首页|First Affiliated Hospital of Xi’an Jiaotong University Reports Findings in Rectal Cancer (The effect of robotic surgery on low anterior resection syndrome in patients with lower rectal cancer: a propensity score-matched analysis)
First Affiliated Hospital of Xi’an Jiaotong University Reports Findings in Rectal Cancer (The effect of robotic surgery on low anterior resection syndrome in patients with lower rectal cancer: a propensity score-matched analysis)
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Springer Nature
New research on Oncology - Rectal Cancer is the subject of a report. According to news reporting from Shaanxi, People’s Republic of China, by NewsRx journalists, research stated, “Many patients experience anorectal dysfunction after rectal surgery, which is known as low anterior resection syndrome (LARS). Robotic systems have many technical advantages that may be suitable for functional preservation after low rectal resection.” Financial supporters for this research include National Natural Science Foundation of China, Shaanxi Province Science Foundation. The news correspondents obtained a quote from the research from the First Affiliated Hospital of Xi’an Jiaotong University, “Thus, the study aimed to explore whether robotic surgery can reduce the incidence and severity of LARS. Patients undergoing minimally invasive sphincter-sparing surgery for low rectal cancer were enrolled between January 2015 and December 2020. The patients were divided into robotic or laparoscopic groups. The LARS survey was conducted at 6, 12 and 18 months postoperatively. Major LARS scores were analysed as the primary endpoint. In order to reduce confounding factors, one-to-two propensity score matches were used. In total, 342 patients were enrolled in the study. At 18 months postoperatively, the incidence of LARS was 68.7% (235/342); minor LARS was identified in 112/342 patients (32.7%), and major LARS in 123/342 (36.0%). After matching, the robotic group included 74 patients, and the laparoscopic group included 148 patients. The incidence of major LARS in the robotic group was significantly lower than that in the laparoscopic group at 6, 12, and 18 months after surgery. In multivariate logistic regression analysis, tumour location, laparoscopic surgery, intersphincteric resection, neoadjuvant therapy, and anastomotic leakage were independent risk factors for major LARS after minimally invasive sphincter-sparing surgery for low rectal cancer. Furthermore, a major LARS prediction model was constructed. Results of model evaluation showed that the nomogram had good prediction accuracy and efficiency. Patients with low rectal cancer may benefit from robotic surgery to reduce the incidence and severity of LARS.”
ShaanxiPeople’s Republic of ChinaAsiaCancerEmerging TechnologiesGastroenterologyHealth and MedicineMachine LearningOncologyRectal CancerRisk and PreventionRoboticsRobotsSurgery
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Springer Nature
