Robot-assisted multivisceral resections for locally advanced rectal cancer: a case series and systematic review

Lyadov V.K.; Erygin D.V.; Garipov M.R.; Moskalenko A.N.; Nevrov A.S.; Galkin V.N.

doi:https://doi.org/10.17116/hirurgia202602114

Lyadov V.K.

Yudin Moscow City Hospital;
Novokuznetsk State Medical Institute for Advanced Training of Physicians

ORCID: 0000-0002-7281-3591

Erygin D.V.

Yudin Moscow City Hospital

ORCID: 0000-0002-7278-8525

Garipov M.R.

Yudin Moscow City Hospital

ORCID: 0000-0001-9282-5509

Moskalenko A.N.

Yudin Moscow City Hospital

ORCID: 0000-0002-2499-6637

Nevrov A.S.

Russian Medical Academy of Continuous Professional Education

ORCID: 0009-0001-7054-9440

Galkin V.N.

Yudin Moscow City Hospital

ORCID: 0000-0002-6619-6179

Robot-assisted multivisceral resections for locally advanced rectal cancer: a case series and systematic review

Authors:

Lyadov V.K., Erygin D.V., Garipov M.R., Moskalenko A.N., Nevrov A.S., Galkin V.N.

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Journal: Pirogov Russian Journal of Surgery. 2026;(2): 14‑22

DOI: 10.17116/hirurgia202602114

Read: 585 times

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To cite this article:

Lyadov VK, Erygin DV, Garipov MR, Moskalenko AN, Nevrov AS, Galkin VN. Robot-assisted multivisceral resections for locally advanced rectal cancer: a case series and systematic review. Pirogov Russian Journal of Surgery. 2026;(2):14‑22. (In Russ.)
https://doi.org/10.17116/hirurgia202602114

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

OBJECTIVE

To conduct a systematic review of literature data on robot-assisted multivisceral resections for locally advanced rectal cancer and to present own immediate results of these interventions.

MATERIAL AND METHODS

Request “robotic OR,” “robotic ORs,” “robot-assisted OR,” “robot-assisted” and «(Robotic OR robot-assisted) AND rectal AND (T4 OR multivisceral)» in PubMed and E-library databases resulted in 268 publications. Of these, 12 articles were included. Surgery time, intraoperative complications, including blood loss, conversion rate, postoperative complications, and extent of resection (R0, R1) were studied. Meta-analysis enrolled the incidence of complications and R0 resections. In addition, own results of 5 robot-assisted combined rectal resections for the period August — December 2024 are presented. Rectal resections were combined with bladder resection in three cases, and left-sided adnexectomy was performed in one case. One surgery was combined with anterior abdominal wall resection.

RESULTS

Treatment outcomes were analyzed in 891 people. The conversion rate was 11%, incidence of R0 resections — 76.2—100%, overall morbidity — 20.7—78%. Locoregional recurrences occurred in 4—9.3% of cases. Own results of treating 5 patients with locally advanced rectal cancer are summarized. There were R0 resections in all cases. There were no intraoperative complications. Severe postoperative complications (Clavien-Dindo ³ III) were observed in one case. Mean surgery time was 5 hours.

CONCLUSION

Our experience of robot-assisted combined rectal resections for locally advanced cancer demonstrates feasibility of such operations. Own data are comparable with results of previous studies. Systematization of available results is complicated by high heterogeneity of data. However, available data are favorable and confirm the need for prospective accumulation of experience.

Keywords:

oncology

rectal cancer

locally advanced rectal cancer

robotic surgery

robot-assisted multivisceral resection

Authors:

Lyadov V.K.

Yudin Moscow City Hospital;
Novokuznetsk State Medical Institute for Advanced Training of Physicians

ORCID: 0000-0002-7281-3591

Erygin D.V.

Yudin Moscow City Hospital

ORCID: 0000-0002-7278-8525

Garipov M.R.

Yudin Moscow City Hospital

ORCID: 0000-0001-9282-5509

Moskalenko A.N.

Yudin Moscow City Hospital

ORCID: 0000-0002-2499-6637

Nevrov A.S.

Russian Medical Academy of Continuous Professional Education

ORCID: 0009-0001-7054-9440

Galkin V.N.

Yudin Moscow City Hospital

ORCID: 0000-0002-6619-6179

Received:

25.02.2025

Accepted:

16.06.2025

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References:

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