{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T15:25:12Z","timestamp":1779377112826,"version":"3.53.1"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2015,8,27]],"date-time":"2015-08-27T00:00:00Z","timestamp":1440633600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"National Research Foundation of Korea (NRF) Grant funded by the Korean Government (MEST)","award":["2009-0074812"],"award-info":[{"award-number":["2009-0074812"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,10,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>There is a lack of information regarding the oncological safety of robotic intersphincteric resection (ISR) with coloanal anastomosis. The objective of this study was to compare the long-term feasibility of robotic compared with laparoscopic ISR.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Between January 2008 and May 2011, consecutive patients who underwent robotic or laparoscopic ISR with coloanal anastomosis from seven institutions were included. Propensity score analyses were performed to compare outcomes for groups in a 1 : 1 case-matched cohort. The primary endpoint was 3-year disease-free survival.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 334 patients underwent ISR with coloanal anastomosis, of whom 212 matched patients (106 in each group) formed the cohort for analysis. The overall rate of conversion to open surgery was 0\u00b79 per cent in the robotic ISR group and 1\u00b79 per cent in the laparoscopic ISR group. Nine patients (8\u00b75 per cent) in the laparoscopic group and three (2\u00b78 per cent) in the robotic ISR group still had a stoma at last follow-up (P = 0\u00b7075). Total mean hospital costs were significantly higher for robotic ISR (\u20ac12 757 versus \u20ac9223 for laparoscopic ISR; P = 0\u00b7037). Overall 3-year local recurrence rates were similar in the two groups (6\u00b77 per cent for robotic and 5\u00b77 per cent for laparoscopic resection; P = 0\u00b7935). The combined 3-year disease-free survival rates were 89\u00b76 (95 per cent c.i. 84\u00b71 to 95\u00b79) and 90\u00b75 (85\u00b74 to 96\u00b76) per cent respectively (P = 0\u00b7298).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Robotic ISR with coloanal anastomosis for rectal cancer has reasonable oncological outcomes, but is currently too expensive with no short-term advantages.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.9914","type":"journal-article","created":{"date-parts":[[2015,8,27]],"date-time":"2015-08-27T09:23:43Z","timestamp":1440667423000},"page":"1567-1573","source":"Crossref","is-referenced-by-count":69,"title":["Multicentre study of robotic intersphincteric resection for low rectal cancer"],"prefix":"10.1093","volume":"102","author":[{"name":"Korean Laparoscopic Colorectal Surgery Study Group","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J S","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kyungpook National University Medical Centre, Kyungpook National University School of Medicine, Daegu, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N K","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Surgery, Yonsei University College of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S H","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Surgery, Korea University Anam Hospital, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K Y","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K Y","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kyung Hee University, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J Y","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Surgery, Inje University Paik-Hospital, Pusan, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C N","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Surgery, Eulji University Hospital, Daejeon, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G-S","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kyungpook National University Medical Centre, Kyungpook National University School of Medicine, Daegu, 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