4.4 Article

A retrospective study of post-operative complications and cost analysis in robotic rectal resection versus laparoscopic rectal resection

期刊

FRONTIERS IN SURGERY
卷 9, 期 -, 页码 -

出版社

FRONTIERS MEDIA SA
DOI: 10.3389/fsurg.2022.969038

关键词

robotic da vinci surgery; laparoscopic surgery; rectal cancer; short-term complication; cost analysis

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资金

  1. National Natural Science Foundation of China
  2. Key Laboratory of Basic and Clinical Transformation of Digestive and Metabolic Diseases, Yangzhou, China [81972269]
  3. [YZ2020159]

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This study compared the short-term outcomes of robotic surgery and laparoscopic surgery in treating rectal cancer. The results showed that robotic surgery had better performance in terms of Clavien-Dindo classification, sepsis, and harvested lymph nodes, but it was also associated with higher cost.
Background: Robotic rectal cancer surgery has proven to be a viable alternative to laparoscopic surgery in treating rectal cancer. This study assessed the short-term operative measures of robotic versus laparoscopic surgery. Material: Data was obtained retrospectively from July 2019 to November 2021. Patient demographics, pre-and post-operative features, initial bowel movement, length of hospital stay, and short-term postoperative outcomes such as harvested lymph node, sepsis, Clavien-Dindo Classification, and cost were evaluated. Results: A total of 155 patients were treated for colorectal cancer, with 64 receiving robotic surgery and 91 receiving laparoscopic surgery. According to the Clavien-Dindo classification, there is a significant P < 0.05 between robotic and laparoscopic rectal surgery, with robotic having fewer patients in grade III-IV than laparoscopic. Despite this, laparoscopic surgery is associated with more sepsis patients (P < 0.05), and harvested lymph nodes are likewise associated with significant results. Conclusion: With respect to post-operative complication and cost analysis, our finding imply that robotic rectal resection achieves better-quality short-term outcome but more costly than laparoscopic as well as Clavien-Dindo classification plays a crucial role in assessing postoperative rectal cancer complications and considerably impacts the quality of life.

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