Robotic versus laparoscopic intersphincteric resection for patients with low rectal cancer: Short-term outcomes.

IF 1 4区医学 Q3 SURGERY

Journal of Minimal Access Surgery Pub Date : 2024-12-24 DOI:10.4103/jmas.jmas_320_23

Wei Ge, Li-Hua Shao, Yu-Dong Qiu, Gang Chen

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引用次数: 0

Abstract

Introduction: This study aimed to evaluate the short-term outcomes between laparoscopic intersphincteric resection (L-ISR) and robotic intersphincteric resection (R-ISR) for low rectal cancer.

Patients and methods: We performed a retrospective clinical analysis between August 2018 and August 2021 at the Department Of General Surgery, the Affiliated Hospital of Nanjing University Medical School.

Results: A total of 28 patients were recruited in this research. Among these patients, there were 12 patients who underwent L-ISR and assigned to L-ISR group, and the remaining 16 patients underwent R-ISR and assigned to R-ISR group. The time to start oral fluids, time to start soft diet and time to first motion in R-ISR group were earlier than those in L-ISR group (P < 0.05). The hospital stay in R-ISR group was shorter than that in L-ISR group (P < 0.05). However, the operation time of R-ISR was longer compared to L-ISR group (P < 0.05). Most important of all, the Kelly score in R-ISR group was 5.1 ± 0.9, which was higher than that in L-ISR group (P = 0.004).

Conclusion: R-ISR is safe and feasible for patients with low rectal cancer. R-ISR is superior to L-ISR despite the operation time of R-ISR is longer. A randomised controlled trial will be performed to confirm the conclusion further.

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简介本研究旨在评估腹腔镜括约肌间切除术（L-ISR）和机器人括约肌间切除术（R-ISR）治疗低位直肠癌的短期疗效：我们在南京大学医学院附属医院普外科进行了2018年8月至2021年8月的回顾性临床分析：本研究共招募了28例患者。其中，12 名患者接受了 L-ISR 并被分配到 L-ISR 组，其余 16 名患者接受了 R-ISR 并被分配到 R-ISR 组。R-ISR 组患者开始口服液的时间、开始软食的时间和首次活动的时间均早于 L-ISR 组（P < 0.05）。R-ISR 组的住院时间比 L-ISR 组短（P < 0.05）。然而，与 L-ISR 组相比，R-ISR 组的手术时间更长（P < 0.05）。最重要的是，R-ISR 组的 Kelly 评分为 5.1 ± 0.9，高于 L-ISR 组（P = 0.004）：结论：R-ISR对低位直肠癌患者安全可行。结论：R-ISR 对低位直肠癌患者来说安全可行，尽管 R-ISR 的手术时间更长，但 R-ISR 优于 L-ISR。将进行随机对照试验以进一步证实该结论。

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

Journal of Minimal Access Surgery SURGERY-

CiteScore

1.70

自引率

0.00%

发文量

151

审稿时长

36 weeks

期刊介绍： Journal of Minimal Access Surgery (JMAS), the official publication of Indian Association of Gastrointestinal Endo Surgeons, launched in early 2005. The JMAS, a quarterly publication, is the first English-language journal from India, as also from this part of the world, dedicated to Minimal Access Surgery. The JMAS boasts an outstanding editorial board comprising of Indian and international experts in the field.