Comparison of the perioperative outcomes of laparoscopic surgery, robotic surgery, open surgery, and transanal total mesorectal excision for rectal cancer: An overview of systematic reviews
Abstract Regarding the surgical approaches for rectal cancer, many techniques have been reported in randomized controlled trials, meta‐analyses, and reviews of comparisons between two techniques, e.g. open surgery vs laparoscopic surgery, laparoscopic surgery vs robotic surgery, or laparoscopic surg...
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| Format: | Article |
| Language: | English |
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Wiley
2020-11-01
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| Series: | Annals of Gastroenterological Surgery |
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| Online Access: | https://doi.org/10.1002/ags3.12385 |
| _version_ | 1819297501482582016 |
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| author | Seiichiro Yamamoto |
| author_facet | Seiichiro Yamamoto |
| author_sort | Seiichiro Yamamoto |
| collection | DOAJ |
| description | Abstract Regarding the surgical approaches for rectal cancer, many techniques have been reported in randomized controlled trials, meta‐analyses, and reviews of comparisons between two techniques, e.g. open surgery vs laparoscopic surgery, laparoscopic surgery vs robotic surgery, or laparoscopic surgery vs transanal total mesorectal excision. Since robotic surgery and transanal total mesorectal excision were developed after laparoscopic surgery had become an established minimally invasive technique, they have each been compared with laparoscopic surgery. Therefore, a review was performed to compare the surgical outcomes of robotic surgery and transanal total mesorectal excision, and to perform such comparisons among ≥3 of the above mentioned approaches, in the expectation that this review will serve as a reference for aiding treatment selection in future. The results of the current review suggest that all of the examined procedures have advantages and disadvantages, but that there are no decisive factors that could be used to select one procedure over any other. At the present time it cannot be demonstrated that laparoscopic surgery, robotic surgery, transanal total mesorectal excision, or open surgery is superior to the other techniques, and it is important to select the best technique for each patient from among those that a surgeon can perform. It is also important to maintain a flexible attitude that allows new techniques to be adopted as needed in the future. |
| first_indexed | 2024-12-24T05:15:01Z |
| format | Article |
| id | doaj.art-241b9c0be9934198ab7cb4a1c7f93267 |
| institution | Directory Open Access Journal |
| issn | 2475-0328 |
| language | English |
| last_indexed | 2024-12-24T05:15:01Z |
| publishDate | 2020-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Annals of Gastroenterological Surgery |
| spelling | doaj.art-241b9c0be9934198ab7cb4a1c7f932672022-12-21T17:13:35ZengWileyAnnals of Gastroenterological Surgery2475-03282020-11-014662863410.1002/ags3.12385Comparison of the perioperative outcomes of laparoscopic surgery, robotic surgery, open surgery, and transanal total mesorectal excision for rectal cancer: An overview of systematic reviewsSeiichiro Yamamoto0Department of Gastroenterological Surgery Tokai University School of Medicine Kanagawa JapanAbstract Regarding the surgical approaches for rectal cancer, many techniques have been reported in randomized controlled trials, meta‐analyses, and reviews of comparisons between two techniques, e.g. open surgery vs laparoscopic surgery, laparoscopic surgery vs robotic surgery, or laparoscopic surgery vs transanal total mesorectal excision. Since robotic surgery and transanal total mesorectal excision were developed after laparoscopic surgery had become an established minimally invasive technique, they have each been compared with laparoscopic surgery. Therefore, a review was performed to compare the surgical outcomes of robotic surgery and transanal total mesorectal excision, and to perform such comparisons among ≥3 of the above mentioned approaches, in the expectation that this review will serve as a reference for aiding treatment selection in future. The results of the current review suggest that all of the examined procedures have advantages and disadvantages, but that there are no decisive factors that could be used to select one procedure over any other. At the present time it cannot be demonstrated that laparoscopic surgery, robotic surgery, transanal total mesorectal excision, or open surgery is superior to the other techniques, and it is important to select the best technique for each patient from among those that a surgeon can perform. It is also important to maintain a flexible attitude that allows new techniques to be adopted as needed in the future.https://doi.org/10.1002/ags3.12385laparoscopic surgeryopen surgeryrectal cancerrobotic surgerytransanal total mesorectal excision |
| spellingShingle | Seiichiro Yamamoto Comparison of the perioperative outcomes of laparoscopic surgery, robotic surgery, open surgery, and transanal total mesorectal excision for rectal cancer: An overview of systematic reviews Annals of Gastroenterological Surgery laparoscopic surgery open surgery rectal cancer robotic surgery transanal total mesorectal excision |
| title | Comparison of the perioperative outcomes of laparoscopic surgery, robotic surgery, open surgery, and transanal total mesorectal excision for rectal cancer: An overview of systematic reviews |
| title_full | Comparison of the perioperative outcomes of laparoscopic surgery, robotic surgery, open surgery, and transanal total mesorectal excision for rectal cancer: An overview of systematic reviews |
| title_fullStr | Comparison of the perioperative outcomes of laparoscopic surgery, robotic surgery, open surgery, and transanal total mesorectal excision for rectal cancer: An overview of systematic reviews |
| title_full_unstemmed | Comparison of the perioperative outcomes of laparoscopic surgery, robotic surgery, open surgery, and transanal total mesorectal excision for rectal cancer: An overview of systematic reviews |
| title_short | Comparison of the perioperative outcomes of laparoscopic surgery, robotic surgery, open surgery, and transanal total mesorectal excision for rectal cancer: An overview of systematic reviews |
| title_sort | comparison of the perioperative outcomes of laparoscopic surgery robotic surgery open surgery and transanal total mesorectal excision for rectal cancer an overview of systematic reviews |
| topic | laparoscopic surgery open surgery rectal cancer robotic surgery transanal total mesorectal excision |
| url | https://doi.org/10.1002/ags3.12385 |
| work_keys_str_mv | AT seiichiroyamamoto comparisonoftheperioperativeoutcomesoflaparoscopicsurgeryroboticsurgeryopensurgeryandtransanaltotalmesorectalexcisionforrectalcanceranoverviewofsystematicreviews |