{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:05:26Z","timestamp":1787501126130,"version":"build-2736575974"},"reference-count":40,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,7,3]],"date-time":"2024-07-03T00:00:00Z","timestamp":1719964800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100017594","name":"Medical Science and Technology Project of Zhejiang Province","doi-asserted-by":"publisher","award":["2022RC177"],"award-info":[{"award-number":["2022RC177"]}],"id":[{"id":"10.13039\/501100017594","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100017594","name":"Medical Science and Technology Project of Zhejiang Province","doi-asserted-by":"publisher","award":["2023KY1033"],"award-info":[{"award-number":["2023KY1033"]}],"id":[{"id":"10.13039\/501100017594","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Robotic\u2010assisted surgery (RAS) is increasingly used for treating low rectal cancer. Its comparative effectiveness against laparoscopic surgery (LAS) in enhancing long\u2010term anal function remains uncertain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A meta\u2010analysis was conducted to compare long\u2010term anal function outcomes between patients undergoing RAS and LAS. Meta\u2010regression and sensitivity analyses were performed to assess available evidence. Studies published up to September 2023 in English or Chinese were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seven studies were identified. RAS patients exhibited lower low anterior resection syndrome (LARS) scores (standardised mean difference [SMD]\u00a0=\u00a0\u22121.39; 95% confidence interval [CI]: \u22122.64 to \u22120.15) and Wexner scores (SMD\u00a0=\u00a0\u22120.74; 95% CI: \u22121.20 to \u22120.27) compared with LAS patients. However, RAS did not significantly reduce major LARS risk (odds ratio\u00a0=\u00a00.85; 95% CI: 0.68\u20131.04).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>RAS slightly improved postoperative anal function compared with LAS. Further studies with large samples are warranted to confirm or update our findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/rcs.2659","type":"journal-article","created":{"date-parts":[[2024,7,4]],"date-time":"2024-07-04T02:00:18Z","timestamp":1720058418000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Comparing the long\u2010term follow\u2010up anal function between robot\u2010assisted and laparoscopic surgery for low rectal cancer: A meta\u2010analysis and systematic review"],"prefix":"10.1002","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0664-538X","authenticated-orcid":false,"given":"Gaoyang","family":"Cao","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery Sir Run Run Shaw Hospital School of Medicine Zhejiang University  Hangzhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaoyao","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Pelvic Rehabilitation Zhuji People's Hospital of Zhejiang Province  Zhuji Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinjie","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Sir Run Run Shaw Hospital School of Medicine Zhejiang University  Hangzhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Da","family":"Man","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Sir Run Run Shaw Hospital School of Medicine Zhejiang University  Hangzhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Sir Run Run Shaw Hospital School of Medicine Zhejiang University  Hangzhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xianlei","family":"Cai","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery The Lihuili Affiliated Hospital Ningbo University (Ningbo Medical Center Lihuili Hospital)  Ningbo Zhejiang 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