文献类型：期刊文献

英文题名：Short-Term Outcomes of Robotic versus Laparoscopic Total Mesorectal Excision for Rectal Cancer: A Cohort Study

作者：Liu, Wen-Han[1,2];Yan, Pei-Jing[3,4];Hu, Dong-Ping[1];Jin, Peng-Hui[1,2];Lv, Yao-Chun[1];Liu, Rong[5];Yang, Xiong-Fei[1];Yang, Ke-Hu[2];Guo, Tian-Kang[1]

第一作者：刘文华;Liu, Wen-Han

通信作者：Yang, XF[1]

机构：[1]Gansu Prov Hosp, Dept Colorectal Surg, Dong Gang West Rd, Lanzhou 730000, Gansu, Peoples R China;[2]Gansu Univ Tradit Chinese Med, Dept Clin Med, Lanzhou, Gansu, Peoples R China;[3]Lanzhou Univ, Evidence Based Med Ctr, Sch Basic Med Sci, Lanzhou, Gansu, Peoples R China;[4]Gansu Prov Hosp, Inst Clin Res & Evidence Based Med, Lanzhou, Gansu, Peoples R China;[5]Chinese Peoples Liberat Army Gen Hosp, Dept Hepatobiliary Surg 2, Beijing, Peoples R China

第一机构：Gansu Prov Hosp, Dept Colorectal Surg, Dong Gang West Rd, Lanzhou 730000, Gansu, Peoples R China

通信机构：[1]corresponding author), Gansu Prov Hosp, Dept Colorectal Surg, Dong Gang West Rd, Lanzhou 730000, Gansu, Peoples R China.

年份：2019

卷号：85

期号：3

起止页码：294

外文期刊名：AMERICAN SURGEON

收录：;WOS:【SCI-EXPANDED(收录号:WOS:000463511200036)】；

语种：英文

摘要：The aim of this study was to evaluate and compare the intestinal function recovery time and other short-term outcomes between robotic-assisted total mesorectal excision (R-TME) and laparoscopic total mesorectal excision (L-TME) for rectal cancer. This is a retrospective study using a prospectively collected database. Patients' records were obtained from Gansu Provincial Hospital between July 2015 and October 2017. Eighty patients underwent R-TME, and 116 with the same histopathological stage of the tumor underwent an L-TME. Both operations were performed by the same surgeon, comparing intra- and postoperative outcomes intergroups. The time to the first passage of flatus (P < 0.001), the time to the first postoperative oral fluid intake (P < 0.001), and the length of hospital stay (P < 0.01) of the R-TME group were about three days faster than those in the L-TME group. The rate of conversion to open laparotomy (P = 0.038) and postoperative urinary retention (P = 0.016) were significantly lower in the R-TME group than in the L-TME group. Intraoperative blood loss of the R-TME group was more than that of the L-TME group (P < 0.01).The operation time, number of lymph nodes harvested, and rate of positive circumferential resection margin were similar intergroup. The total cost of the R-TME group was higher than that of the L-TME group, but with a lack of statistical significance (85,623.91 +/- 13,310.50 vs 67,356.79 +/- 17,107.68 CNY, P = 0.084). The R-TME is safe and effective and has better postoperative short-term outcomes and faster intestinal function recovery time, contrasting with the L-TME. The large, multicenter, prospective studies were needed to validate the advantages of robotic surgery system used in rectal cancer.