Robotic-Assisted versus Conventional Laparoscopic Approach for Rectal Cancer Surgery, First Egyptian Academic Center Experience, RCT
Joint Authors
Farag, Ahmed
Debakey, Yasser
Zaghloul, Ashraf
Mahmoud, Ahmed
Elattar, Inas
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-09-02
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Background.
Undoubtedly, robotic systems have largely penetrated the surgical field.
For any new operative approach to become an accepted alternative to conventional methods, it must be proved safe and result in comparable outcomes.
The purpose of this study is to compare the short-term operative as well as oncologic outcomes of robotic-assisted and laparoscopic rectal cancer resections.
Methods.
This is a prospective randomized clinical trial conducted on patients with rectal cancer undergoing either robotic-assisted or laparoscopic surgery from April 2015 till February 2017.
Patients’ demographics, operative parameters, and short-term clinical and oncological outcomes were analyzed.
Results.
Fifty-seven patients underwent permuted block randomization.
Of these patients, 28 were assigned to undergo robotic-assisted rectal surgery and 29 to laparoscopic rectal surgery.
After exclusion of 12 patients following randomization, 45 patients were included in the analysis.
No significant differences exist between both groups in terms of age, gender, BMI, ASA score, clinical stage, and rate of receiving upfront chemoradiation.
Estimated blood loss was evidently lower in the robotic than in the laparoscopic group (median: 200 versus 325 ml, p= 0.050).
A significantly more distal margin is achieved in the robotic than in the laparoscopic group (median: 2.8 versus 1.8, p< 0.001).
Although the circumferential radial margin (CRM) was complete in 18 patients (85.7%) in the robotic group in contrast to 15 patients (62.5%) in the laparoscopic group, it did not differ statistically (p=0.079).
The overall postoperative complication rates were similar between the two groups.
Conclusion.
To our knowledge, this is the first prospective randomized trial of robotic rectal surgery in the Middle East and Northern Africa region.
Our early experience indicates that robotic rectal surgery is a feasible and safe procedure.
It is not inferior to standard laparoscopy in terms of oncologic radicality and surgical complications.
Organization number is IORG0003381.
IRB number is IRB00004025.
American Psychological Association (APA)
Debakey, Yasser& Zaghloul, Ashraf& Farag, Ahmed& Mahmoud, Ahmed& Elattar, Inas. 2018. Robotic-Assisted versus Conventional Laparoscopic Approach for Rectal Cancer Surgery, First Egyptian Academic Center Experience, RCT. Minimally Invasive Surgery،Vol. 2018, no. 2018, pp.1-11.
https://search.emarefa.net/detail/BIM-1204580
Modern Language Association (MLA)
Debakey, Yasser…[et al.]. Robotic-Assisted versus Conventional Laparoscopic Approach for Rectal Cancer Surgery, First Egyptian Academic Center Experience, RCT. Minimally Invasive Surgery No. 2018 (2018), pp.1-11.
https://search.emarefa.net/detail/BIM-1204580
American Medical Association (AMA)
Debakey, Yasser& Zaghloul, Ashraf& Farag, Ahmed& Mahmoud, Ahmed& Elattar, Inas. Robotic-Assisted versus Conventional Laparoscopic Approach for Rectal Cancer Surgery, First Egyptian Academic Center Experience, RCT. Minimally Invasive Surgery. 2018. Vol. 2018, no. 2018, pp.1-11.
https://search.emarefa.net/detail/BIM-1204580
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1204580