Robotic intersphincteric resection for low rectal cancer: a cumulative sum analysis for the learning curve

Weber PA, Merola S, Wasielewski A, Ballantyne GH. Telerobotic-assisted laparoscopic right and sigmoid colectomies for benign disease. Dis Colon Rectum. 2002;45:1689–96.

Article  PubMed  Google Scholar 

Shah MF, Nasir IUI, Parvaiz A. Robotic surgery for colorectal cancer. Visc Med. 2019;35:247–50.

Article  PubMed  PubMed Central  Google Scholar 

Yamauchi S, Shiomi A, Matsuda C, Takemasa I, Hanai T, Uemura M, et al. Robotic-assisted colectomy for right-sided colon cancer: short-term surgical outcomes of a multi-institutional prospective cohort study in Japan. Ann Gastroenterol Surg. 2023;7:932–9.

Article  PubMed  PubMed Central  Google Scholar 

Schiessel R, Karner-Hanusch J, Herbst F, Teleky B, Wunderlich M. Intersphincteric resection for low rectal tumours. Br J Surg. 1994;81:1376–8.

Article  CAS  PubMed  Google Scholar 

Piozzi GN, Park H, Kim J-S, Choi H-B, Lee T-H, Baek S-J, et al. Anatomic landmarks for transabdominal robotic-assisted intersphincteric dissection for ultralow anterior resection. Dis Colon Rectum. 2021;64:e87–8.

Article  PubMed  Google Scholar 

Chi P, Huang S-H, Lin H-M, Lu X-R, Huang Y, Jiang W-Z, et al. Laparoscopic transabdominal approach partial intersphincteric resection for low rectal cancer: surgical feasibility and intermediate-term outcome. Ann Surg Oncol. 2015;22:944–51.

Article  PubMed  Google Scholar 

Huang S, Huang Y, Chi P, Lin H, Lu X, Xu Z, et al. Completely abdominal approach laparoscopic partial intersphincteric resection after neoadjuvant chemoradiation for initial cT3 Juxta-anal rectal cancer. J Laparoendosc Adv Surg Tech A. 2019;29:809–16.

Article  PubMed  Google Scholar 

Huang S, Chen M, Deng Y, Wang X, Lu X, Jiang W, et al. Mesorectal fat area and mesorectal area affect the surgical difficulty of robotic-assisted mesorectal excision and intersphincteric resection, respectively, in different ways. Colorectal Dis. 2020;22:1130–8.

Article  CAS  PubMed  Google Scholar 

Park SY, Lee SM, Park JS, Kim HJ, Choi G-S. Robot surgery shows similar long-term oncologic outcomes as laparoscopic surgery for mid/lower rectal cancer but is beneficial to ypT3/4 after preoperative chemoradiation. Dis Colon Rectum. 2021;64:812–21.

Article  PubMed  Google Scholar 

Jiang W-Z, Xu J-M, Xing J-D, Qiu H-Z, Wang Z-Q, Kang L, et al. Short-term outcomes of laparoscopy-assisted vs open surgery for patients with low rectal cancer: the LASRE randomized clinical trial. JAMA Oncol. 2022;8:1607–15.

Article  PubMed  PubMed Central  Google Scholar 

Park JS, Lee SM, Choi G-S, Park SY, Kim HJ, Song SH, et al. Comparison of laparoscopic versus robot-assisted surgery for rectal cancers: the COLRAR randomized controlled trial. Ann Surg. 2023;278:31–8.

Article  PubMed  Google Scholar 

Jayne D, Pigazzi A, Marshall H, Croft J, Corrigan N, Copeland J, et al. 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;318:1569–80.

Article  PubMed  PubMed Central  Google Scholar 

Feng Q, Yuan W, Li T, Tang B, Jia B, Zhou Y, et al. Robotic versus laparoscopic surgery for middle and low rectal cancer (REAL): short-term outcomes of a multicentre randomised controlled trial. Lancet Gastroenterol Hepatol. 2022;7:991–1004.

Article  PubMed  Google Scholar 

Wang X, Zheng Z, Yu Q, Ghareeb WM, Lu X, Huang Y, et al. Impact of surgical approach on surgical resection quality in mid- and low rectal cancer. A Bayesian network meta-analysis. Front Oncol. 2021;11: 699200.

