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Urinary and sexual function after robotic and laparoscopic rectal cancer surgery: a systematic review and meta-analysis

  • 0Department of General Surgery, Suzhou Ninth Hospital Affiliated to Soochow University, Suzhou, 215000, Jiangsu, China.
Journal of Robotic Surgery +

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June 22, 2024

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June 22, 2024

View abstract on PubMed

Summary

This summary is machine-generated.

Robotic rectal cancer surgery (RRCS) offers better urinary and sexual function preservation compared to laparoscopic rectal cancer surgery (LRCS). This meta-analysis of 13 studies shows RRCS leads to improved outcomes for patients undergoing rectal cancer treatment.

Area Of Science

  • Oncology
  • Surgical Innovation
  • Urology
  • Sexual Health

Background

  • Rectal cancer surgery significantly impacts patient quality of life, particularly urinary and sexual function.
  • Minimally invasive surgical techniques, including robotic rectal cancer surgery (RRCS) and laparoscopic rectal cancer surgery (LRCS), are widely used.
  • Comparative data on the functional outcomes of RRCS versus LRCS is crucial for patient management.

Purpose Of The Study

  • To systematically compare the protective effects of robotic rectal cancer surgery (RRCS) versus laparoscopic rectal cancer surgery (LRCS) on patient urinary and sexual function.
  • To synthesize existing evidence through a meta-analysis to determine the superior surgical approach for preserving these functions.

Main Methods

  • A systematic literature search was conducted across PubMed, Web of Science, Cochrane Library, and Embase.
  • Studies comparing RRCS and LRCS regarding urinary and sexual function were included.
  • Evaluations utilized standardized questionnaires: International Prostate Symptom Score (IPSS), International Index of Erectile Function (IIEF-5), and Female Sexual Function Index (FSFI).

Main Results

  • The meta-analysis included 13 studies with 1964 patients (959 RRCS, 1005 LRCS).
  • RRCS demonstrated significantly better urinary function (IPSS) at 3, 6, and 12 months postoperatively compared to LRCS.
  • Male sexual function (IIEF-5) was significantly better after RRCS at 3, 6, and 12 months.
  • Female sexual function (FSFI) showed significant improvement with RRCS at 6 and 12 months postoperatively.

Conclusions

  • Robotic rectal cancer surgery (RRCS) is more favorable than laparoscopic rectal cancer surgery (LRCS) for preserving urinary function in rectal cancer patients.
  • RRCS offers superior outcomes in maintaining both male and female sexual function compared to LRCS.
  • These findings suggest RRCS may be the preferred surgical modality for optimizing functional recovery after rectal cancer treatment.

Keywords:

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