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What Have We Gained by Performing Robotic Rectal Resection? Evaluation of 64 Consecutive Patients Who Underwent Laparoscopic or Robotic Low Anterior Resection for Rectal Adenocarcinoma

Erguner, Ilknur MD*; Aytac, Erman MD; Boler, Deniz Eren MD*; Atalar, Banu MD; Baca, Bilgi MD; Karahasanoglu, Tayfun MD†,§; Hamzaoglu, Ismail MD†,§; Uras, Cihan MD†,§

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques: June 2013 - Volume 23 - Issue 3 - p 316–319
doi: 10.1097/SLE.0b013e31828e3697
Original Articles
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Background: Robotic surgery is thought to be a solution to overcome the limitations of laparoscopy in sphincter-saving resections. In this study, we present our results on patients undergoing robotic and laparoscopic low anterior resection (LAR) consecutively for rectal adenocarcinoma.

Materials and Methods: Between February 2008 and June 2011, consecutive patients who underwent laparoscopic or robotic LAR by a single surgical team for rectal cancer were evaluated. The patients’ demographic, operative, postoperative short-term follow-up, and histopathologic data were analyzed.

Results: Twenty-seven patients underwent robotic LAR, whereas 37 patients underwent laparoscopic LAR. The operation time of the laparoscopy group was significantly shorter than that of the robotic group (P=0.02). The complete total mesorectal excision rate was significantly higher in the robotic group (P=0.02). The overall complication rates were 11.11% and 21.62% in the robotic and laparoscopy groups, respectively (P=0.45).

Conclusions: Good quality of resected specimens could be achieved with robotic LAR. Further prospective studies including long-term oncologic outcomes and costs with higher patient number are definitely needed to assess the benefits of robotic resection in rectal cancer treatment.

Departments of *Surgery

Radiation Oncology, Acibadem University School of Medicine

Department of Surgery, Cerrahpasa Medical Faculty

§Department of Surgery, Acibadem Maslak Hospital, Istanbul, Turkey

The authors declare no conflicts of interest.

Reprints: Ilknur Erguner, MD, Döngel Mah. Altintepe Sok. 2/30, Başiskele, Kocaeli, Turkey (e-mail: ilknurerenler@hotmail.com)

Received June 14, 2012

Accepted October 11, 2012

© 2013Wolters Kluwer Health | Lippincott Williams & Wilkins