{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T05:42:41Z","timestamp":1788932561126,"version":"build-2803163510"},"reference-count":45,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2022,8,30]],"date-time":"2022-08-30T00:00:00Z","timestamp":1661817600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,8,30]],"date-time":"2022-08-30T00:00:00Z","timestamp":1661817600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>An increasing number of centers have implemented a robotic surgical program for rectal cancer. Several randomized controls trials have shown similar oncological and postoperative outcomes compared to standard laparoscopic resections. While introducing a robot rectal resection program seems safe, there are no data regarding implementation on a nationwide scale. Since 2018 robot resections are separately registered in the mandatory Dutch Colorectal Audit. The present study aims to evaluate the trend in the implementation of robotic resections (RR) for rectal cancer relative to laparoscopic rectal resections (LRR) in the Netherlands between 2018 and 2020 and to compare the differences in outcomes between the operative approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients with rectal cancer who underwent surgical resection between 2018 and 2020 were selected from the Dutch Colorectal Audit. The data included patient characteristics, disease characteristics, surgical procedure details, postoperative outcomes. The outcomes included any complication within 90\u00a0days after surgery; data were categorized according to surgical approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Between 2018 and 2020, 6330 patients were included in the analyses. 1146 patients underwent a RR (18%), 3312 patients a LRR (51%), 526 (8%) an open rectal resection, 641 a TaTME (10%), and 705 had a local resection (11%). The proportion of males and distal tumors was higher in the RR compared to the LRR. Over time, the proportion of robotic procedures increased from 15% (95% confidence intervals (CI) 13\u201316%) in 2018 to 22% (95% CI 20\u201324%) in 2020. Conversion rate was lower in the robotic group [4% (95% CI 3\u20135%) versus 7% (95% CI 6\u20138%)]. Anastomotic leakage rate was similar with 16%. Defunctioning ileostomies were more common in the RR group [42% (95% CI 38\u201346%) versus 29% (95% CI 26\u201331%)].<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Rectal resections are increasingly being performed through a robot-assisted approach in the Netherlands. The proportion of males and low rectal cancers was higher in RR compared to LRR. Overall outcomes were comparable, while conversion rate was lower in RR, the proportion of defunctioning ileostomies was higher compared to LRR.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00464-022-09568-1","type":"journal-article","created":{"date-parts":[[2022,8,30]],"date-time":"2022-08-30T19:06:44Z","timestamp":1661886404000},"page":"912-920","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Implementation of robotic rectal cancer surgery: a cross-sectional nationwide study"],"prefix":"10.1007","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4864-713X","authenticated-orcid":false,"given":"L. J. X.","family":"Giesen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. W. T.","family":"Dekker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Verseveld","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. M. P. H.","family":"Crolla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. P.","family":"van der Schelling","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Verhoef","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. B.","family":"Olthof","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,8,30]]},"reference":[{"issue":"30","key":"9568_CR1","doi-asserted-by":"publisher","first-page":"4394","DOI":"10.3748\/wjg.v26.i30.4394","volume":"26","author":"KA Melstrom","year":"2020","unstructured":"Melstrom