Robotic male and laparoscopic female sphincter-preserving total mesorectal excision of mid-low rectal cancer share similar specimen quality, complication rates and long-term oncological outcomes
The aim of this study was to compare perioperative and long-term oncological outcomes between laparoscopic sphincter-preserving total mesorectal excision in female patients (F-Lap-TME) and robotic sphincter-preserving total mesorectal excision in male patients (M-Rob-TME) with mid-low rectal cancer...
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| Veröffentlicht in: | Journal of robotic surgery 2023-08, Vol.17 (4), p.1637-1644 |
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| creator | Aliyev, Vusal Piozzi, Guglielmo Niccolò Huseynov, Elnur Mustafayev, Teuta Zoto Kayku, Vildan Goksel, Suha Asoglu, Oktar |
| description | The aim of this study was to compare perioperative and long-term oncological outcomes between laparoscopic sphincter-preserving total mesorectal excision in female patients (F-Lap-TME) and robotic sphincter-preserving total mesorectal excision in male patients (M-Rob-TME) with mid-low rectal cancer (RC). A retrospective analysis of a prospectively maintained database was performed. 170 cases (F-Lap-TME: 60 patients; M-Rob-TME: 110 patients) were performed by a single surgeon (January 2011–January 2020). Clinical characteristics did not differ significantly between the two groups. Operating time was longer in M-Rob-TME than in F-Lap-TME group (185.3 ± 28.4 vs 124.5 ± 35.8 min,
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| doi_str_mv | 10.1007/s11701-023-01558-2 |
| format | Article |
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p
< 0.001). There was no conversion to open surgery in both groups. Quality of mesorectum was complete/near-complete in 58 (96.7%) and 107 (97.3%) patients of F-Lap-TME and M-Rob-TME (
p
= 0.508), respectively. Circumferential radial margin involvement was observed in 2 (3.3%) and 3 (2.9%) in F-Lap-TME and M-Rob-TME patients (
p
= 0.210), respectively. Median length of follow-up was 62 (24–108) months in the F-Lap-TME and 64 (24–108) months in the M-Rob-TME group. Five-year overall survival rates were 90.5% in the F-Lap-TME and 89.6% in the M-Rob-TME groups (
p
= 0.120). Disease-free survival rates in F-Lap-TME and M-Rob-TME groups were 87.5% and 86.5% (
p
= 0.145), respectively. Local recurrence rates were 5% (
n
= 3) and 5.5% (
n
= 6) (
p
= 0.210), in the F-Lap-TME and M-Rob-TME groups, respectively. The robotic technique can potentially overcome some technical challenges related to the pelvic anatomical difference between sex compared to laparoscopy. Laparoscopic and robotic approach, respectively in female and male patients provide similar surgical specimen quality, perioperative outcomes, and long-term oncological results.</description><identifier>ISSN: 1863-2491</identifier><identifier>ISSN: 1863-2483</identifier><identifier>EISSN: 1863-2491</identifier><identifier>DOI: 10.1007/s11701-023-01558-2</identifier><identifier>PMID: 36943657</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Anal Canal - surgery ; Antigens ; Body mass index ; Cancer ; Chemotherapy ; Colonoscopy ; Colorectal cancer ; Comparative studies ; Female ; Females ; Hospitals ; Humans ; Laparoscopy ; Lymphatic system ; Male ; Males ; Medicine ; Medicine & Public Health ; Minimally Invasive Surgery ; Ostomy ; Patients ; Pelvis ; Rectal Neoplasms - surgery ; Rectum ; Retrospective Studies ; Robotic Surgical Procedures ; Robotics ; Standard deviation ; Statistical analysis ; Surgeons ; Surgery ; Survival ; Treatment Outcome ; Urology</subject><ispartof>Journal of robotic surgery, 2023-08, Vol.17 (4), p.1637-1644</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c419t-cd86d6b8a84e0991b0b86622395f44458f83447f3a51762a398787c34ca751ae3</citedby><cites>FETCH-LOGICAL-c419t-cd86d6b8a84e0991b0b86622395f44458f83447f3a51762a398787c34ca751ae3</cites><orcidid>0000-0001-6029-1995 ; 0000-0003-0730-7737 ; 0000-0001-6667-9202 ; 0000-0003-2251-7804 ; 0000-0002-8948-9353 ; 0000-0002-6329-0354 ; 0000-0002-9147-1654</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11701-023-01558-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2918717035?