Robotic natural orifice specimen extraction surgery versus conventional robotic resection for patients with colorectal neoplasms
BackgroundLaparoscopic natural orifice specimen extraction surgery (NOSES) has been widely used in colorectal neoplasms. However, only a few studies have focused on robotic NOSES. This study compared the short-term clinical outcomes and long-term survival outcomes between robotic NOSES and conventio...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-03-01
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| Series: | Frontiers in Oncology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2023.1153751/full |
| _version_ | 1827987585620770816 |
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| author | Linye Li Kuijie Liu Tiegang Li Jiangjiao Zhou Shu Xu Nanhui Yu Zhushu Guo Hongliang Yao |
| author_facet | Linye Li Kuijie Liu Tiegang Li Jiangjiao Zhou Shu Xu Nanhui Yu Zhushu Guo Hongliang Yao |
| author_sort | Linye Li |
| collection | DOAJ |
| description | BackgroundLaparoscopic natural orifice specimen extraction surgery (NOSES) has been widely used in colorectal neoplasms. However, only a few studies have focused on robotic NOSES. This study compared the short-term clinical outcomes and long-term survival outcomes between robotic NOSES and conventional robotic resection (CRR) groups.MethodsFrom March 2016 to October 2018, a consecutive of 143 patients who underwent robotic sigmoid and rectal resection at the Department of Gastrointestinal Surgery, The Second Xiangya Hospital, Central South University, were considered for inclusion in this study. Propensity-score matching (PSM) was conducted to account for differences in the baseline characteristics. After PSM, 39 patients were included in the robotic NOSES group, and 39 patients in the CRR group. The baseline characteristics between the two groups were all balanced and comparable.ResultsPatients in the NOSES group experienced less intraoperative blood loss (p=0.001), lower requirements for additional analgesia (p=0.020), shorter time to first flatus (p=0.010), and a shorter time to first liquid diet (p=0.003) than the CRR group. The 3-year overall survival rates (NOSES: 92.3% vs. CRR: 89.7% p=1.000) and 3-year disease-free survival rates (NOSES: 82.1% vs. CRR: 84.6% p=0.761) between the two groups were comparable.ConclusionRobotic natural orifice specimen extraction surgery is a safe and feasible surgery for patients with colorectal neoplasms. Robotic NOSES is associated with better short-term clinical outcomes and similar long-term survival outcomes to conventional robotic resection. |
| first_indexed | 2024-04-09T23:50:19Z |
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| id | doaj.art-7cd10f9e687b45ba905092db4b055bd7 |
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| language | English |
| last_indexed | 2024-04-09T23:50:19Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-7cd10f9e687b45ba905092db4b055bd72023-03-17T11:10:48ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-03-011310.3389/fonc.2023.11537511153751Robotic natural orifice specimen extraction surgery versus conventional robotic resection for patients with colorectal neoplasmsLinye Li0Kuijie Liu1Tiegang Li2Jiangjiao Zhou3Shu Xu4Nanhui Yu5Zhushu Guo6Hongliang Yao7Department of General Surgery, The Second Xiangya Hospital of Central South University, Changsha, ChinaDepartment of Gastrointestinal Surgery, The Second Xiangya Hospital of Central South University, Changsha, ChinaDepartment of Gastrointestinal Surgery, The Second Xiangya Hospital of Central South University, Changsha, ChinaDepartment of Biliary and Pancreatic Surgery, The Second Xiangya Hospital of Central South University, Changsha, ChinaDepartment of Gastrointestinal Surgery, The Second Xiangya Hospital of Central South University, Changsha, ChinaDepartment of Gastrointestinal Surgery, The Second Xiangya Hospital of Central South University, Changsha, ChinaDepartment of Gastrointestinal Surgery, The Second Xiangya Hospital of Central South University, Changsha, ChinaDepartment of Gastrointestinal Surgery, The Second Xiangya Hospital of Central South University, Changsha, ChinaBackgroundLaparoscopic natural orifice specimen extraction surgery (NOSES) has been widely used in colorectal neoplasms. However, only a few studies have focused on robotic NOSES. This study compared the short-term clinical outcomes and long-term survival outcomes between robotic NOSES and conventional robotic resection (CRR) groups.MethodsFrom March 2016 to October 2018, a consecutive of 143 patients who underwent robotic sigmoid and rectal resection at the Department of Gastrointestinal Surgery, The Second Xiangya Hospital, Central South University, were considered for inclusion in this study. Propensity-score matching (PSM) was conducted to account for differences in the baseline characteristics. After PSM, 39 patients were included in the robotic NOSES group, and 39 patients in the CRR group. The baseline characteristics between the two groups were all balanced and comparable.ResultsPatients in the NOSES group experienced less intraoperative blood loss (p=0.001), lower requirements for additional analgesia (p=0.020), shorter time to first flatus (p=0.010), and a shorter time to first liquid diet (p=0.003) than the CRR group. The 3-year overall survival rates (NOSES: 92.3% vs. CRR: 89.7% p=1.000) and 3-year disease-free survival rates (NOSES: 82.1% vs. CRR: 84.6% p=0.761) between the two groups were comparable.ConclusionRobotic natural orifice specimen extraction surgery is a safe and feasible surgery for patients with colorectal neoplasms. Robotic NOSES is associated with better short-term clinical outcomes and similar long-term survival outcomes to conventional robotic resection.https://www.frontiersin.org/articles/10.3389/fonc.2023.1153751/fullcolorectal neoplasmsrobotic surgerynatural orifice specimen extractionsurgical outcomessurvival outcomes |
| spellingShingle | Linye Li Kuijie Liu Tiegang Li Jiangjiao Zhou Shu Xu Nanhui Yu Zhushu Guo Hongliang Yao Robotic natural orifice specimen extraction surgery versus conventional robotic resection for patients with colorectal neoplasms Frontiers in Oncology colorectal neoplasms robotic surgery natural orifice specimen extraction surgical outcomes survival outcomes |
| title | Robotic natural orifice specimen extraction surgery versus conventional robotic resection for patients with colorectal neoplasms |
| title_full | Robotic natural orifice specimen extraction surgery versus conventional robotic resection for patients with colorectal neoplasms |
| title_fullStr | Robotic natural orifice specimen extraction surgery versus conventional robotic resection for patients with colorectal neoplasms |
| title_full_unstemmed | Robotic natural orifice specimen extraction surgery versus conventional robotic resection for patients with colorectal neoplasms |
| title_short | Robotic natural orifice specimen extraction surgery versus conventional robotic resection for patients with colorectal neoplasms |
| title_sort | robotic natural orifice specimen extraction surgery versus conventional robotic resection for patients with colorectal neoplasms |
| topic | colorectal neoplasms robotic surgery natural orifice specimen extraction surgical outcomes survival outcomes |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2023.1153751/full |
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