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Critical analysis of the literature investigating urogenital function preservation following robotic rectal cancer surgery

AIM: To analyses the current literature regarding the urogenital functional outcomes of patients receiving robotic rectal cancer surgery. METHODS: A comprehensive literature search of electronic databases was performed in October 2015. The following search terms were applied: “rectal cancer” or “col...

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Autores principales: Panteleimonitis, Sofoklis, Ahmed, Jamil, Harper, Mick, Parvaiz, Amjad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5124703/
https://www.ncbi.nlm.nih.gov/pubmed/27933136
http://dx.doi.org/10.4240/wjgs.v8.i11.744
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author Panteleimonitis, Sofoklis
Ahmed, Jamil
Harper, Mick
Parvaiz, Amjad
author_facet Panteleimonitis, Sofoklis
Ahmed, Jamil
Harper, Mick
Parvaiz, Amjad
author_sort Panteleimonitis, Sofoklis
collection PubMed
description AIM: To analyses the current literature regarding the urogenital functional outcomes of patients receiving robotic rectal cancer surgery. METHODS: A comprehensive literature search of electronic databases was performed in October 2015. The following search terms were applied: “rectal cancer” or “colorectal cancer” and robot* or “da Vinci” and sexual or urolog* or urinary or erect* or ejaculat* or impot* or incontinence. All original studies examining the urological and/or sexual outcomes of male and/or female patients receiving robotic rectal cancer surgery were included. Reference lists of all retrieved articles were manually searched for further relevant articles. Abstracts were independently searched by two authors. RESULTS: Fifteen original studies fulfilled the inclusion criteria. A total of 1338 patients were included; 818 received robotic, 498 laparoscopic and 22 open rectal cancer surgery. Only 726 (54%) patients had their urogenital function assessed via means of validated functional questionnaires. From the included studies, three found that robotic rectal cancer surgery leads to quicker recovery of male urological function and five of male sexual function as compared to laparoscopic surgery. It is unclear whether robotic surgery offers favourable urogenital outcomes in the long run for males. In female patients only two studies assessed urological and three sexual function independently to that of males. In these studies there was no difference identified between patients receiving robotic and laparoscopic rectal cancer surgery. However, in females the presented evidence was very limited making it impossible to draw any substantial conclusions. CONCLUSION: There seems to be a trend towards earlier recovery of male urogenital function following robotic surgery. To evaluate this further, larger well designed studies are required.
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spelling pubmed-51247032016-12-08 Critical analysis of the literature investigating urogenital function preservation following robotic rectal cancer surgery Panteleimonitis, Sofoklis Ahmed, Jamil Harper, Mick Parvaiz, Amjad World J Gastrointest Surg Systematic Reviews AIM: To analyses the current literature regarding the urogenital functional outcomes of patients receiving robotic rectal cancer surgery. METHODS: A comprehensive literature search of electronic databases was performed in October 2015. The following search terms were applied: “rectal cancer” or “colorectal cancer” and robot* or “da Vinci” and sexual or urolog* or urinary or erect* or ejaculat* or impot* or incontinence. All original studies examining the urological and/or sexual outcomes of male and/or female patients receiving robotic rectal cancer surgery were included. Reference lists of all retrieved articles were manually searched for further relevant articles. Abstracts were independently searched by two authors. RESULTS: Fifteen original studies fulfilled the inclusion criteria. A total of 1338 patients were included; 818 received robotic, 498 laparoscopic and 22 open rectal cancer surgery. Only 726 (54%) patients had their urogenital function assessed via means of validated functional questionnaires. From the included studies, three found that robotic rectal cancer surgery leads to quicker recovery of male urological function and five of male sexual function as compared to laparoscopic surgery. It is unclear whether robotic surgery offers favourable urogenital outcomes in the long run for males. In female patients only two studies assessed urological and three sexual function independently to that of males. In these studies there was no difference identified between patients receiving robotic and laparoscopic rectal cancer surgery. However, in females the presented evidence was very limited making it impossible to draw any substantial conclusions. CONCLUSION: There seems to be a trend towards earlier recovery of male urogenital function following robotic surgery. To evaluate this further, larger well designed studies are required. Baishideng Publishing Group Inc 2016-11-27 2016-11-27 /pmc/articles/PMC5124703/ /pubmed/27933136 http://dx.doi.org/10.4240/wjgs.v8.i11.744 Text en ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Systematic Reviews
Panteleimonitis, Sofoklis
Ahmed, Jamil
Harper, Mick
Parvaiz, Amjad
Critical analysis of the literature investigating urogenital function preservation following robotic rectal cancer surgery
title Critical analysis of the literature investigating urogenital function preservation following robotic rectal cancer surgery
title_full Critical analysis of the literature investigating urogenital function preservation following robotic rectal cancer surgery
title_fullStr Critical analysis of the literature investigating urogenital function preservation following robotic rectal cancer surgery
title_full_unstemmed Critical analysis of the literature investigating urogenital function preservation following robotic rectal cancer surgery
title_short Critical analysis of the literature investigating urogenital function preservation following robotic rectal cancer surgery
title_sort critical analysis of the literature investigating urogenital function preservation following robotic rectal cancer surgery
topic Systematic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5124703/
https://www.ncbi.nlm.nih.gov/pubmed/27933136
http://dx.doi.org/10.4240/wjgs.v8.i11.744
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