Objective:To compare the short-term clinical effect of robotic and laparoscopic total mesorectal excision.Methods:The clinical data of 112 patients who underwent robotic or laparoscopic total mesorectal excision between Aug.2020 and Dec.2022 were retrospectively analyzed.Propensity score matching method was used to perform 1∶1 matching between the two groups.Thirty patients in each group were successfully matched,then the surgical indicators,postoperative recovery and postoperative complications within 30 d were compared between the two groups.Results:There were no statistically significant differences in baseline data after matching between the two groups(P>0.05).One case in robotic group converted to laparoscopic resection,no conversion occurred in the laparo-scopic group.There were no statistical differences between the two groups in left colic artery preservation,close of pelvic peritoneum,positive circumferential resection margin,distal resection margin and the number of harvested lymph node(P>0.05).The rate of prophylactic ileostomy was lower,blood loss during operation was less,reinforcement suture of anastomotic stoma was more,the level of C-reactive protein on the first postoperative day was lower,while the total operation time was longer in the robotic group than those in the laparoscopic group(P<0.05).No significant differences were found in the time to first flatus,removing urinary catheter,removing anal tube,first fluid diet,postoperative hospital stay and postoperative complication within 30 d between the two groups(P>0.05).Conclusions:The robotic total mesorectal excision has the similar short-term clinical effect to the laparoscopic operation,although the robotic operation requires longer operation time,it has the advantage of light tissue injury,little blood loss and low rate of prophylactic ileostomy.
维普
万方数据