Trial reportWorld journal of surgery2011
Risk factor analysis of postoperative complications after robotic rectal cancer surgery.
Trial report in World journal of surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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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.
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Who cites it
11 citing papers in PubMed.
- Computed tomography-assessed presarcopenia and clinical outcomes after laparoscopic surgery for rectal cancer.Annals of coloproctology · 2023Article
- Predictive value of the Naples prognostic score on postoperative outcomes in patients with rectal cancer.Langenbeck's archives of surgery · 2023Article
- Application of the advance incision in robotic-assisted laparoscopic rectal anterior resection.Frontiers in surgery · 2023Article
- Initial Experience in Rectal Cancer Surgery for the Next Generation of Robotic Surgeons Trained in a Dual Console System.Yonago acta medica · 2021Article
- Risk Factors for Severe Complications After Laparoscopic Surgery for T3 or T4 Rectal Cancer for Chinese Patients: Experience from a Single Center.Medical science monitor : international medical journal of experimental and clinical research · 2020Article
- Robotic rectal surgery: State of the art.World journal of gastrointestinal oncology · 2016Review
- Role of Minimally Invasive Surgery in the Reoperative Abdomen or Pelvis.Clinics in colon and rectal surgery · 2016Review
- Robotic surgery for rectal cancer: current immediate clinical and oncological outcomes.World journal of gastroenterology · 2014Article
- Risk factor evaluation for postoperative complications in laparoscopic colorectal surgery by a classic severity grading system.Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine · 2014Article
- Robotic colorectal surgery: summary of the current evidence.International journal of colorectal disease · 2014Review
- Feasibility and impact on surgical outcomes of modified double-stapling technique for patients undergoing laparoscopic anterior resection.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2013Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe robotic system has been adopted as the new modality for minimally invasive surgery for rectal cancer. However, analysis of risk factors for complications after robotic rectal cancer surgery (RRS) has been limited. This study aimed to identify the risk factors for complications after RRS.
methodsThe records of 389 consecutive patients who underwent RRS between June 2006 and October 2010 were retrieved from our prospectively collected database.
resultsThe overall complication rate was 19%. The most common complication was anastomotic leakage (7.0%), followed by voiding difficulty, intrapelvic abscess, and ileus/obstruction. Multivariate analysis revealed the following as risk factors for postoperative complications: male gender, history of previous abdominal surgery, and lower tumor level (hazard ratio [HR] = 1.8, 95% confidence interval [CI] = 1.0-3.1, p = 0.041; HR = 2.3; 95% CI = 1.2-4.6, p = 0.012; and HR = 1.9, 95% CI = 1.1-3.3, p = 0.020, respectively). With regard to pelvic septic complications, lower tumor level, large tumor size, and preoperative chemoradiation remained variables that retained their statistical significance in multivariate analysis (HR = 2.6, 95% CI = 1.1-6.1, p = 0.029; HR = 2.7, 95% CI = 1.1-6.1, p = 0.017; HR = 2.9, 95% CI = 1.3-6.5, p = 0.007, respectively). The rate of postoperative complications was not influenced by the difference in laparoscopic surgery experience or the technique of robotic surgery.
conclusionSurgeons should be more cautious with these patient factors to optimize the benefits of robotic rectal resection.
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