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,777,781,21369,21370,27905,27906,33511,33512,33725,33726,41469,42538,43640,43786,51300,64364,64366,64368,72218</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36943657$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aliyev, Vusal</creatorcontrib><creatorcontrib>Piozzi, Guglielmo Niccolò</creatorcontrib><creatorcontrib>Huseynov, Elnur</creatorcontrib><creatorcontrib>Mustafayev, Teuta Zoto</creatorcontrib><creatorcontrib>Kayku, Vildan</creatorcontrib><creatorcontrib>Goksel, Suha</creatorcontrib><creatorcontrib>Asoglu, Oktar</creatorcontrib><title>Robotic male and laparoscopic female sphincter-preserving total mesorectal excision of mid-low rectal cancer share similar specimen quality, complication rates and long-term oncological outcomes</title><title>Journal of robotic surgery</title><addtitle>J Robotic Surg</addtitle><addtitle>J Robot Surg</addtitle><description>The aim of this study was to compare perioperative and long-term oncological outcomes between laparoscopic sphincter-preserving total mesorectal excision in female patients (F-Lap-TME) and robotic sphincter-preserving total mesorectal excision in male patients (M-Rob-TME) with mid-low rectal cancer (RC). A retrospective analysis of a prospectively maintained database was performed. 170 cases (F-Lap-TME: 60 patients; M-Rob-TME: 110 patients) were performed by a single surgeon (January 2011–January 2020). Clinical characteristics did not differ significantly between the two groups. Operating time was longer in M-Rob-TME than in F-Lap-TME group (185.3 ± 28.4 vs 124.5 ± 35.8 min,
p
< 0.001). There was no conversion to open surgery in both groups. Quality of mesorectum was complete/near-complete in 58 (96.7%) and 107 (97.3%) patients of F-Lap-TME and M-Rob-TME (
p
= 0.508), respectively. Circumferential radial margin involvement was observed in 2 (3.3%) and 3 (2.9%) in F-Lap-TME and M-Rob-TME patients (
p
= 0.210), respectively. Median length of follow-up was 62 (24–108) months in the F-Lap-TME and 64 (24–108) months in the M-Rob-TME group. Five-year overall survival rates were 90.5% in the F-Lap-TME and 89.6% in the M-Rob-TME groups (
p
= 0.120). Disease-free survival rates in F-Lap-TME and M-Rob-TME groups were 87.5% and 86.5% (
p
= 0.145), respectively. Local recurrence rates were 5% (
n
= 3) and 5.5% (
n
= 6) (
p
= 0.210), in the F-Lap-TME and M-Rob-TME groups, respectively. The robotic technique can potentially overcome some technical challenges related to the pelvic anatomical difference between sex compared to laparoscopy. Laparoscopic and robotic approach, respectively in female and male patients provide similar surgical specimen quality, perioperative outcomes, and long-term oncological results.</description><subject>Anal Canal - surgery</subject><subject>Antigens</subject><subject>Body mass index</subject><subject>Cancer</subject><subject>Chemotherapy</subject><subject>Colonoscopy</subject><subject>Colorectal cancer</subject><subject>Comparative studies</subject><subject>Female</subject><subject>Females</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Lymphatic system</subject><subject>Male</subject><subject>Males</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Minimally Invasive Surgery</subject><subject>Ostomy</subject><subject>Patients</subject><subject>Pelvis</subject><subject>Rectal Neoplasms - surgery</subject><subject>Rectum</subject><subject>Retrospective Studies</subject><subject>Robotic Surgical Procedures</subject><subject>Robotics</subject><subject>Standard deviation</subject><subject>Statistical