ArticleSurgical endoscopy2021
Robotic-assisted surgery may be a useful approach to protect urinary function in the modern era of diverse surgical approaches for rectal cancer.
Article in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Pooled it
- Closure of mesenteric defect reduces symptomatic internal hernia in minimally invasive surgery for splenic flexure colon cancer: a single‑center retrospective study in Japan.Surgical endoscopy · 2026Article
- Predictors of difficulty in robotic splenic flexure mobilization during rectal cancer surgery.International journal of colorectal disease · 2025Article
- Effect of autonomic nervous system resection extent on urinary dysfunction in robotic rectal cancer surgery.Annals of gastroenterological surgery · 2025Article
- The Review of Modified Intersphincteric Resection in the Treatment of Ultra-Low Rectal Cancer.Current treatment options in oncology · 2025Review
- Modified oral antibiotics and mechanical bowel preparation (OAMBP) versus conventional OAMBP for sigmoid colon and rectal surgery: A multicenter randomized non-inferiority trial.Annals of gastroenterological surgery · 2024Article
- Article
- Short-term and long-term outcomes after robotic radical surgery for rectal gastrointestinal stromal tumor.BMC surgery · 2024Article
- Long-term outcomes of robot-assisted laparoscopic surgery versus conventional laparoscopic surgery for rectal cancer: single-center, retrospective, propensity score analyses.Journal of robotic surgery · 2024Article
- Minimally Invasive Colorectal Surgery Techniques.Cureus · 2023Review
- Robotic versus laparoscopic approach for minimally invasive lateral pelvic lymph node dissection of advanced lower rectal cancer: a retrospective study comparing short-term outcomes.Techniques in coloproctology · 2023Article
- The impact of mesorectal fat area on recurrence following total mesorectal excision for lower rectal cancer.Langenbeck's archives of surgery · 2023Article
- Essential updates 2020/2021: Advancing precision medicine for comprehensive rectal cancer treatment.Annals of gastroenterological surgery · 2023Review
- Renal Dysfunction after Rectal Cancer Surgery: A Long-term Observational Study.Journal of the anus, rectum and colon · 2023Article
- Comparison between robotic-assisted and laparoscopic sphincter-preserving operations for ultra-low rectal cancer.Annals of gastroenterological surgery · 2022Article
- Advantages of robotic abdominoperineal resection compared with laparoscopic surgery: a single-center retrospective study.Surgery today · 2022Article
- Robotic surgery for clinical T4 rectal cancer: short- and long-term outcomes.Surgical endoscopy · 2022Article
- Global trends and hotspots in research of robotic surgery in oncology: A bibliometric and visual analysis from 2002 to 2021.Frontiers in oncology · 2022Article
- Low anterior resection syndrome: can it be prevented?International journal of colorectal disease · 2021Review
- Minimally Invasive Surgery for Colorectal Cancer.JMA journal · 2021Review
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUrinary dysfunction (UD) remains a significant complication of rectal cancer surgery. In modern surgical treatment for rectal cancer, multiple operative approaches are used. Such approaches include open, laparoscopic, and robotic-assisted surgery; and multiple procedures, including anterior, intersphincteric, and abdominoperineal resection. Thus, modern surgical treatments for rectal cancer have diversified. This study aimed to identify risk factors for early UD (EUD) after total mesorectal excision (TME) and to explore the methods for decreasing postoperative EUD in diverse surgical treatments for rectal cancer.
methodsIn our retrospective cohort study, we enrolled patients with lower rectal cancer who underwent TME alone at a single high-volume cancer center between 2010 and 2017. EUD was defined as the presence of ≥ 50 mL residual urine volume. Multivariate analysis was performed to determine clinicopathological factors significantly associated with postoperative EUD.
resultsOf a total of 337 eligible patients, 32 patients (10%) had postoperative EUD. Multivariate analysis revealed that only the operative approach (laparoscopic surgery: odds ratio [OR], 8.93; 95% confidence interval [CI], 2.94-27.14, open surgery: OR, 11.55; 95% CI 2.10-63.83) was significantly associated with an increase in postoperative EUD. Robotic-assisted surgery was associated with significant reduction in postoperative EUD.
conclusionOnly robotic-assisted surgery was inversely correlated with postoperative EUD. Robotic-assisted surgery may be a useful approach to protect urinary function in lower rectal cancer surgery.
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