Robotic versus laparoscopic total mesorectal excision for rectal cancer: a meta-analysis of long-term survival and urogenital functional outcomes.

IF 3 4区医学 Q3 Medicine

Minerva gastroenterology Pub Date : 2023-09-01 DOI:10.23736/S2724-5985.21.02850-3

Xian Li, Zhen-Hua Liu, Ning Wang, Jie Ding, Fei Fan, Xiang-Ying Cen, Ming Wu, Rui Mi, Hang Liu, Yuan-Ling Zhang

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Abstract

Introduction: Robotic surgical technology has been widely introduced and applied in various fields of surgery. The aim of this study was to analyze long-term oncological and urogenital functional outcomes following laparoscopic/robotic total mesorectal excision (TME) in rectal cancer surgery.

Evidence acquisition: We identified studies that compared oncological and functional outcomes following laparoscopic TME (LTME) and robotic TME (RTME) for treatment of rectal cancer over the past 16 years. Data related to overall survival (OS), disease-free survival (DFS), International Prostate Symptom Score (IPSS), and International Index of Erectile Function (IIEF) were subjected to meta-analysis.

Evidence synthesis: There was no difference in long-term OS and DFS in the pooled data. Compared with LTME, there were significant differences in the score of IPSS at 3, 6 and 12 months for RTME, in the pooled data for male patients. There were significant differences in IIEF score for male patients at 3 and 6 months.

Conclusions: Compared with LTME, RTME has better preservation of urinary and sexual functions and comparable long-term oncological outcome in rectal cancer.

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机器人与腹腔镜直肠癌全肠系膜切除术:长期生存和泌尿生殖功能结果的荟萃分析。

机器人手术技术已被广泛引入并应用于外科手术的各个领域。本研究的目的是分析腹腔镜/机器人全肠系膜直肠切除术(TME)在直肠癌手术中的长期肿瘤和泌尿生殖功能结果。证据获取:我们确定了在过去16年中比较腹腔镜TME (LTME)和机器人TME (RTME)治疗直肠癌的肿瘤和功能结果的研究。与总生存期(OS)、无病生存期(DFS)、国际前列腺症状评分(IPSS)和国际勃起功能指数(IIEF)相关的数据进行meta分析。证据综合:在合并数据中，长期OS和DFS没有差异。与LTME相比，在男性患者的汇总数据中，RTME在3个月、6个月和12个月时的IPSS评分有显著差异。男性患者在3个月和6个月的IIEF评分差异有统计学意义。结论:与LTME相比，RTME在直肠癌患者中具有更好的泌尿功能和性功能保存，且具有可比较的长期肿瘤预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Minerva gastroenterology GASTROENTEROLOGY & HEPATOLOGY-

CiteScore

3.60

自引率

13.30%

发文量