analysis</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Survival</subject><subject>Treatment Outcome</subject><subject>Urology</subject><issn>1863-2491</issn><issn>1863-2483</issn><issn>1863-2491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp9kctu1TAQhiMEoqXwAiyQJTYsMPiW2FmiiptUCQnB2nJ8JqeufEltp9DX48nwaQ4XsWDl8cw3_4zm77qnlLyihMjXhVJJKCaMY0L7XmF2rzulauCYiZHe_ys-6R6VckVIL3tOH3YnfBgFH3p52v34nKZUnUXBeEAm7pA3i8mp2LS07Ax3-bJcumgrZLxkKJBvXNyjmqrxKEBJGewhhO_WFZciSjMKbod9-oaOJWuihYzKpclNzQXnTfstYF2AiK5X4129fYlsCot31tSDSjYVyrZSinvcpgeUok0-7RviUVpr46E87h7Mxhd4cnzPuq_v3n45_4AvPr3_eP7mAltBx4rtTg27YVJGCSDjSCcyqWFgjI_9LITo1ay4EHLmpqdyYIaPSippubBG9tQAP-tebLpLTtcrlKqDKxa8NxHSWjSTamR8oEI19Pk_6FVac2zbaTZSJZtvvG8U2yjb7l0yzHrJLph8qynRB4f15rBuDus7hzVrTc-O0usUYPe75ZelDeAbUFop7iH_mf0f2Z_uSrVT</recordid><startdate>20230801</startdate><enddate>20230801</enddate><creator>Aliyev, Vusal</creator><creator>Piozzi, Guglielmo Niccolò</creator><creator>Huseynov, Elnur</creator><creator>Mustafayev, Teuta Zoto</creator><creator>Kayku, Vildan</creator><creator>Goksel, Suha</creator><creator>Asoglu, Oktar</creator><general>Springer London</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>L6V</scope><scope>M0S</scope><scope>M7S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6029-1995</orcidid><orcidid>https://orcid.org/0000-0003-0730-7737</orcidid><orcidid>https://orcid.org/0000-0001-6667-9202</orcidid><orcidid>https://orcid.org/0000-0003-2251-7804</orcidid><orcidid>https://orcid.org/0000-0002-8948-9353</orcidid><orcidid>https://orcid.org/0000-0002-6329-0354</orcidid><orcidid>https://orcid.org/0000-0002-9147-1654</orcidid></search><sort><creationdate>20230801</creationdate><title>Robotic male and laparoscopic female sphincter-preserving total mesorectal excision of mid-low rectal cancer share similar specimen quality, complication rates and long-term oncological outcomes</title><author>Aliyev, Vusal ; Piozzi, Guglielmo Niccolò ; Huseynov, Elnur ; Mustafayev, Teuta Zoto ; Kayku, Vildan ; Goksel, Suha ; Asoglu, Oktar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-cd86d6b8a84e0991b0b86622395f44458f83447f3a51762a398787c34ca751ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Anal Canal - surgery</topic><topic>Antigens</topic><topic>Body mass index</topic><topic>Cancer</topic><topic>Chemotherapy</topic><topic>Colonoscopy</topic><topic>Colorectal cancer</topic><topic>Comparative studies</topic><topic>Female</topic><topic>Females</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Lymphatic system</topic><topic>Male</topic><topic>Males</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Minimally Invasive Surgery</topic><topic>Ostomy</topic><topic>Patients</topic><topic>Pelvis</topic><topic>Rectal Neoplasms - surgery</topic><topic>Rectum</topic><topic>Retrospective Studies</topic><topic>Robotic Surgical Procedures</topic><topic>Robotics</topic><topic>Standard deviation</topic><topic>Statistical analysis</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Survival</topic><topic>Treatment Outcome</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aliyev, Vusal</creatorcontrib><creatorcontrib>Piozzi, Guglielmo Niccolò</creatorcontrib><creatorcontrib>Huseynov, Elnur</creatorcontrib><creatorcontrib>Mustafayev, Teuta Zoto</creatorcontrib><creatorcontrib>Kayku, Vildan</creatorcontrib><creatorcontrib>Goksel, Suha</creatorcontrib><creatorcontrib>Asoglu, Oktar</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Engineering Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Engineering Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of robotic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aliyev, Vusal</au><au>Piozzi, Guglielmo Niccolò</au><au>Huseynov, Elnur</au><au>Mustafayev, Teuta Zoto</au><au>Kayku, Vildan</au><au>Goksel, Suha</au><au>Asoglu, Oktar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Robotic male and laparoscopic female sphincter-preserving