectal cancer. [Methods] A retrospective analysis was conducted on the clinical data of 193 rectal cancer patients treated in the Department of Colorectal Surgery, General Hospital of Ningxia Medical University, from October 2022 to October 2023. Patients were divided into two groups based on surgical approach: laparoscopic-assisted TME (laparoscopic group, n=136) and robotic-assisted TME (robotic group, n=57). General information, clinicopathological characteristics, surgical-related indicators, and postoperative complication-related indicators were compared between the two groups. [Results] Statistically significant differences were observed in age, BMI, and history of abdominal surgery between the two groups (P<0.05). In contrast, no significant differences were found in gender and history of diabetes (P>0.05). Significant differences were noted in hospitalization costs, ASA classification, and the number of lymph nodes dissected (P<0.05). No significant differences were observed in pathological type, degree of differentiation, TNM stage of the tumor, tumor size, and preoperative neoadjuvant chemotherapy (P>0.05). Statistically significant differences were observed in operative time, intraoperative blood loss, length of hospital stay, first flatus time, first defecation time, and the need for preventive stoma (P<0.05). No significant differences were found in the surgical approach and drain removal time (P>0.05). There were no significant differences in postoperative complication-related indicators between the two groups (P>0.05). [Conclusion] The da Vinci® robotic surgical system and laparoscopy demonstrate similar oncologic outcomes when applied to TME for rectal cancer. Surgeons in the Western region should carefully weigh the pros and cons of this technology when actively pursuing its implementation, aiming to maximize patient benefits.https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=274&cateName=2024%E5%B9%B4%20%E7%AC%AC30%E5%8D%B7%20%E7%AC%AC3%E6%9C%9Frectal cancerda vinci® robotic surgerylaparoscopic surgerytotal mesorectal excision |
| spellingShingle | Sun Zhanyuan Li Hai Hou Shaohua Chang Xin Zhou Jie Yang Bao Clinical effects of da Vinci® robotic-assisted total mesorectal excision for rectal cancer 结直肠肛门外科 rectal cancer da vinci® robotic surgery laparoscopic surgery total mesorectal excision |
| title | Clinical effects of da Vinci® robotic-assisted total mesorectal excision for rectal cancer |
| title_full | Clinical effects of da Vinci® robotic-assisted total mesorectal excision for rectal cancer |
| title_fullStr | Clinical effects of da Vinci® robotic-assisted total mesorectal excision for rectal cancer |
| title_full_unstemmed | Clinical effects of da Vinci® robotic-assisted total mesorectal excision for rectal cancer |
| title_short | Clinical effects of da Vinci® robotic-assisted total mesorectal excision for rectal cancer |
| title_sort | clinical effects of da vinci r robotic assisted total mesorectal excision for rectal cancer |
| topic | rectal cancer da vinci® robotic surgery laparoscopic surgery total mesorectal excision |
| url | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=274&cateName=2024%E5%B9%B4%20%E7%AC%AC30%E5%8D%B7%20%E7%AC%AC3%E6%9C%9F |
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