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Goncharov A.L.

Central Clinical Hospital of the Presidential Administration

Chicherina M.A.

Sechenov First Moscow State Medical University (Sechenov University)

Aslanyan A.S.

Central Clinical Hospital of the Presidential Administration

Muratov I.I.

Central Clinical Hospital of the Presidential Administration

Khorobrykh T.V.

Sechenov First Moscow State Medical University (Sechenov University)

Bedzhanyan A.L.

Petrovsky Russian Scientific Center of Surgery

Gallyamov E.A.

Sechenov First Moscow State Medical University (Sechenov University)

Short-term results of robotic and optimized laparoscopic total mesorectal excision for low rectal cancer

Authors:

Goncharov A.L., Chicherina M.A., Aslanyan A.S., Muratov I.I., Khorobrykh T.V., Bedzhanyan A.L., Gallyamov E.A.

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Journal: Pirogov Russian Journal of Surgery. 2025;(11): 27‑34

DOI: 10.17116/hirurgia202511127

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Table of contents

SHORT-TERM RESULTS OF ROBOTIC AND OPTIMIZED LAPAROSCOPIC TOTAL MESORECTAL EXCISION FOR LOW RECTAL CANCER
SHORT-TERM RESULTS OF ROBOTIC AND OPTIMIZED LAPAROSCOPIC TOTAL MESORECTAL EXCISION FOR LOW RECTAL CANCER

To cite this article:

Goncharov AL, Chicherina MA, Aslanyan AS, Muratov II, Khorobrykh TV, Bedzhanyan AL, Gallyamov EA. Short-term results of robotic and optimized laparoscopic total mesorectal excision for low rectal cancer. Pirogov Russian Journal of Surgery. 2025;(11):27‑34. (In Russ.)
https://doi.org/10.17116/hirurgia202511127

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

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.

Keywords:

robotic surgery
laparoscopy
total mesorectal excision

Authors:

Goncharov A.L.

Central Clinical Hospital of the Presidential Administration

Chicherina M.A.

Sechenov First Moscow State Medical University (Sechenov University)

Aslanyan A.S.

Central Clinical Hospital of the Presidential Administration

Muratov I.I.

Central Clinical Hospital of the Presidential Administration

Khorobrykh T.V.

Sechenov First Moscow State Medical University (Sechenov University)

Bedzhanyan A.L.

Petrovsky Russian Scientific Center of Surgery

Gallyamov E.A.

Sechenov First Moscow State Medical University (Sechenov University)

Received:

23.06.2024

Accepted:

02.08.2024

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References:

