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Short-Term and Long-Term Outcomes in Mid and Low Rectal Cancer With Robotic Surgery
- Source :
- Frontiers in Oncology, Frontiers in Oncology, Vol 11 (2021)
- Publication Year :
- 2020
-
Abstract
- ObjectiveTo investigate the risk factors for postoperative complications and anastomotic leakage after robotic surgery for mid and low rectal cancer and their influence on long-term outcomes.MethodsA total of 641 patients who underwent radical mid and low rectal cancer robotic surgery at Zhongshan Hospital Fudan University from January 2014 to December 2018 were enrolled in this study. The clinicopathological factors of the patients were collected. The risk factors for short-term outcomes of complications and anastomotic leakage were analyzed, and their influences on recurrence and overall survival were studied.ResultsOf the 641 patients, 516 (80.5%) underwent AR or LAR procedures, while 125 (19.5%) underwent the NOSES procedure. Only fifteen (2.3%) patients had stoma diversion. One hundred and seventeen patients (17.6%) experienced surgical complications. Anastomotic leakage occurred in 44 patients (6.9%). Eleven patients (1.7%) underwent reoperation within 90 days after surgery. Preoperative radiotherapy did not significantly increase anastomotic leakage in our study (7.4% vs. 6.8%, P = 0.869). The mean postoperative hospital stay was much longer with complication (10.4 vs. 7.1 days, PConclusionBeing male, having a lower tumor location, and having a prolonged operation time were independent risk factors for complications and anastomotic leakage in mid and low rectal cancer. Complications and anastomotic leakage might have no long-term impact on oncological outcomes for mid and low rectal cancer with robotic surgery.
- Subjects :
- Cancer Research
medicine.medical_specialty
complications
Colorectal cancer
anastomotic leakage
lcsh:RC254-282
Stoma
03 medical and health sciences
0302 clinical medicine
Low rectal cancer
robotic surgery
Long term outcomes
Medicine
Robotic surgery
rectal cancer
Original Research
business.industry
lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Anus
medicine.disease
Surgery
medicine.anatomical_structure
Oncology
Anastomotic leakage
030220 oncology & carcinogenesis
030211 gastroenterology & hepatology
Complication
business
long-term outcomes
Subjects
Details
- ISSN :
- 2234943X
- Volume :
- 11
- Database :
- OpenAIRE
- Journal :
- Frontiers in oncology
- Accession number :
- edsair.doi.dedup.....2e0948c81c01a181685ff0af2e328fba