KA, Kaiser AM (2020) Role of minimally invasive surgery for rectal cancer. World J Gastroenterol 26(30):4394\u20134414","journal-title":"World J Gastroenterol"},{"issue":"4","key":"9568_CR2","doi-asserted-by":"publisher","first-page":"497","DOI":"10.1177\/1553350619839853","volume":"26","author":"L Li","year":"2019","unstructured":"Li L, Zhang W, Guo Y, Wang X, Yu H, Du B et al (2019) Robotic versus laparoscopic rectal surgery for rectal cancer: a meta-analysis of 7 randomized controlled trials. Surg Innov 26(4):497\u2013504","journal-title":"Surg Innov"},{"issue":"7","key":"9568_CR3","doi-asserted-by":"publisher","first-page":"541","DOI":"10.1308\/003588409X464757","volume":"91","author":"EH Aly","year":"2009","unstructured":"Aly EH (2009) Laparoscopic colorectal surgery: summary of the current evidence. Ann R Coll Surg Engl 91(7):541\u2013544","journal-title":"Ann R Coll Surg Engl"},{"issue":"6","key":"9568_CR4","doi-asserted-by":"publisher","first-page":"498","DOI":"10.1016\/j.ctrv.2008.03.011","volume":"34","author":"E Kuhry","year":"2008","unstructured":"Kuhry E, Schwenk W, Gaupset R, Romild U, Bonjer J (2008) Long-term outcome of laparoscopic surgery for colorectal cancer: a cochrane systematic review of randomised controlled trials. Cancer Treat Rev 34(6):498\u2013504","journal-title":"Cancer Treat Rev"},{"key":"9568_CR5","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD005200.pub3","author":"S Vennix","year":"2014","unstructured":"Vennix S, Pelzers L, Bouvy N, Beets GL, Pierie JP, Wiggers T et al (2014) Laparoscopic versus open total mesorectal excision for rectal cancer. Cochrane Database Syst Rev. https:\/\/doi.org\/10.1002\/14651858.CD005200.pub3","journal-title":"Cochrane Database Syst Rev"},{"key":"9568_CR6","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1016\/j.ijsu.2020.03.009","volume":"80","author":"H Qiu","year":"2020","unstructured":"Qiu H, Yu D, Ye S, Shan R, Ai J, Shi J (2020) Long-term oncological outcomes in robotic versus laparoscopic approach for rectal cancer: a systematic review and meta-analysis. Int J Surg 80:225\u2013230","journal-title":"Int J Surg"},{"issue":"11","key":"9568_CR7","doi-asserted-by":"publisher","first-page":"757","DOI":"10.4251\/wjgo.v8.i11.757","volume":"8","author":"F Staderini","year":"2016","unstructured":"Staderini F, Foppa C, Minuzzo A, Badii B, Qirici E, Trallori G et al (2016) Robotic rectal surgery: state of the art. World J Gastrointest Oncol 8(11):757\u2013771","journal-title":"World J Gastrointest Oncol"},{"issue":"4","key":"9568_CR8","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.2113","volume":"16","author":"IJY Wee","year":"2020","unstructured":"Wee IJY, Kuo LJ, Ngu JC (2020) A systematic review of the true benefit of robotic surgery: ergonomics. Int J Med Robot 16(4):e2113","journal-title":"Int J Med Robot"},{"issue":"16","key":"9568_CR9","doi-asserted-by":"publisher","first-page":"1569","DOI":"10.1001\/jama.2017.7219","volume":"318","author":"D Jayne","year":"2017","unstructured":"Jayne D, Pigazzi A, Marshall H, Croft J, Corrigan N, Copeland J et al (2017) 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 318(16):1569\u20131580","journal-title":"JAMA"},{"issue":"3","key":"9568_CR10","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1007\/s10151-018-1920-0","volume":"23","author":"K Phan","year":"2019","unstructured":"Phan K, Kahlaee HR, Kim SH, Toh JWT (2019) Laparoscopic vs. robotic rectal cancer surgery and the effect on conversion rates: a meta-analysis of randomized controlled trials and propensity-score-matched studies. Tech Coloproctol 23(3):221\u2013230","journal-title":"Tech Coloproctol"},{"issue":"7","key":"9568_CR11","doi-asserted-by":"publisher","first-page":"2095","DOI":"10.1245\/s10434-012-2270-1","volume":"19","author":"S Memon","year":"2012","unstructured":"Memon S, Heriot AG, Murphy DG, Bressel M, Lynch AC (2012) Robotic versus laparoscopic proctectomy for rectal cancer: a