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• W2896789170 abstract "Abstract Background Robotic total mesorectal excision (R‐TME) is expected to have advantages over laparoscopic total mesorectal excision (L‐TME). The aim is to compare the short‐term outcomes between initial cases of L‐TME and RTME. Materials and methods Among a total of 168 patients assigned to receive either R‐TME ( n = 84) or L‐TME ( n = 84), short term outcomes were compared between the groups by 1:1 propensity score matching of eight variables. Results The inter‐sphincteric resection rate (42.9% vs. 25%; P = 0.006) and operative time (372.4 ± 102.8 vs. 301 ± 53.6, P = 0.000) were significantly greater in R‐TME. The conversion rate, blood loss, and length of hospital stay were similar. The anastomotic leak rate and major surgical complications rates were significantly higher in L‐TME (9.5% vs. 1.2%; P = 0.016) and (13.1% vs. 4.8%; P = 0.034) respectively. Conclusion The oncologic quality and short‐term outcomes in the two groups were comparable; however, anastomotic leak rates and major complications were significantly lower in R‐TME. For experienced laparoscopic surgeons, robotic sphincter‐saving TME is associated with lower morbidity when compared with laparoscopic approach." @default.
• W2896789170 created "2018-10-26" @default.
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• W2896789170 date "2018-10-29" @default.
• W2896789170 modified "2023-10-18" @default.
• W2896789170 title "Robotic versus laparoscopic sphincter-preserving total mesorectal excision: A propensity case-matched analysis" @default.
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• W2896789170 doi "https://doi.org/10.1002/rcs.1965" @default.
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