Robotic low anterior resection versus transanal total mesorectal excision in rectal cancer: A comparison of 115 cases
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Robotic low anterior resection versus transanal total mesorectal excision in rectal cancer: A comparison of 115 cases. / Perez, Daniel; Melling, Nathaniel; Biebl, Matthias; Reeh, Matthias; Baukloh, Julia-Kristin; Miro, Jameel; Polonski, Adam; Izbicki, Jakob R; Knoll, Belinda; Pratschke, Johann; Aigner, Felix.
in: EJSO-EUR J SURG ONC, Jahrgang 44, Nr. 2, 02.2018, S. 237-242.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Robotic low anterior resection versus transanal total mesorectal excision in rectal cancer: A comparison of 115 cases
AU - Perez, Daniel
AU - Melling, Nathaniel
AU - Biebl, Matthias
AU - Reeh, Matthias
AU - Baukloh, Julia-Kristin
AU - Miro, Jameel
AU - Polonski, Adam
AU - Izbicki, Jakob R
AU - Knoll, Belinda
AU - Pratschke, Johann
AU - Aigner, Felix
N1 - Copyright © 2017 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.
PY - 2018/2
Y1 - 2018/2
N2 - BACKGROUND: Robotic low anterior resection (RLAR) and transanal total mesorectal excision (TaTME) are novel surgical techniques for resection of rectal cancer. To our knowledge, no data exist on direct comparison of these procedures in terms of oncological or functional parameters.METHODS: 60 RLAR and 55 TaTME for rectal cancer were compared in respect to patient characteristics, clinicopathological parameters, intraoperative and perioperative results and anatomopathological outcome.RESULTS: 62 surgeries addressed tumors of the lower third (53.9%). No intergroup differences in terms of patient characteristics and clinicopathological parameters were observed. Operating time did not differ between groups (p = 0.312), nor did the perioperative complication rate (p = 0.176). Circumferential resection margin was wider in the RLAR than in the TaTME group (p < 0.001), while no differences were found in the remaining oncological parameters.CONCLUSION: Our study shows comparable results for RLAR and TaTME in rectal cancer treatment. Both procedures should be considered equally feasible for low rectal cancer cases and as an alternative to conventional anterior resections (open or laparoscopic). Furthermore, both techniques allow excellent oncological outcome especially in patients with anatomical limitations.
AB - BACKGROUND: Robotic low anterior resection (RLAR) and transanal total mesorectal excision (TaTME) are novel surgical techniques for resection of rectal cancer. To our knowledge, no data exist on direct comparison of these procedures in terms of oncological or functional parameters.METHODS: 60 RLAR and 55 TaTME for rectal cancer were compared in respect to patient characteristics, clinicopathological parameters, intraoperative and perioperative results and anatomopathological outcome.RESULTS: 62 surgeries addressed tumors of the lower third (53.9%). No intergroup differences in terms of patient characteristics and clinicopathological parameters were observed. Operating time did not differ between groups (p = 0.312), nor did the perioperative complication rate (p = 0.176). Circumferential resection margin was wider in the RLAR than in the TaTME group (p < 0.001), while no differences were found in the remaining oncological parameters.CONCLUSION: Our study shows comparable results for RLAR and TaTME in rectal cancer treatment. Both procedures should be considered equally feasible for low rectal cancer cases and as an alternative to conventional anterior resections (open or laparoscopic). Furthermore, both techniques allow excellent oncological outcome especially in patients with anatomical limitations.
KW - Journal Article
U2 - 10.1016/j.ejso.2017.11.011
DO - 10.1016/j.ejso.2017.11.011
M3 - SCORING: Journal article
C2 - 29249592
VL - 44
SP - 237
EP - 242
JO - EJSO-EUR J SURG ONC
JF - EJSO-EUR J SURG ONC
SN - 0748-7983
IS - 2
ER -
