ArticleSurgical endoscopy2015
Robotic surgery for rectal cancer can overcome difficulties associated with pelvic anatomy.
Article in Surgical endoscopy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 7 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.
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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
75 citing papers in PubMed, 7 syntheses or guidelines pooled it, 126 citations in OpenAlex.
- A systematic review and meta-analysis of preoperative MRI-based pelvimetry in predicting surgical difficulty in rectal cancer: Implications for personalised surgical planning.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026Pooled it
- Robotic-assisted surgery for acute abdominal emergencies: a systematic review of 1142 cases.Journal of robotic surgery · 2025Pooled it
- A systematic review and meta-analysis of the comparative effectiveness and short-term outcomes of the KangDuo and da Vinci robotic platforms in colorectal cancer surgery.Journal of robotic surgery · 2025Pooled it
- Robotic versus laparoscopic pelvic lateral lymph node dissection in locally advanced rectal cancer: a systemic review and meta-analysis.Surgical endoscopy · 2024Pooled it
- 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
- The role of MRI pelvimetry in predicting technical difficulty and outcomes of open and minimally invasive total mesorectal excision: a systematic review.Techniques in coloproctology · 2020Pooled it
- Robotic-assisted surgery versus open surgery in the treatment of rectal cancer: the current evidence.Scientific reports · 2016Pooled it
- Short-term outcomes of KangDuo surgical robot- versus Da Vinci surgical robot-assisted radical resection of colorectal cancer: a prospective cohort study.BMC surgery · 2025Trial
- Impact of proctoring on the learning curve of robotic-assisted low anterior resection: a multicenter retrospective study.Surgical endoscopy · 2026Observational
- Development and validation of a multiparametric magnetic resonance imaging-based nomogram for predicting feasibility of sphincter-preserving surgery in mid-low rectal cancer.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2026Article
- Development and validation of a predictive model for postoperative urinary dysfunction following robotic total mesorectal excision in mid-low rectal cancer.Journal of robotic surgery · 2026Article
- Optimal surgical approach for cT3/T4 rectal cancer post-neoadjuvant chemoradiotherapy: robotic surgery versus TaTME guided by superior pelvic diaphragm localization.Journal of robotic surgery · 2025Article
- Comparative clinical efficacy of three surgical modalities for the treatment of malignant tumours of the left hemicolon.World journal of gastrointestinal surgery · 2025Article
- Does robotic circumferential oversewing reduce anastomotic leakage in stapled anastomosis for rectal cancer surgery?Techniques in coloproctology · 2025Article
- Influence of computed tomography-based pelvimetric parameters and surgical approaches on surgical difficulty in mid‑low rectal cancer.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2025Article
- Development and validation of a predictive model for anastomotic complications with mid-low rectal cancer based on propensity score matching analysis-Does robotic surgery have an advantage?Journal of robotic surgery · 2025Article
- Comparing robot-assisted vs. laparoscopic proctectomy for rectal cancer surgical and oncological outcomes.Frontiers in surgery · 2025Article
- Robotic evolution from Si to Xi in rectal cancer assessing operative performance and oncological outcomes.Frontiers in surgery · 2025Article
- Predictive model of the surgical difficulty of robot-assisted total mesorectal excision for rectal cancer: a multicenter, retrospective study.Journal of robotic surgery · 2024Article
- Simple pelvimetry predicts the pelvic manipulation time in robot-assisted low and ultra-low anterior resection for rectal cancer.Surgery today · 2024Article
15 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTotal mesorectal excision (TME) for rectal cancer can be challenging to perform in the presence of difficult pelvic anatomy. In our previous studies based on open and laparoscopic TME, we found that pelvic MRI-based pelvimetry could well reflect anatomical difficulty of the pelvis and operative time increased in direct proportion to the difficulty. We explored different outcomes of robotic surgery for TME based on classifications of difficult pelvic anatomies to determine whether this method can overcome these challenges.
methodsWe reviewed data from 182 patients who underwent robotic surgery for rectal cancer between January 2008 and August 2010. Patient demographics, pathologic outcomes, pelvimetric results, and operative and postoperative outcomes were assessed. The data were compared between easy, moderate, and difficult groups classified by MRI-based pelvimetry.
resultsComparing the three groups, there was no difference between the groups in terms of operative and pathologic outcomes, including operation time. High BMI, history of preoperative chemoradiotherapy, and lower tumor levels were significantly associated with longer operation time (p < 0.001, p < 0.001, p = 0.009), but the pelvimetric parameter was not.
conclusionThere was no difference between the easy, moderate, and difficult groups in terms of surgical outcomes, such as operation time, for robotic rectal surgery. The robot system can provide more comfort during surgery for the surgeon, and may overcome challenges associated with difficult pelvic anatomy.
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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.