ArticleBMC surgery2017
Robotic-assisted total mesorectal excision with the single-docking technique for patients with rectal cancer.
Article in BMC surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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23 citing papers in PubMed, 2 syntheses or guidelines pooled 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
- Robotic multivisceral pelvic resection: experience from an exenteration unit.Techniques in coloproctology · 2020Pooled it
- Establishment of a chemoradio-resistance colorectal cancer cell model and its changes in biological behavior.Journal of gastrointestinal oncology · 2026Article
- Preclinical evaluation of the newly developed carina platform in robotic-assisted proctectomy with porcine and cadaveric models.Scientific reports · 2026Article
- Low anterior resection syndrome after sphincter-preserving surgery for rectal cancer: predictive factors and impact on perceived functional satisfaction.Discover oncology · 2026Article
- Development and validation of nomogram about conversion from temporary to permanent stoma in rectal cancer based on machine learning and traditional model-does robotic surgery have competitive advantages?Journal of robotic surgery · 2026Article
- Prognostic Value of Neutrophil-to-Lymphocyte Ratio in Locally Advanced Rectal Cancer Treated with Neoadjuvant Concurrent Chemoradiotherapy and Robotic-Assisted Resection.Oncology research · 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
- Camera Port Swapping in Transperitoneal Robotic Partial Nephrectomy: A Feasible Alternative to the Retroperitoneal Approach for Posterior Renal Tumors.Journal of clinical medicine · 2025Article
- Robotic vs. 3D laparoscopic resection for rectal cancer: a single-center retrospective study of short-term outcomes and functional recovery.Frontiers in surgery · 2025Article
- Article
- Review
- Preclinical evaluation of the versius surgical system, a new robot-assisted surgical device for use in minimal access general and colorectal procedures.Surgical endoscopy · 2021Article
- Robotic rectal cancer surgery with single side-docking technique: experience of a tertiary care university hospital.Journal of robotic surgery · 2021Observational
- Critical reappraisal of neoadjuvant concurrent chemoradiotherapy for treatment of locally advanced colon cancer.PloS one · 2021Article
- Robotics Total Mesorectal Excision Up To the Minute.Indian journal of surgical oncology · 2020Review
- Impact of previous abdominal surgery on robotic-assisted rectal surgery in patients with locally advanced rectal adenocarcinoma: a propensity score matching study.World journal of surgical oncology · 2020Article
- An observational study of patho-oncological outcomes of various surgical methods in total mesorectal excision for rectal cancer: a single center analysis.BMC surgery · 2020Observational
- Robotic surgery for colorectal disease: review of current port placement and future perspectives.Annals of surgical treatment and research · 2020Article
- Oncological Outcomes of Robotic-Assisted Surgery With High Dissection and Selective Ligation Technique for Sigmoid Colon and Rectal Cancer.Frontiers in oncology · 2020Article
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8 authors.
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Abstract
backgroundThe robotic system has advantages of high-definition three-dimensional vision and articular instruments with high dexterity, allowing more precise dissection in the deep and narrow pelvic cavity.
methodsWe enrolled 95 patients with stage I-III rectal cancer (adenocarcinoma) who underwent totally robotic-assisted total mesorectal excision (TME) with single-docking technique at a single institution between September 2013 and December 2016.
resultsOf the 95 patients, 48 (50.5%) and 30 (31.6%) patients had lower and middle rectal cancers, respectively. Of the 75 (78.9%) patients undergoing preoperative concurrent chemoradiotherapy (CCRT), 27 (28.4%) exhibited pathologic complete response (pCR). Only four (4.2%) patients underwent abdominoperineal resection and the sphincter preservation rate was 95.8%. R0 resection was performed in 92 (96.8%) patients. Circumferential resection margin (CRM) and distal resection margin (DRM) were positive in 2 (2.1%) and 1 (1.1%) patients, respectively. The anastomotic leakage rate was 5.4% (5/95 patients). The overall complication rate was 17.9% (17/95 patients); most of them were mild. No 30-day hospital mortality occurred, and no patients required conversion to open surgery. In 92 patients undergoing R0 resection, 2-year overall survival was 94% and 2-year disease-free survival was 83%.
conclusionsThe results demonstrated that totally robotic-assisted TME with the single-docking technique is safe and feasible for patients with rectal cancer, with or without preoperative CCRT. Moreover, favorable pCR rate, R0 resection rate, CRM, DRM, sphincter preservation rate, and short-term oncological outcomes can be achieved by combining this approach with appropriate preoperative CCRT.
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