Robotic Surgery for Rectal Cancer Provides Advantageous Outcomes Over Laparoscopic Approach Results From a Large Retrospective Cohort
Robotic Surgery for Rectal Cancer Provides Advantageous Outcomes Over Laparoscopic Approach Results From a Large Retrospective Cohort
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DOI：
10.1097/sla.0000000000003805
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发表时间：
2021-12-01
影响因子：
9
通讯作者：
Larson, David W.
中科院分区：
文献类型：
--
作者：
Crippa, Jacopo;Grass, Fabian;Larson, David W.
目的：比较腹腔镜或机器人直肠癌手术患者的短期结局。背景：机器人直肠癌手术相对于腹腔镜手术的显著益处尚未得到证实。手术时间和直接的机构成本似乎有利于腹腔镜approach.Methods：我们进行了回顾性分析，连续的患者在马约诊所从2005年至2018年的微创方法进行直肠癌手术。本研究的主要目的是研究腹腔镜手术与机器人手术之间的术后发病率差异。建立了并发症发生率和住院时间延长（>= 6天）的多变量模型。结果：共有600例患者纳入分析。接受机器人手术的患者数量为317例（52.8%）。两组在年龄、性别和体重指数方面相似。腹腔镜手术与较短的手术时间相关（214 vs 324分钟; P < 0.001）。接受机器人手术的患者总体并发症发生率较低（37.2% vs 51.2%; P
Objective: To compare short term outcomes of patients undergoing laparoscopic or robotic rectal cancer surgery.Background: Significant benefits of robotic rectal cancer surgery over laparoscopy have yet to be demonstrated. Operative time and direct institutional cost seem in favor of the laparoscopic approach.Methods: We performed a retrospective review of consecutive patients operated on for rectal cancer with a mini-invasive approach at Mayo Clinic from 2005 to 2018. The primary aim of this study was to investigate the difference in postoperative morbidity between the laparoscopic and robotic approach. Multivariable models for odds to complications and prolonged (>= 6 days) length of stay were built.Results: A total of 600 patients were included in the analysis. The number of patients undergoing robotic surgery was 317 (52.8%). The 2 groups were similar in respect to age, sex, and body mass index. Laparoscopic surgery was correlated to shorter operative time (214 vs 324 minutes; P < 0.001). Patients undergoing robotic surgery had a lower overall complications rate (37.2% vs 51.2%; P