PMID- 34926566
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20211221
IS  - 2296-875X (Print)
IS  - 2296-875X (Electronic)
IS  - 2296-875X (Linking)
VI  - 8
DP  - 2021
TI  - Comparison of Clinical Efficacy and Safety Between da Vinci Robotic and 
      Laparoscopic Intersphincteric Resection for Low Rectal Cancer: A Meta-Analysis.
PG  - 752009
LID - 10.3389/fsurg.2021.752009 [doi]
LID - 752009
AB  - Background and Aims: The intersphincteric resection (ISR) is beneficial for 
      saving patients' anus to a large extent and restoring original bowel continuity. 
      Laparoscopic ISR (L-ISR) has its drawbacks, such as two-dimensional images, low 
      motion flexibility, and unstable lens. Recently, da Vinci robotic ISR (R-ISR) is 
      increasingly used worldwide. The purpose of this article is to compare the 
      feasibility, safety, oncological outcomes, and clinical efficacy of R-ISR vs. 
      L-ISR for low rectal cancer. Methods: PubMed, EMBASE, Cochrane Library, and Web 
      of Science were searched to identify comparative studies of R-ISR vs. L-ISR. 
      Demographic, clinical, and outcome data were extracted. Mean difference (MD) and 
      risk ratio (RR) with their corresponding confidence intervals (CIs) were 
      calculated. Results: Five studies were included. In total, 510 patients were 
      included, of whom 273 underwent R-ISR and 237 L-ISR. Compared with L-ISR, R-ISR 
      has significantly lower estimated intraoperative blood loss (MD = -23.31, 95% CI 
      [-41.98, -4.64], P = 0.01), longer operative time (MD = 51.77, 95% CI [25.68, 
      77.86], P = 0.0001), hospitalization days (MD = -1.52, 95% CI [-2.10, 0.94], P < 
      0.00001), and postoperative urinary complications (RR = 0.36, 95% CI [0.16, 
      0.82], P = 0.02). Conclusions: The potential benefits of R-ISR are considered as 
      a safe and feasible alternative choice for the treatment of low rectal tumors.
CI  - Copyright (c) 2021 Zhang, Qi, Yi, Cao, Gao and Zhang.
FAU - Zhang, Jie
AU  - Zhang J
AD  - Department of General Surgery, General Hospital of Northern Theater Command 
      (Formerly Called General Hospital of Shenyang Military Area), Shenyang, China.
AD  - Postgraduate College, Dalian Medical University, Dalian, China.
FAU - Qi, Xingshun
AU  - Qi X
AD  - Department of Gastroenterology, General Hospital of Northern Theater Command 
      (Formerly Called General Hospital of Shenyang Military Area), Shenyang, China.
FAU - Yi, Fangfang
AU  - Yi F
AD  - Postgraduate College, Dalian Medical University, Dalian, China.
AD  - Department of Gastroenterology, General Hospital of Northern Theater Command 
      (Formerly Called General Hospital of Shenyang Military Area), Shenyang, China.
FAU - Cao, Rongrong
AU  - Cao R
AD  - Department of Gastroenterology, General Hospital of Northern Theater Command 
      (Formerly Called General Hospital of Shenyang Military Area), Shenyang, China.
AD  - Postgraduate College, Jinzhou Medical University, Jinzhou, China.
FAU - Gao, Guangrong
AU  - Gao G
AD  - Department of General Surgery, General Hospital of Northern Theater Command 
      (Formerly Called General Hospital of Shenyang Military Area), Shenyang, China.
FAU - Zhang, Cheng
AU  - Zhang C
AD  - Department of General Surgery, General Hospital of Northern Theater Command 
      (Formerly Called General Hospital of Shenyang Military Area), Shenyang, China.
LA  - eng
PT  - Systematic Review
DEP - 20211202
PL  - Switzerland
TA  - Front Surg
JT  - Frontiers in surgery
JID - 101645127
PMC - PMC8674929
OTO - NOTNLM
OT  - clinical efficacy
OT  - da Vinci robot
OT  - intersphincteric resection
OT  - laparoscope
OT  - low rectal cancer
COIS- The authors declare that the research was conducted in the absence of any 
      commercial or financial relationships that could be construed as a potential 
      conflict of interest.
EDAT- 2021/12/21 06:00
MHDA- 2021/12/21 06:01
PMCR- 2021/12/02
CRDT- 2021/12/20 06:18
PHST- 2021/08/02 00:00 [received]
PHST- 2021/11/02 00:00 [accepted]
PHST- 2021/12/20 06:18 [entrez]
PHST- 2021/12/21 06:00 [pubmed]
PHST- 2021/12/21 06:01 [medline]
PHST- 2021/12/02 00:00 [pmc-release]
AID - 10.3389/fsurg.2021.752009 [doi]
PST - epublish
SO  - Front Surg. 2021 Dec 2;8:752009. doi: 10.3389/fsurg.2021.752009. eCollection 
      2021.