Intersphincteric resection following robotic- versus laparoscopy-assisted total mesorectal excision for middle and low rectal cancer: A multicenter propensity score analysis of 1571 patients.

ABSTRACT:

Background

Robotic-assisted total mesorectal excision (RaTME) may be associated with reduced conversion to an open approach and a higher rate of complete total mesorectal excision (TME); however, studies on its advantages in intersphincteric resection (ISR) are inadequate.

Materials and methods

This retrospective multicenter cohort study enrolled consecutive patients who underwent RaTME and laparoscopy-assisted total mesorectal excision (LaTME) at four medical centers between January 2020 and March 2023. Propensity score matching (PSM), inverse probability of treatment weight (IPTW), and multivariate logistic regression analyses were performed. The primary outcome was the ISR rate. Secondary outcomes were coloanal anastomosis (CAA), conversion to open surgery, conversion to

SUBMITTER: Guo Y 

PROVIDER: S-EPMC11020017 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature