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Related Experiment Video

Updated: Jun 16, 2026

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Simultaneous robotic-assisted prostatectomy and rectal resection: a systematic review.

Harry Collin1,2, Benjamin Huang3, Amila Siriwardana3

  • 1Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia. hjacollin@gmail.com.

Journal of Robotic Surgery
|May 23, 2025
PubMed
Summary

Simultaneous robotic surgery for prostate and rectal cancer is feasible and safe. This approach shows promising oncological and functional outcomes, offering a viable option for complex cases.

Keywords:
Abdominoperineal resection (APR)Anterior resection (AR)Prostate cancerProstatectomyRectal cancerRobotic surgery

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Area of Science:

  • Oncology
  • Surgical Innovation
  • Robotic Surgery

Background:

  • Prostate cancer (PC) and rectal cancer (RC) present complex management challenges, particularly when synchronous or invasive.
  • Robotic surgery is an emerging option, but outcomes require synthesis.

Purpose of the Study:

  • To systematically review the feasibility, oncological outcomes, and functional results of simultaneous robotic-assisted prostate and rectal resections.
  • To evaluate this approach for managing synchronous or invasive PC and RC.

Main Methods:

  • Systematic review following PRISMA guidelines, searching multiple databases.
  • Included studies involving simultaneous bladder-sparing robotic-assisted prostatectomy and rectal resection.
  • Risk of bias assessed using the Joanna Briggs Institute tool; data extracted and analyzed.

Main Results:

  • 25 studies with 45 cases analyzed; median age 62 years.
  • Median operative time 548 min, estimated blood loss 450 mL.
  • 44.4% overall complication rate, 17.8% major complications; 92.6% negative margins; 78.6% continence recovery.

Conclusions:

  • Simultaneous robotic-assisted prostatectomy and rectal resection is feasible, safe, and oncologically effective.
  • The approach demonstrates satisfactory oncological and functional outcomes for complex PC and RC cases.