Article  PubMed  PubMed Central  Google Scholar 

Park JS, Kim NK, Kim SH, Lee KY, Lee KY, Shin JY, et al. Multicentre study of robotic intersphincteric resection for low rectal cancer. Br J Surg. 2015;102:1567–73.

Article  CAS  PubMed  Google Scholar 

Piozzi GN, Khobragade K, Aliyev V, Asoglu O, Bianchi PP, Butiurca V-O, et al. International standardization and optimization group for intersphincteric resection (ISOG-ISR): modified Delphi consensus on anatomy, definition, indication, surgical technique, specimen description and functional outcome. Colorectal Dis. 2023. https://doi.org/10.1111/codi.16704.

Article  PubMed  Google Scholar 

Kayano H, Okuda J, Tanaka K, Kondo K, Tanigawa N. Evaluation of the learning curve in laparoscopic low anterior resection for rectal cancer. Surg Endosc. 2011;25:2972–9.

Article  PubMed  Google Scholar 

Zhang L, Hu C, Qin Q, Li R, Zhao J, Zhang Z, et al. Learning process analysis of robotic lateral pelvic lymph node dissection for local advanced rectal cancer: the CUSUM curve of 78 consecutive patients. Surg Today. 2023. https://doi.org/10.1007/s00595-023-02725-6.

Article  PubMed  PubMed Central  Google Scholar 

Kuo L-J, Lin Y-K, Chang C-C, Tai C-J, Chiou J-F, Chang Y-J. Clinical outcomes of robot-assisted intersphincteric resection for low rectal cancer: comparison with conventional laparoscopy and multifactorial analysis of the learning curve for robotic surgery. Int J Colorectal Dis. 2014;29:555–62.

Article  PubMed  Google Scholar 

Aghayeva A, Baca B. Robotic sphincter saving rectal cancer surgery: a learning curve analysis. Int J Med Robot. 2020;16: e2112.

Article  PubMed  Google Scholar 

Odermatt M, Ahmed J, Panteleimonitis S, Khan J, Parvaiz A. Prior experience in laparoscopic rectal surgery can minimise the learning curve for robotic rectal resections: a cumulative sum analysis. Surg Endosc. 2017;31:4067–76.

Article  PubMed  Google Scholar 

Tang B, Li T, Gao G, Shi J, Li T. Learning curve of robotic-assisted total mesorectal excision for rectal cancer. Front Oncol. 2022;12: 931426.

Article  PubMed  PubMed Central  Google Scholar 

Sugishita T, Tsukamoto S, Imaizumi J, Takamizawa Y, Inoue M, Moritani K, et al. Evaluation of the learning curve for robot-assisted rectal surgery using the cumulative sum method. Surg Endosc. 2022;36:5947–55.

Article  PubMed  Google Scholar 

Kuo L-J, Hung C-S, Wang W, Tam K-W, Lee H-C, Liang H-H, et al. Intersphincteric resection for very low rectal cancer: clinical outcomes of open versus laparoscopic approach and multidimensional analysis of the learning curve for laparoscopic surgery. J Surg Res. 2013;183:524–30.

Article  PubMed  Google Scholar 

Yamaguchi T, Kinugasa Y, Shiomi A, Sato S, Yamakawa Y, Kagawa H, et al. Learning curve for robotic-assisted surgery for rectal cancer: use of the cumulative sum method. Surg Endosc. 2015;29:1679–85.

Article  PubMed  Google Scholar 

Kim JC, Kim CW, Lee JL, Yoon YS, Park IJ, Kim JR, et al. Complete intersphincteric longitudinal muscle excision May Be key to reducing local recurrence during intersphincteric resection. Eur J Surg Oncol. 2021;47:1629–36.

Article  PubMed  Google Scholar 

Kneist W, Stein H, Rheinwald M. Da Vinci single-port robot-assisted transanal mesorectal excision: a promising preclinical experience. Surg Endosc. 2020;34:3232–5.

Article  PubMed  PubMed Central  Google Scholar 

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