meta-analysis. Ann Surg Oncol 19(7):2095\u20132101","journal-title":"Ann Surg Oncol"},{"issue":"11","key":"9568_CR12","doi-asserted-by":"publisher","first-page":"4562","DOI":"10.1007\/s00464-018-6209-x","volume":"32","author":"R Crolla","year":"2018","unstructured":"Crolla R, Mulder PG, van der Schelling GP (2018) Does robotic rectal cancer surgery improve the results of experienced laparoscopic surgeons? An observational single institution study comparing 168 robotic assisted with 184 laparoscopic rectal resections. Surg Endosc 32(11):4562\u20134570","journal-title":"Surg Endosc"},{"key":"9568_CR13","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-020-07731-0","author":"PB Olthof","year":"2020","unstructured":"Olthof PB, Giesen LJX, Vijfvinkel TS, Roos D, Dekker JWT (2020) Transition from laparoscopic to robotic rectal resection: outcomes and learning curve of the initial 100 cases. Surg Endosc. https:\/\/doi.org\/10.1007\/s00464-020-07731-0","journal-title":"Surg Endosc"},{"issue":"10","key":"9568_CR14","doi-asserted-by":"publisher","first-page":"1063","DOI":"10.1016\/j.ejso.2013.05.008","volume":"39","author":"NJ Van Leersum","year":"2013","unstructured":"Van Leersum NJ, Snijders HS, Henneman D, Kolfschoten NE, Gooiker GA, ten Berge MG et al (2013) The Dutch surgical colorectal audit. Eur J Surg Oncol 39(10):1063\u20131070","journal-title":"Eur J Surg Oncol"},{"issue":"11","key":"9568_CR15","doi-asserted-by":"publisher","first-page":"956","DOI":"10.1016\/j.ejso.2011.08.137","volume":"37","author":"NE Kolfschoten","year":"2011","unstructured":"Kolfschoten NE, Marang van de Mheen PJ, Gooiker GA, Eddes EH, Kievit J, Tollenaar RA et al (2011) Variation in case-mix between hospitals treating colorectal cancer patients in The Netherlands. Eur J Surg Oncol 37(11):956\u2013963","journal-title":"Eur J Surg Oncol"},{"issue":"9","key":"9568_CR16","doi-asserted-by":"publisher","first-page":"1142","DOI":"10.1046\/j.1365-2168.2002.02196.x","volume":"89","author":"E Kapiteijn","year":"2002","unstructured":"Kapiteijn E, Putter H, van de Velde CJ, Cooperative investigators of the Dutch ColoRectal Cancer G (2002) Impact of the introduction and training of total mesorectal excision on recurrence and survival in rectal cancer in The Netherlands. Br J Surg 89(9):1142\u20131149","journal-title":"Br J Surg"},{"issue":"10","key":"9568_CR17","doi-asserted-by":"publisher","first-page":"613","DOI":"10.1002\/bjs.1800691019","volume":"69","author":"RJ Heald","year":"1982","unstructured":"Heald RJ, Husband EM, Ryall RD (1982) The mesorectum in rectal cancer surgery\u2014the clue to pelvic recurrence? Br J Surg 69(10):613\u2013616","journal-title":"Br J Surg"},{"issue":"11","key":"9568_CR18","doi-asserted-by":"publisher","first-page":"3038","DOI":"10.1245\/s10434-009-0603-5","volume":"16","author":"JT Poon","year":"2009","unstructured":"Poon JT, Law WL (2009) Laparoscopic resection for rectal cancer: a review. Ann Surg Oncol 16(11):3038\u20133047","journal-title":"Ann Surg Oncol"},{"issue":"4","key":"9568_CR19","doi-asserted-by":"publisher","first-page":"e165665","DOI":"10.1001\/jamasurg.2016.5665","volume":"152","author":"A Martinez-Perez","year":"2017","unstructured":"Martinez-Perez A, Carra MC, Brunetti F, de\u2019Angelis N (2017) pathologic outcomes of laparoscopic vs open mesorectal excision for rectal cancer: a systematic review and meta-analysis. JAMA Surg 152(4):e165665","journal-title":"JAMA Surg"},{"issue":"10","key":"9568_CR20","doi-asserted-by":"publisher","first-page":"e0204887","DOI":"10.1371\/journal.pone.0204887","volume":"13","author":"M Milone","year":"2018","unstructured":"Milone M, Manigrasso M, Burati M, Velotti N, Milone F, De Palma GD (2018) Surgical resection for rectal cancer. Is laparoscopic surgery as successful as open approach? A systematic review with meta-analysis. PLoS ONE 13(10):e0204887","journal-title":"PLoS ONE"},{"issue":"3","key":"9568_CR21","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1007\/s101510200044","volume":"6","author":"L