  1. Sostoyanie onkologicheskoj pomoshchi naseleniyu Rossii v 2021 godu. Kaprin AD, Starinsky VV, Shakhzadova AO, eds. M.: MNIOI im. P.A. Gertsena — filial FGBU «NMITs radiologii» Minzdrava Rossii, 2022.
  2. Heald RJ. Surgical management of rectal cancer: a multidisciplinary approach to technical and technological advances. Br J Radiol. 2005; 78(Spec No. 2):S128S130. https://doi.org/10.1259/bjr/25335482
  3. Jeong S-Y, Park JW, Nam BH, et al. Open versus laparoscopic surgery for mid-rectal or low-rectal cancer after neoadjuvant chemoradiotherapy (COREAN trial): survival outcomes of an open-label, non-inferiority, randomised controlled trial. The Lancet. Oncology. 2014;15(7):767-774.  https://doi.org/10.1016/S1470-2045(14)70205-0
  4. van der Pas MH, Haglind E, Cuesta MA, Fürst A, Lacy AM, Hop WC, Bonjer HJ, & COlorectal cancer Laparoscopic or Open Resection II (COLOR II) Study Group (2013). Laparoscopic versus open surgery for rectal cancer (COLOR II): short-term outcomes of a randomised, phase 3 trial. The Lancet. Oncology. 2013;14(3):210-218.  https://doi.org/10.1016/S1470-2045(13)70016-0
  5. Jayne DG, Thorpe HC, Copeland J, Quirke P, Brown JM, Guillou PJ. Five-year follow-up of the Medical Research Council CLASICC trial of laparoscopically assisted versus open surgery for colorectal cancer. Br J Surg. 2010;97(11):1638-1645. https://doi.org/10.1002/bjs.7160
  6. Zheng B, Zhang X, Wang X, Ge L, Wei M, Bi L, Deng X, Wang Q, Li J, Wang Z. A comparison of open, laparoscopic and robotic total mesorectal excision: trial sequential analysis and network meta-analysis. Colorectal Dis. 2020;22(4):382-391.  https://doi.org/10.1111/codi.14872
  7. Ishihara S, Watanabe T, Fukushima Y, Akahane T, Horiuch, A, Shimada R, Nakamura K, Hayama T, Yamada H, Nozawa K, Matsuda K, Hashiguchi Y. Safety and factors contributing to the difficulty of laparoscopic surgery for rectal cancer treated with preoperative chemoradiotherapy. Techniq Coloproctol. 2014;18(3):247-255.  https://doi.org/10.1007/s10151-013-1048-1
  8. Lakkis Z, Panis Y. Is There Any Reason Not to Perform Standard Laparoscopic Total Mesorectal Excision? Clin Colon Rectal Surg. 2017; 30(5):333-338.  https://doi.org/10.1055/s-0037-1606110
  9. Scarpinata R, Aly EH. Does robotic rectal cancer surgery offer improved early postoperative outcomes? Dis Colon Rectum. 2013;56(2):253-262.  https://doi.org/10.1097/DCR.0b013e3182694595
  10. Jayne D, Pigazzi A, Marshall H, Croft J, Corrigan N, Copeland J, Quirke P, West N, Rautio T, Thomassen N, Tilney H, Gudgeon M, Bianchi PP, Edlin R, Hulme C, Brown J. Effect of Robotic-Assisted vs Conventional Laparoscopic Surgery on Risk of Conversion to Open Laparotomy Among Patients Undergoing Resection for Rectal Cancer: The ROLARR Randomized Clinical Trial. JAMA. 2017; 318(16):1569-1580. https://doi.org/10.1001/jama.2017.7219
  11. Ahmed J, Cao H, Panteleimonitis S, Khan J, Parvaiz A. Robotic vs laparoscopic rectal surgery in high-risk patients. Colorectal Dis. 2017; 19(12):1092-1099. https://doi.org/10.1111/codi.13783
  12. Peacock O, Limvorapitak T, Hu CY, Bednarski BK, Tillman MM, Kaur H, Taggart MW, Dasari A, Holliday EB, You YN, Chang GJ. Robotic rectal cancer surgery: comparative study of the impact of obesity on early outcomes. Br J Surg. 2020;107(12):1552-1557.
  13. Feng Q, Yuan W, Li T, Tang B, Jia B, Zhou Y, Zhang W, Zhao R, Zhang C, Cheng L, Zhang X, Liang F, He G, Wei Y, Xu J, REAL Study Group. Robotic versus laparoscopic surgery for middle and low rectal cancer (REAL): short-term outcomes of a multicentre randomised controlled trial. The Lancet. Gastroenterol Hepatol. 2022;7(11):991-1004. https://doi.org/10.1016/S2468-1253(22)00248-5
  14. Gavriilidis P, Wheeler J, Spinelli A, de’Angelis N, Simopoulos C, Di Saverio S. Robotic vs laparoscopic total mesorectal excision for rectal cancers: has a paradigm change occurred? A systematic review by updated meta-analysis. Colorectal Dis. 2020;22(11):1506-1517. https://doi.org/10.1111/codi.15084
  15. Kong J, Wu MQ, Yan S, Zhao ZF, Yao H. Single-incision plus one-port laparoscopy surgery versus conventional multi-port laparoscopy surgery for colorectal cancer: a systematic review and meta-analysis. Int J Colorectal Dis. 2024;39(1):62.  https://doi.org/10.1007/s00384-024-04630-x
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