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

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...

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Autores principales: Ali, Muhammad, Zhu, Xiaodong, Wang, Yang, Ding, Jianyue, Zhang, Qi, Sun, Qiannan, Baral, Shantanu, Wang, Daorong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9437576/
https://www.ncbi.nlm.nih.gov/pubmed/36061066
http://dx.doi.org/10.3389/fsurg.2022.969038
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author Ali, Muhammad
Zhu, Xiaodong
Wang, Yang
Ding, Jianyue
Zhang, Qi
Sun, Qiannan
Baral, Shantanu
Wang, Daorong
author_facet Ali, Muhammad
Zhu, Xiaodong
Wang, Yang
Ding, Jianyue
Zhang, Qi
Sun, Qiannan
Baral, Shantanu
Wang, Daorong
author_sort Ali, Muhammad
collection PubMed
description 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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spelling pubmed-94375762022-09-03 A retrospective study of post-operative complications and cost analysis in robotic rectal resection versus laparoscopic rectal resection Ali, Muhammad Zhu, Xiaodong Wang, Yang Ding, Jianyue Zhang, Qi Sun, Qiannan Baral, Shantanu Wang, Daorong Front Surg Surgery 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. Frontiers Media S.A. 2022-08-19 /pmc/articles/PMC9437576/ /pubmed/36061066 http://dx.doi.org/10.3389/fsurg.2022.969038 Text en © 2022 Ali, Zhu, Wang, Ding, Zhang, Sun, Baral and Wang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Ali, Muhammad
Zhu, Xiaodong
Wang, Yang
Ding, Jianyue
Zhang, Qi
Sun, Qiannan
Baral, Shantanu
Wang, Daorong
A retrospective study of post-operative complications and cost analysis in robotic rectal resection versus laparoscopic rectal resection
title A retrospective study of post-operative complications and cost analysis in robotic rectal resection versus laparoscopic rectal resection
title_full A retrospective study of post-operative complications and cost analysis in robotic rectal resection versus laparoscopic rectal resection
title_fullStr A retrospective study of post-operative complications and cost analysis in robotic rectal resection versus laparoscopic rectal resection
title_full_unstemmed A retrospective study of post-operative complications and cost analysis in robotic rectal resection versus laparoscopic rectal resection
title_short A retrospective study of post-operative complications and cost analysis in robotic rectal resection versus laparoscopic rectal resection
title_sort retrospective study of post-operative complications and cost analysis in robotic rectal resection versus laparoscopic rectal resection
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9437576/
https://www.ncbi.nlm.nih.gov/pubmed/36061066
http://dx.doi.org/10.3389/fsurg.2022.969038
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