ArticleAnnals of surgery2018
Oncological Outcomes After Robotic Proctectomy for Rectal Cancer: Analysis of a Prospective Database.
Article in Annals of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- Evaluation of an established colorectal robotic programme at an NHS district general hospital: audit of outcomes and systematic review of published data.Langenbeck's archives of surgery · 2023Pooled 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
- Stepwise Approach for Robotic Total Pelvic Exenteration with En Bloc Presacral Fascia in T4b Rectal Cancer.Annals of surgical oncology · 2025Article
- Short- and long-term outcomes of robotic versus conventional laparoscopic surgery for middle or lower rectal cancer: a propensity score-matched analysis.International journal of colorectal disease · 2025Article
- Article
- Lumbosacral Plexopathy After Carbon-ion Radiation Therapy for Postoperative Pelvic Recurrence of Rectal Cancer: Subanalysis of a Prospective Observational Study (GUNMA 0801).Advances in radiation oncology · 2025Article
- Long-term outcomes of upfront robotic rectal cancer surgery: a single-center, retrospective cohort study in Japan.Surgery today · 2023Article
- Robotic Total Mesorectal Excision for Low Rectal Cancer: A Narrative Review and Description of the Technique.Journal of clinical medicine · 2023Article
- Local recurrence of robot-assisted total mesorectal excision: a multicentre cohort study evaluating the initial cases.International journal of colorectal disease · 2022Article
- Short-term outcomes of robotic-assisted versus conventional laparoscopic-assisted surgery for rectal cancer: a propensity score-matched analysis.Journal of robotic surgery · 2022Article
- Watch and Wait Approach After Neoadjuvant Chemoradiotherapy in Rectal Cancer: Initial Experience in the Indian subcontinent.Indian journal of surgical oncology · 2021Article
- Article
- Robotic rectal resection: oncologic outcomes.Updates in surgery · 2021Article
- Single-docking robotic assisted proctectomy for rectal cancer below peritoneal reflection: a propensity score matching analysis.Annals of translational medicine · 2021Article
- Evolution of minimally invasive surgery for rectal cancer: update from the national cancer database.Surgical endoscopy · 2021Article
- Robotic Surgery for Rectal Cancer: Hype or Hope? (Indian Experience).Indian journal of surgical oncology · 2020Article
- Anatomical study of the left colic artery in laparoscopic-assisted colorectal surgery.Surgical endoscopy · 2020Article
- Robotic Total Mesorectal Excision for Rectal Cancer: Current Evidences and Future Perspectives.Annals of coloproctology · 2020Review
- Short-term and long-term outcomes of robotic rectal surgery-from the real word data of 1145 consecutive cases in China.Surgical endoscopy · 2020Article
- Role of minimally invasive surgery for rectal cancer.World journal of gastroenterology · 2020Review
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
objectiveThe aim of this study is to evaluate the oncological outcomes of robotic total mesorectal excision (TME) at an NCI designated cancer center. SUMMARY BACKGROUND DATA: The effectiveness of laparoscopic TME could not be established, but the robotic-assisted approach may hold some promise, with improved visualization and ergonomics for pelvic dissection. Oncological outcome data is presently lacking.
methodsPatients who underwent total mesorectal excision or tumor-specific mesorectal excision for rectal cancer between April 2009 and April 2016 via a robotic approach were identified from a prospective single-institution database. The circumferential resection margin (CRM), distal resection margin, and TME completeness rates were determined. Kaplan-Meier analysis of disease-free survival and overall survival was performed for all patients treated with curative intent.
resultsA total of 276 patients underwent robotic proctectomy during the study period. Robotic surgery was performed initially by 1 surgeon with 3 additional surgeons progressively transitioning from open to robotic during the study period with annual increase in the total number of cases performed robotically. Seven patients had involved circumferential resection margins (2.5%), and there were no positive distal or proximal resection margins. One hundred eighty-six patients had TME quality assessed, and only 1 patient (0.5%) had an incomplete TME. Eighty-three patients were followed up for a minimum of 3 years, with a local recurrence rate of 2.4%, and a distant recurrence rate of 16.9%. Five-year disease-free survival on Kaplan-Meier analysis was 82%, and 5-year overall survival was 87%.
conclusionsRobotic proctectomy for rectal cancer can be performed with good short and medium term oncological outcomes in selected patients.
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