{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T14:13:11Z","timestamp":1788358391124,"version":"build-2803163510"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T00:00:00Z","timestamp":1653350400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T00:00:00Z","timestamp":1653350400000},"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":["J Robotic Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Robotic assisted surgery\n(RAS) has become increasingly adopted in colorectal cancer surgery. This study\naims to compare robotic and laparoscopic approaches to left sided colorectal\nresections in terms of surgical outcomeswith no\nformal enhanced recovery programme. All patients undergoing robotic or\nlaparoscopic left sided or rectal (high and low anterior resection) cancer surgery\nat a single tertiary referral centre over 3 years were included.A total of 184 consecutive patients from July 2017 to December 2020 were included in this study, with 40.2%\n(n=74\/184) undergoing RAS. The median age at time of surgery was 68 years (IQR\n60-73 years). RAS had a significantly shorter length of median stay of 3 days,\ncompared to 5 days in the conventional laparoscopic surgery (CLS) group\n(p&lt;0.001). RAS had a significantly lower rate of conversion to open surgery\n(0% vs 16.4%, p&lt;0.001). The median operative time was also shorter in RAS\n(308 minutes), compared to CLS (326 minutes, p=0.019). The overall rate of any\ncomplication was 16.8%, with the RAS experiencing a lower complication rate\n(12.2% vs 20.0%, p=0.041). There was no significant difference in anastomotic\nleak rates between the two groups (4.0% vs 5.5%, p=0.673), or in terms of complete\nresection (R0) (robotic 98.6%, laparoscopic 100%, p=0.095). Robotic left sided\ncolorectal surgery delivers equivalent oncological resection compared to\nlaparoscopic approaches, with the added benefits of reduced length of stay and\nlower rates of conversion to open surgery. This has both clinical and\nhealthcare economic benefits.<\/jats:p>","DOI":"10.1007\/s11701-022-01414-9","type":"journal-article","created":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T19:02:37Z","timestamp":1653418957000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Comparison of robotic vs laparoscopic left-sided colorectal cancer resections"],"prefix":"10.1007","author":[{"given":"T. S.","family":"Hettiarachchi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Askari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Rudge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. 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Informed consent was obtained from all individual participants included in the study. Patient data usage was approved by institutional ethics board.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}