Mirow","year":"2002","unstructured":"Mirow L (2002) Trocar site recurrence in laparoscopic surgery for colorectal cancer. Tech Coloproctol 6(3):197\u2013198 (discussion 8)","journal-title":"Tech Coloproctol"},{"issue":"1","key":"9568_CR22","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1097\/SLA.0000000000001412","volume":"264","author":"L Gietelink","year":"2016","unstructured":"Gietelink L, Wouters MW, Bemelman WA, Dekker JW, Tollenaar RA, Tanis PJ et al (2016) Reduced 30-day mortality after laparoscopic colorectal cancer surgery: a population based study from the Dutch surgical colorectal audit (DSCA). Ann Surg 264(1):135\u2013140","journal-title":"Ann Surg"},{"issue":"2","key":"9568_CR23","doi-asserted-by":"publisher","first-page":"275","DOI":"10.1007\/s11605-008-0722-5","volume":"13","author":"IJ Park","year":"2009","unstructured":"Park IJ, Choi GS, Lim KH, Kang BM, Jun SH (2009) Multidimensional analysis of the learning curve for laparoscopic resection in rectal cancer. J Gastrointest Surg 13(2):275\u2013281","journal-title":"J Gastrointest Surg"},{"issue":"2","key":"9568_CR24","doi-asserted-by":"publisher","first-page":"403","DOI":"10.1007\/s00464-008-9912-1","volume":"23","author":"M Ito","year":"2009","unstructured":"Ito M, Sugito M, Kobayashi A, Nishizawa Y, Tsunoda Y, Saito N (2009) Influence of learning curve on short-term results after laparoscopic resection for rectal cancer. Surg Endosc 23(2):403\u2013408","journal-title":"Surg Endosc"},{"issue":"2","key":"9568_CR25","doi-asserted-by":"publisher","first-page":"254","DOI":"10.1097\/SLA.0b013e3181e6239e","volume":"252","author":"S Maeso","year":"2010","unstructured":"Maeso S, Reza M, Mayol JA, Blasco JA, Guerra M, Andradas E et al (2010) Efficacy of the Da Vinci surgical system in abdominal surgery compared with that of laparoscopy: a systematic review and meta-analysis. Ann Surg 252(2):254\u2013262","journal-title":"Ann Surg"},{"issue":"7","key":"9568_CR26","doi-asserted-by":"publisher","first-page":"969","DOI":"10.1007\/DCR.0b013e3181db8055","volume":"53","author":"A Pigazzi","year":"2010","unstructured":"Pigazzi A, Garcia-Aguilar J (2010) Robotic colorectal surgery: for whom and for what? Dis Colon Rectum 53(7):969\u2013970","journal-title":"Dis Colon Rectum"},{"issue":"22","key":"9568_CR27","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000000823","volume":"94","author":"CW Kim","year":"2015","unstructured":"Kim CW, Baik SH, Roh YH, Kang J, Hur H, Min BS et al (2015) Cost-effectiveness of robotic surgery for rectal cancer focusing on short-term outcomes: a propensity score-matching analysis. Medicine (Baltimore) 94(22):e823","journal-title":"Medicine (Baltimore)"},{"issue":"12","key":"9568_CR28","doi-asserted-by":"publisher","first-page":"1807","DOI":"10.1007\/s00384-016-2660-0","volume":"31","author":"RM Jimenez-Rodriguez","year":"2016","unstructured":"Jimenez-Rodriguez RM, Rubio-Dorado-Manzanares M, Diaz-Pavon JM, Reyes-Diaz ML, Vazquez-Monchul JM, Garcia-Cabrera AM et al (2016) Learning curve in robotic rectal cancer surgery: current state of affairs. Int J Colorectal Dis 31(12):1807\u20131815","journal-title":"Int J Colorectal Dis"},{"issue":"4","key":"9568_CR29","doi-asserted-by":"publisher","first-page":"e134","DOI":"10.1111\/j.1463-1318.2011.02907.x","volume":"14","author":"S Trastulli","year":"2012","unstructured":"Trastulli S, Farinella E, Cirocchi R, Cavaliere D, Avenia N, Sciannameo F et al (2012) Robotic resection compared with laparoscopic rectal resection for cancer: systematic review and meta-analysis of short-term outcome. Colorectal Dis 14(4):e134\u2013e156","journal-title":"Colorectal Dis"},{"issue":"6","key":"9568_CR30","doi-asserted-by":"publisher","first-page":"184","DOI":"10.4251\/wjgo.v6.i6.184","volume":"6","author":"TW Mak","year":"2014","unstructured":"Mak TW, Lee JF, Futaba K, Hon SS, Ngo DK, Ng SS (2014) Robotic surgery for rectal cancer: