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Single-Docking Full Robotic Surgery for Rectal Cancer: A Single-Center Experience
Sergio Alfieri1, Dario Di Miceli1, Roberta Menghi1
11 Catholic University of Sacred Heart, Rome, Italy.
Robotic rectal surgery is safe and feasible for rectal cancer, offering good short-term and long-term results. This single-surgeon study shows low complication and recurrence rates, supporting its use.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Robotic surgery is increasingly used for rectal cancer treatment.
- Recent studies question its superiority over laparoscopy.
- This study evaluates a single surgeon's robotic rectal surgery experience.
Purpose of the Study:
- To report outcomes of robotic rectal surgery performed by a single surgeon.
- To assess short-term and long-term results in rectal cancer patients.
- To compare robotic surgery outcomes with existing literature.
Main Methods:
- Retrospective review of 60 consecutive robotic rectal resections for adenocarcinoma.
- Analysis of patient characteristics, perioperative, and oncological outcomes.
- Assessment of surgical resection quality, survival rates, and follow-up data.
Main Results:
- 50% of patients received neoadjuvant therapy; 86.7% underwent anterior resection.
- Low conversion rate (5%), complication rate (16.7%), and reoperation rate (1.7%).
- Excellent pathological results (100% negative margins) and favorable survival rates (94% overall, 87% disease-free).
Conclusions:
- Robotic surgery for rectal cancer is safe and feasible in experienced hands.
- It yields acceptable perioperative outcomes with a low conversion rate.
- Achieves good pathological results and long-term oncological outcomes.
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