Totally robotic vs hybrid abdominoperineal resection: A retrospective multicenter analysis. Issue 2 (13th February 2020)

• Record Type: Journal Article
• Authors: Douissard, Jonathan; Obias, Vincent; Johnson, Craig S; Hagen, Monika E; Keller, Deborah; Ouellette, James R; Hellan, Minia
• Is Part Of: International journal of medical robotics and computer assisted surgery. Volume 16:Issue 2(2020)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2020-02-13
• Subjects: abdominoperineal excision -- abdominoperineal resection -- rectal cancer -- rectal surgery -- robotic surgery; Robotics in medicine -- Periodicals; Surgery -- Technological innovations -- Periodicals; Imaging systems in medicine -- Periodicals; 617.90285
• DOI: 10.1002/rcs.2073
• Languages: English
• ISSNs: 1478-5951

Abstract

Abstract: Introduction: Laparoscopic abdominoperineal resection (APR) for low rectal cancers is technically demanding. Robotic assistance may be of help and can be hybrid (HAPR) or totally robotic (RAPR). The present study describes outcomes of robotic APR and compares both approaches. Material and methods: A multicentric retrospective analysis of rectal cancer patients undergoing either HAPR or RAPR was conducted. Patients' demographics, surgeons' experience, oncologic results, and intraoperative and postoperative outcomes were collected. Results: One hundred twenty‐five patients were included, 48 in HAPR group and 77 in RAPR group. Demographics and comorbidities were comparable. Operative time was reduced in RAPR group (266.9 ± 107.8 min vs 318.9 ± 75.1 min, P = .001). RAPR patients were discharged home more frequently (91.18% vs 66.67%, P = .001), and experienced fewer parastomal hernias (3.71% vs 9.86%, P = .001). Conclusion: RAPR is safe and feasible with appropriate oncologic outcomes. Totally robotic approach reduces operative time and may improve functional outcomes.