a systematic review of current practice. World J Gastrointest Oncol 6(6):184\u2013193","journal-title":"World J Gastrointest Oncol"},{"issue":"2","key":"9568_CR31","doi-asserted-by":"publisher","first-page":"569","DOI":"10.1007\/s00464-017-5978-y","volume":"32","author":"C Holmer","year":"2018","unstructured":"Holmer C, Kreis ME (2018) Systematic review of robotic low anterior resection for rectal cancer. Surg Endosc 32(2):569\u2013581","journal-title":"Surg Endosc"},{"issue":"6","key":"9568_CR32","doi-asserted-by":"publisher","first-page":"1034","DOI":"10.1097\/SLA.0000000000002523","volume":"267","author":"FP Prete","year":"2018","unstructured":"Prete FP, Pezzolla A, Prete F, Testini M, Marzaioli R, Patriti A et al (2018) Robotic versus laparoscopic minimally invasive surgery for rectal cancer: a systematic review and meta-analysis of randomized controlled trials. Ann Surg 267(6):1034\u20131046","journal-title":"Ann Surg"},{"key":"9568_CR33","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znab233","author":"JC Hol","year":"2021","unstructured":"Hol JC, Burghgraef TA, Rutgers MLW, Crolla R, van Geloven NAW, Hompes R et al (2021) Comparison of laparoscopic versus robot-assisted versus transanal total mesorectal excision surgery for rectal cancer: a retrospective propensity score-matched cohort study of short-term outcomes. Br J Surg. https:\/\/doi.org\/10.1093\/bjs\/znab233","journal-title":"Br J Surg"},{"issue":"1","key":"9568_CR34","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1002\/bjs.11459","volume":"107","author":"HH Wasmuth","year":"2020","unstructured":"Wasmuth HH, Faerden AE, Myklebust TA, Pfeffer F, Norderval S, Riis R et al (2020) Transanal total mesorectal excision for rectal cancer has been suspended in Norway. Br J Surg 107(1):121\u2013130","journal-title":"Br J Surg"},{"issue":"2","key":"9568_CR35","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.36330","volume":"4","author":"A Caycedo-Marulanda","year":"2021","unstructured":"Caycedo-Marulanda A, Lee L, Chadi SA, Verschoor CP, Crosina J, Ashamalla S et al (2021) Association of transanal total mesorectal excision with local recurrence of rectal cancer. JAMA Netw Open 4(2):e2036330","journal-title":"JAMA Netw Open"},{"issue":"3","key":"9568_CR36","doi-asserted-by":"publisher","first-page":"e1896","DOI":"10.1002\/rcs.1896","volume":"14","author":"SJ Baek","year":"2018","unstructured":"Baek SJ, Kwak JM, Kim J, Kim SH, Park S, Korean Association of Robotic Surgeons Study G (2018) Robotic rectal surgery in Korea: analysis of a nationwide registry. Int J Med Robot 14(3):e1896","journal-title":"Int J Med Robot"},{"issue":"3","key":"9568_CR37","doi-asserted-by":"publisher","first-page":"497","DOI":"10.1002\/jso.24867","volume":"117","author":"ST Chen","year":"2018","unstructured":"Chen ST, Wu MC, Hsu TC, Yen DW, Chang CN, Hsu WT et al (2018) Comparison of outcome and cost among open, laparoscopic, and robotic surgical treatments for rectal cancer: a propensity score matched analysis of nationwide inpatient sample data. J Surg Oncol 117(3):497\u2013505","journal-title":"J Surg Oncol"},{"issue":"8","key":"9568_CR38","doi-asserted-by":"publisher","first-page":"2591","DOI":"10.1007\/s00464-018-6554-9","volume":"33","author":"CL Stewart","year":"2019","unstructured":"Stewart CL, Ituarte PHG, Melstrom KA, Warner SG, Melstrom LG, Lai LL et al (2019) Robotic surgery trends in general surgical oncology from the National Inpatient Sample. Surg Endosc 33(8):2591\u20132601","journal-title":"Surg Endosc"},{"issue":"1","key":"9568_CR39","doi-asserted-by":"publisher","first-page":"15146","DOI":"10.1038\/s41598-018-33510-y","volume":"8","author":"T Ghadban","year":"2018","unstructured":"Ghadban T, Reeh M, Bockhorn M, Heumann A, Grotelueschen R, Bachmann K et al (2018) Minimally invasive surgery for colorectal cancer remains underutilized in Germany despite its nationwide application over the last decade. Sci Rep 8(1):15146","journal-title":"Sci