Trial reportSurgical endoscopy2011
Robot-assisted intersphincteric resection for low rectal cancer: technique and short-term outcome for 29 consecutive patients.
Trial report in Surgical endoscopy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.
- A systematic review and meta-analysis of robotic-assisted transabdominal total mesorectal excision and transanal total mesorectal excision: which approach offers optimal short-term outcomes for mid-to-low rectal adenocarcinoma?Techniques in coloproctology · 2021Pooled it
- Robotic versus laparoscopic intersphincteric resection for low rectal cancer: a systematic review and meta-analysis.International journal of colorectal disease · 2018Pooled it
- Reverse-hybrid robotic mesorectal excision for rectal cancer.Diseases of the colon and rectum · 2012Trial
- The Review of Modified Intersphincteric Resection in the Treatment of Ultra-Low Rectal Cancer.Current treatment options in oncology · 2025Review
- Robotic Intersphincteric Resection for Low Rectal Cancer: Technical Controversies and a Systematic Review on the Perioperative, Oncological, and Functional Outcomes.Annals of coloproctology · 2021Review
- Review
- Robotic-assisted resection for beyond TME rectal cancer: a novel classification and analysis from a specialized center.Updates in surgery · 2021Article
- Restorative reconstruction after total mesorectal excision for rectal cancer is associated with significant bowel dysfunction from initial presentation.Surgery open science · 2021Article
- Robotic Surgery for Rectal Cancer and Cost-Effectiveness.Journal of minimally invasive surgery · 2019Review
- Long-Term Functional and Oncological Outcomes Following Intersphincteric Resection for Low Rectal Cancers.Indian journal of surgical oncology · 2017Article
- Novel anal sphincter saving procedure with partial excision of levator-ani muscle in rectal cancer invading ipsilateral pelvic floor.Annals of surgical treatment and research · 2017Article
- Comparison of the clinical results of abdominoperanal intersphincteric resection and abdominoperineal resection for lower rectal cancer.International journal of colorectal disease · 2017Article
- Robotic Total Mesorectal Excision for Rectal Cancer: A Series of 392 Cases and Mid-Term Outcomes from A Single Center in China.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017Article
- Future of Minimally Invasive Colorectal Surgery.Clinics in colon and rectal surgery · 2016Review
- [Robot-assisted rectal surgery: hype or progress?].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2016Review
- A comparison of laparoscopic and robotic colorectal surgery outcomes using the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database.Surgical endoscopy · 2016Article
- Recent advances in robotic surgery for rectal cancer.International journal of clinical oncology · 2015Review
- Robotic surgery for rectal cancer can overcome difficulties associated with pelvic anatomy.Surgical endoscopy · 2015Article
- Robotic surgery for rectal cancer: current immediate clinical and oncological outcomes.World journal of gastroenterology · 2014Article
- Robotic surgery for rectal cancer: A systematic review of current practice.World journal of gastrointestinal oncology · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntersphincteric resection (ISR) for low rectal cancer has been described as the ultimate sphincter-saving procedure. Laparoscopic ISR has been proved safe with early postoperative benefits. Recently, some colorectal surgeons have begun to perform robot-assisted ISR to harness the advantages of the da Vinci robotic system. The authors present their short-term results for a robotic technique of ISR.
methodsData from 29 consecutive patients at a single institution with very low rectal cancer (<4 cm) from the anal verge who underwent robot-assisted ISR were prospectively collected between December 2007 and March 2010.
resultsThe study enrolled 23 men and 6 women with a median age of 61.5 years (range, 36-82 years). Their median body mass index (BMI) was 23.3 kg/m(2) (range, 17.9-32.5 kg/m(2)). The median distance of the tumor from the anal verge was 3 cm (range, 1-4 cm). The median operative time was 325 min (range, 235-435 min), with a console time of 130 min (range, 110-210 min). There were no conversions to open surgery. A protecting ileostomy was performed for all the patients. The median blood loss was less than 50 ml (range, < 50-1,000 ml). The median size of the tumor was 3 cm (range, 0-6.9 cm), and the median number of lymph nodes harvested was 16 (range, 1-44). The median distal margin was 0.8 cm (range, 0-4 cm), and one margin was positive. The circumferential margin was negative (>2 mm) for 27 patients. Therefore, complete resection (R0) was achieved for 26 (90%) of the 29 patients. The median hospital stay was 9 days (range, 5-15 days). Nine patients experienced complications, including three anastomotic leaks (10%). All the leaks were managed conservatively. No surgical mortalities occurred.
conclusionRobot-assisted intersphincteric resection for very low rectal cancer is feasible, and its short-term outcome is acceptable.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.