total mesorectal excision of mid-low rectal cancer share similar specimen quality, complication rates and long-term oncological outcomes</atitle><jtitle>Journal of robotic surgery</jtitle><stitle>J Robotic Surg</stitle><addtitle>J Robot Surg</addtitle><date>2023-08-01</date><risdate>2023</risdate><volume>17</volume><issue>4</issue><spage>1637</spage><epage>1644</epage><pages>1637-1644</pages><issn>1863-2491</issn><issn>1863-2483</issn><eissn>1863-2491</eissn><abstract>The aim of this study was to compare perioperative and long-term oncological outcomes between laparoscopic sphincter-preserving total mesorectal excision in female patients (F-Lap-TME) and robotic sphincter-preserving total mesorectal excision in male patients (M-Rob-TME) with mid-low rectal cancer (RC). A retrospective analysis of a prospectively maintained database was performed. 170 cases (F-Lap-TME: 60 patients; M-Rob-TME: 110 patients) were performed by a single surgeon (January 2011–January 2020). Clinical characteristics did not differ significantly between the two groups. Operating time was longer in M-Rob-TME than in F-Lap-TME group (185.3 ± 28.4 vs 124.5 ± 35.8 min,
p
< 0.001). There was no conversion to open surgery in both groups. Quality of mesorectum was complete/near-complete in 58 (96.7%) and 107 (97.3%) patients of F-Lap-TME and M-Rob-TME (
p
= 0.508), respectively. Circumferential radial margin involvement was observed in 2 (3.3%) and 3 (2.9%) in F-Lap-TME and M-Rob-TME patients (
p
= 0.210), respectively. Median length of follow-up was 62 (24–108) months in the F-Lap-TME and 64 (24–108) months in the M-Rob-TME group. Five-year overall survival rates were 90.5% in the F-Lap-TME and 89.6% in the M-Rob-TME groups (
p
= 0.120). Disease-free survival rates in F-Lap-TME and M-Rob-TME groups were 87.5% and 86.5% (
p
= 0.145), respectively. Local recurrence rates were 5% (
n
= 3) and 5.5% (
n
= 6) (
p
= 0.210), in the F-Lap-TME and M-Rob-TME groups, respectively. The robotic technique can potentially overcome some technical challenges related to the pelvic anatomical difference between sex compared to laparoscopy. Laparoscopic and robotic approach, respectively in female and male patients provide similar surgical specimen quality, perioperative outcomes, and long-term oncological results.</abstract><cop>London</cop><pub>Springer London</pub><pmid>36943657</pmid><doi>10.1007/s11701-023-01558-2</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-6029-1995</orcidid><orcidid>https://orcid.org/0000-0003-0730-7737</orcidid><orcidid>https://orcid.org/0000-0001-6667-9202</orcidid><orcidid>https://orcid.org/0000-0003-2251-7804</orcidid><orcidid>https://orcid.org/0000-0002-8948-9353</orcidid><orcidid>https://orcid.org/0000-0002-6329-0354</orcidid><orcidid>https://orcid.org/0000-0002-9147-1654</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1863-2491 |
| ispartof | Journal of robotic surgery, 2023-08, Vol.17 (4), p.1637-1644 |
| issn | 1863-2491 1863-2483 1863-2491 |
| language | eng |
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| source | MEDLINE; ProQuest Central (Alumni Edition); SpringerLink Journals; ProQuest Central UK/Ireland; ProQuest Central |
| subjects | Anal Canal - surgery Antigens Body mass index Cancer Chemotherapy Colonoscopy Colorectal cancer Comparative studies Female Females Hospitals Humans Laparoscopy Lymphatic system Male Males Medicine Medicine & Public Health Minimally Invasive Surgery Ostomy Patients Pelvis Rectal Neoplasms - surgery Rectum Retrospective Studies Robotic Surgical Procedures Robotics Standard deviation Statistical analysis Surgeons Surgery Survival Treatment Outcome Urology |
| title | Robotic male and laparoscopic female sphincter-preserving total mesorectal excision of mid-low rectal cancer share similar specimen quality, complication rates and long-term oncological outcomes |
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