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Updated: Jan 10, 2026
Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
[Short-term results of robotic and optimized laparoscopic total mesorectal excision for low rectal cancer]
A L Goncharov1, M A Chicherina2, A S Aslanyan1
1Central Clinical Hospital of the Presidential Administration, Moscow, Russia.
Objective:
To compare perioperative results of optimized laparoscopic and robotic TME for middle and low rectal cancer.
Material And Methods:
A single-center retrospective non-randomized study included 100 patients with middle and low rectal cancer who underwent TME between 2018 and 2024 (65 patients - da Vinci Si unit, 35 patients - laparoscopic TME).
Results:
Perioperative results were similar. The robotic surgery group had patients with lower tumors (4.7±1.9 vs. 5.8±1.8 cm, p=0.005). Mean surgery time was longer in the robotic surgery group (274.4±46.6 vs. 257.7±47.8 min, p=0.04). Postoperative complications occurred in 15 (23.1%) and 10 (28.6%) patients, respectively (p=0.56).
Conclusion:
Perioperative results of robotic and laparoscopic total mesorectal excision are comparable. Unification of these accesses allows equally effective minimally invasive surgical treatment of patients with low and middle rectal cancer.
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