Rep"},{"issue":"2","key":"9568_CR40","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1007\/s00384-015-2394-4","volume":"31","author":"L Lorenzon","year":"2016","unstructured":"Lorenzon L, Bini F, Balducci G, Ferri M, Salvi PF, Marinozzi F (2016) Laparoscopic versus robotic-assisted colectomy and rectal resection: a systematic review and meta-analysis. Int J Colorectal Dis 31(2):161\u2013173","journal-title":"Int J Colorectal Dis"},{"issue":"12","key":"9568_CR41","doi-asserted-by":"publisher","first-page":"1741","DOI":"10.1007\/s00384-018-3145-0","volume":"33","author":"SH Lee","year":"2018","unstructured":"Lee SH, Kim DH, Lim SW (2018) Robotic versus laparoscopic intersphincteric resection for low rectal cancer: a systematic review and meta-analysis. Int J Colorectal Dis 33(12):1741\u20131753","journal-title":"Int J Colorectal Dis"},{"issue":"7","key":"9568_CR42","doi-asserted-by":"publisher","first-page":"3234","DOI":"10.1007\/s00464-018-6042-2","volume":"32","author":"MPM De Neree Tot Babberich","year":"2018","unstructured":"De Neree Tot Babberich MPM, van Groningen JT, Dekker E, Wiggers T, Wouters M, Bemelman WA et al (2018) Laparoscopic conversion in colorectal cancer surgery; is there any improvement over time at a population level? Surg Endosc 32(7):3234\u20133246","journal-title":"Surg Endosc"},{"key":"9568_CR43","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000002031","author":"TA Burghgraef","year":"2021","unstructured":"Burghgraef TA, Crolla R, Verheijen PM, Fahim M, van Geloven AAW, Leijtens JWA et al (2021) Robot-assisted total mesorectal excision versus laparoscopic total mesorectal excision: a retrospective propensity score matched cohort analysis in experienced centers. Dis Colon Rectum. https:\/\/doi.org\/10.1097\/DCR.0000000000002031","journal-title":"Dis Colon Rectum"},{"issue":"3","key":"9568_CR44","doi-asserted-by":"publisher","first-page":"264","DOI":"10.1111\/codi.15997","volume":"24","author":"M Degiuli","year":"2022","unstructured":"Degiuli M, Elmore U, De Luca R, De Nardi P, Tomatis M, Biondi A et al (2022) Risk factors for anastomotic leakage after anterior resection for rectal cancer (RALAR study): a nationwide retrospective study of the Italian Society of Surgical Oncology Colorectal Cancer Network Collaborative Group. Colorectal Dis 24(3):264\u2013276","journal-title":"Colorectal Dis"},{"issue":"3","key":"9568_CR45","doi-asserted-by":"publisher","first-page":"355","DOI":"10.1046\/j.1365-2168.1998.00615.x","volume":"85","author":"E Rullier","year":"1998","unstructured":"Rullier E, Laurent C, Garrelon JL, Michel P, Saric J, Parneix M (1998) Risk factors for anastomotic leakage after resection of rectal cancer. Br J Surg 85(3):355\u2013358","journal-title":"Br J Surg"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-022-09568-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00464-022-09568-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-022-09568-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,21]],"date-time":"2023-02-21T16:55:18Z","timestamp":1676998518000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00464-022-09568-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,30]]},"references-count":45,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,2]]}},"alternative-id":["9568"],"URL":"https:\/\/doi.org\/10.1007\/s00464-022-09568-1","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"value":"0930-2794","type":"print"},{"value":"1432-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,30]]},"assertion":[{"value":"22 March 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 August 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 August 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"L. J. X. Giesen, J. W. T. Dekker, M. Verseveld, R. M. P. H. Crolla, G. P. van der Schelling, C. Verhoef, P. B. Olthof have no conflicts of interest or financial ties to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}