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Related Experiment Video

Updated: Dec 1, 2025

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Robotic rectal resection: oncologic outcomes.

Claudio Fiorillo1, Giuseppe Quero2,3, Roberta Menghi2

  • 1Digestive Surgery Unit, Fondazione Policlinico Universitario "A. Gemelli" IRCCS di Roma, Largo Agostino Gemelli, 8, 00168, Rome, Italy. giuseppe.quero@policlinicogemelli.it.

Updates in Surgery
|November 10, 2020
PubMed
Summary
This summary is machine-generated.

Robotic rectal resection (RRR) for cancer is oncologically effective, demonstrating good pathological results and long-term survival. This technique offers safe and feasible treatment with acceptable peri-operative outcomes for rectal cancer patients.

Keywords:
Long-term outcomesOncological outcomesRectal cancerRobotic surgery

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Area of Science:

  • Oncology
  • Surgical Technology
  • Gastrointestinal Surgery

Background:

  • Robotic surgery is increasingly used for rectal cancer.
  • Limited studies exist on its oncologic effectiveness, with mixed results.
  • Further research is needed to evaluate long-term oncologic outcomes.

Purpose of the Study:

  • To report a single surgeon's experience with robotic rectal resection (RRR) for cancer.
  • To analyze oncologic outcomes, including pathological features and long-term results.
  • To assess the safety and feasibility of RRR in rectal cancer treatment.

Main Methods:

  • Retrospective analysis of 122 consecutive patients undergoing RRR for rectal cancer (January 2013 - December 2019).
  • Collected data on patient characteristics, perioperative outcomes, and oncologic outcomes.
  • Oncologic outcomes assessed included distal margin (DM), circumferential margin (CRM) status, quality of total mesorectal excision (TME), overall survival (OS), and disease-free survival (DFS).

Main Results:

  • The mean operative time was 275 minutes, with a 6.6% conversion rate.
  • Complications occurred in 22.1% of patients; reoperation was needed in 1.5%.
  • Pathological results showed 0% DM positivity, 2.5% CRM positivity, and 94.3% complete TME. Recurrence rate was 5.7%. Median follow-up was 30.5 months. OS was 90.7%, and DFS was 83%. CRM positivity and incomplete TME were negative prognostic factors.

Conclusions:

  • Robotic surgery for rectal cancer is oncologically effective under appropriate conditions.
  • RRR achieves adequate pathological results and favorable long-term oncologic outcomes.
  • The technique is safe and feasible, with acceptable peri-operative results for rectal cancer treatment.