Ye SP, Zhu WQ, Liu DN, Lei X, Jiang QG, Hu HM, Tang B, He PH, Gao GM, Tang HC, Shi J, Li TY. Robotic- vs laparoscopic-assisted proctectomy for locally advanced rectal cancer based on propensity score matching: Short-term outcomes at a colorectal center in China. World J Gastrointest Oncol 2020; 12(4): 424-434 [PMID: 32368320 DOI: 10.4251/wjgo.v12.i4.424]
Corresponding Author of This Article
Tai-Yuan Li, MD, PhD, Chief Doctor, Director, Professor, Department of General Surgery, First Affiliated Hospital of Nanchang University, No. 17 Yongwaizheng Street, Nanchang 330006, Jiangxi Province, China. litaiyuanyfy@sina.com
Research Domain of This Article
Surgery
Article-Type of This Article
Retrospective Cohort Study
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Ye SP, Zhu WQ, Liu DN, Lei X, Jiang QG, Hu HM, Tang B, He PH, Gao GM, Tang HC, Shi J, Li TY. Robotic- vs laparoscopic-assisted proctectomy for locally advanced rectal cancer based on propensity score matching: Short-term outcomes at a colorectal center in China. World J Gastrointest Oncol 2020; 12(4): 424-434 [PMID: 32368320 DOI: 10.4251/wjgo.v12.i4.424]
World J Gastrointest Oncol. Apr 15, 2020; 12(4): 424-434 Published online Apr 15, 2020. doi: 10.4251/wjgo.v12.i4.424
Robotic- vs laparoscopic-assisted proctectomy for locally advanced rectal cancer based on propensity score matching: Short-term outcomes at a colorectal center in China
Shan-Ping Ye, Wei-Quan Zhu, Dong-Ning Liu, Xiong Lei, Qun-Guang Jiang, Hui-Min Hu, Bo Tang, Peng-Hui He, Geng-Mei Gao, He-Chun Tang, Jun Shi, Tai-Yuan Li
Shan-Ping Ye, Wei-Quan Zhu, Dong-Ning Liu, Xiong Lei, Qun-Guang Jiang, Bo Tang, Peng-Hui He, Geng-Mei Gao, He-Chun Tang, Jun Shi, Tai-Yuan Li, Department of General Surgery, First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China
Shan-Ping Ye, Wei-Quan Zhu, Hui-Min Hu, Bo Tang, Geng-Mei Gao, He-Chun Tang, Department of Graduate Student, Jiangxi Medical College of Nanchang University, Nanchang 330006, Jiangxi Province, China
Author contributions: Ye SP and Li TY designed the research; Ye SP, Zhu WQ, He PH, Gao GM, Tang HC, and Hu HM collected data and conducted the analysis of pooled data; Ye SP, Lei X and Liu DN helped to draft the manuscript; Ye SP, Jiang QG and Tang B wrote the manuscript; Ye SP and Shi J proofread and revised the manuscript; all authors have approved the version to be published.
Supported bythe Infrastructure Supporting Project of Jiangxi Scientific Research Institute, No. 20142BBA13039.
Institutional review board statement: The current study was approved by the institutional review board of our hospital (2016-050) and complies with the Helsinki Declaration.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: The authors deny any conflict of interest.
Data sharing statement: Access to the database can be obtained from the corresponding author on reasonable request.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Corresponding author: Tai-Yuan Li, MD, PhD, Chief Doctor, Director, Professor, Department of General Surgery, First Affiliated Hospital of Nanchang University, No. 17 Yongwaizheng Street, Nanchang 330006, Jiangxi Province, China. litaiyuanyfy@sina.com
Received: December 11, 2019 Peer-review started: December 11, 2019 First decision: December 26, 2019 Revised: December 28, 2019 Accepted: March 22, 2020 Article in press: March 22, 2020 Published online: April 15, 2020 Processing time: 126 Days and 4.9 Hours
Core Tip
Core tip: For patients with locally advanced rectal cancer, there is no consensus regarding whether robotic-assisted proctectomy and laparoscopic-assisted proctectomy is more beneficial. We conducted this retrospective cohort study to compare the short-term outcomes of robotic and laparoscopic for the rectal surgery. Compared with the laparoscopic-assisted proctectomy group, the robotic-assisted proctectomy group had less intraoperative blood loss, lower volume of pelvic cavity drainage, less time to remove the pelvic drainage tube and urinary catheter, longer distal resection margin and lower rates of conversion. Furthermore, the time to recover bowel function, the harvested lymph nodes, the postoperative length of hospital stay, the rate of unplanned readmission within 30 d postoperatively, and the rates of total complications showed no difference between the two groups.
