ArticleInternational journal of colorectal disease2018
Robotic rectal cancer surgery in obese patients may lead to better short-term outcomes when compared to laparoscopy: a comparative propensity scored match study.
Article in International journal of colorectal disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 8 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 8 syntheses or guidelines pooled it, 48 citations in OpenAlex.
- Robotic vs. laparoscopic rectal cancer surgery in high BMI patients: a systematic review and meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026Pooled it
- Robotic-assisted versus laparoscopic surgery for colorectal cancer in high-risk patients: a systematic review and meta-analysis.Techniques in coloproctology · 2025Pooled it
- The perioperative results of robotic and laparoscopic surgery for rectal cancer in obese patients: a systematic review and meta-analysis.World journal of surgical oncology · 2025Pooled it
- Robotic versus laparoscopic colorectal surgery for patients with obesity: an updated systematic review and meta-analysis.ANZ journal of surgery · 2025Pooled it
- A systematic review and meta-analysis of short-term outcomes comparing the efficacy of robotic versus laparoscopic colorectal surgery in obese patients.Journal of robotic surgery · 2024Pooled it
- Factors contributing to the utilization of robotic colorectal surgery: a systematic review and meta-analysis.Surgical endoscopy · 2023Pooled it
- Pooled it
- The impact of robotic colorectal surgery in obese patients: a systematic review, meta-analysis, and meta-regression.Surgical endoscopy · 2019Pooled it
- Robotic versus laparoscopic surgery for rectal cancer in overweight and obese patients: pathological outcomes, complications, and trial sequential analysis.Journal of robotic surgery · 2026Article
- A Prospective European Trial Comparing Laparotomy, Laparoscopy, Robotic-assisted, and Transanal Total Mesorectal Excision Procedures in High-risk Patients With Rectal Cancer: The RESET Trial.Annals of surgery · 2026Observational
- Robot Assisted Low Anterior Resection for Obese Rectal Cancer Patients: A Single-center Analysis of Short-term Outcomes.Journal of the anus, rectum and colon · 2026Article
- Is the NICE procedure the great equalizer for patients with high BMI undergoing resection for diverticulitis?Surgical endoscopy · 2024Article
- Comparative analysis of robotic and laparoscopic surgery for mid and low rectal cancer in patients with varied body mass indexes: evaluating of short-term outcomes.Journal of robotic surgery · 2024Article
- Current guidelines for the management of rectal cancer patients: a review of recent advances and strategies.Revista da Associacao Medica Brasileira (1992) · 2024Review
- Advancements in Robotic Surgery: A Comprehensive Overview of Current Utilizations and Upcoming Frontiers.Cureus · 2023Review
- Robotic versus laparoscopic distal pancreatectomy in obese patients.Surgical endoscopy · 2023Article
- Relationship between body mass index and short-term postoperative prognosis in patients undergoing colorectal cancer surgery.World journal of clinical cases · 2023Article
- Robotic-assisted versus laparoscopic rectal surgery in obese and morbidly obese patients: ACS-NSQIP analysis.Journal of robotic surgery · 2023Article
- The impact of body mass index on outcomes in robotic colorectal surgery: a single-centre experience.Journal of robotic surgery · 2022Article
- Trends and consequences of surgical conversion in the United States.Surgical endoscopy · 2022Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLaparoscopic rectal surgery in obese patients is technically challenging. The technological advantages of robotic instruments can help overcome some of those challenges, but whether this translates to superior short-term outcomes is largely unknown. The aim of this study is to compare the short-term surgical outcomes of obese (BMI ≥ 30) robotic and laparoscopic rectal cancer surgery patients.
methodsAll consecutive obese patients receiving laparoscopic and robotic rectal cancer resection surgery from three centres, two from the UK and one from Portugal, between 2006 and 2017 were identified from prospectively collated databases. Robotic surgery patients were propensity score matched with laparoscopic patients for ASA grade, neoadjuvant radiotherapy and pathological T stage. Their short-term outcomes were examined.
resultsA total of 222 patients were identified (63 robotic, 159 laparoscopic). The 63 patients who received robotic surgery were matched with 61 laparoscopic patients. Cohort characteristics were similar between the two groups. In the robotic group, operative time was longer (260 vs 215 min; p = 0.000), but length of stay was shorter (6 vs 8 days; p = 0.014), and thirty-day readmission rate was lower (6.3% vs 19.7%; p = 0.033).
conclusionsIn this study population, robotic rectal surgery in obese patients resulted in a shorter length of stay and lower 30-day readmission rate but longer operative time when compared to laparoscopic surgery. Robotic rectal surgery in the obese may be associated with a quicker post-operative recovery and reduced morbidity profile. Larger-scale multi-centre prospective observational studies are required to validate these results.
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