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Early and late clinico-pathologic outcomes of minimally invasive total mesorectal excision for rectal cancer: A propensity score-matched comparison of robotic and laparoscopic approaches

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Affiliated Author(s)
박찬희배성욱정운경백성규
Alternative Author(s)
Park, Chan HeeBae, Sung UkJeong, Woon KyungBaek, Seong Kyu
Journal Title
Int J Med Robot
ISSN
1478-596X
Issued Date
2021
Keyword
laparoscopyrectal neoplasmrobotic surgeryTMEtreatment outcomes
Abstract
Background:
This study aimed to compare the early and late clinical outcomes of laparoscopic and robotic total mesorectal excision (TME) using propensity score matching.

Methods:
The retrospective study included 489 patients who underwent laparoscopic or robotic TME for rectal cancer between June 2011 and December 2018. Overall, 131 matched pairs were generated via propensity scoring matching according to several factors.

Results:
The matched groups had generally similar demographic characteristics. The robotic TME group had significantly longer mean times for the total operation and the TME procedure. There were no significant differences in terms of the other procedure-specific parameters, although the robotic TME group had significantly shorter duration of hospitalisation and shorter duration of need for postoperative indwelling urinary catheter. Moreover, the robotic TME group had non-significantly lower rates of late postoperative complications and reoperation.

Conclusions:
Early and late clinico-pathologic outcomes of robotic TME were comparable to that of laparoscopic TME.
Department
Dept. of Surgery (외과학)
Publisher
School of Medicine (의과대학)
Citation
Chan Hee Park et al. (2021). Early and late clinico-pathologic outcomes of minimally invasive total mesorectal excision for rectal cancer: A propensity score-matched comparison of robotic and laparoscopic approaches. Int J Med Robot, 17(6), e2324. doi: 10.1002/rcs.2324
Type
Article
ISSN
1478-596X
DOI
10.1002/rcs.2324
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43952
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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