{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T23:42:46Z","timestamp":1788392566367,"version":"build-2803163510"},"reference-count":55,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T00:00:00Z","timestamp":1747958400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T00:00:00Z","timestamp":1747958400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001794","name":"The University of Queensland","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001794","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Robotic Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Prostate cancer (PC) and rectal cancer (RC) are common and can require complex management, especially when presenting synchronously or with invasive characteristics. Robotic surgery has emerged as a viable option for managing these challenging cases; however, the outcomes are yet to be summarised or compared to traditional approaches. This systematic review aims to evaluate the feasibility, oncological outcomes, and functional results of simultaneous robotic-assisted resections of the prostate and rectum. Following prior protocol registration (PROSPERO: CRD42023449872) and according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines, we conducted a systematic search across multiple databases, selecting studies that involved simultaneous bladder-sparing robotic-assisted prostatectomy and rectal resection. The Joanna Briggs Institute tool was used for risk of bias assessment. Data on patient demographics, treatment details, post-operative course, and functional and oncological outcomes were extracted and analysed. From 1357 identified records, 25 studies met our inclusion criteria resulting in 45 cases\/patients. The median patient age was 62\u00a0years. Diverse treatment backgrounds and outcome definitions were recorded. Median operative time was 548\u00a0min and median estimated blood loss was 450\u00a0mL. The overall complication rate was 44.4%, with major complications (Clavien\u2013Dindo III) occurring in 17.8% of cases. Surgical margins were negative in 92.6% of cases. Continence recovery occurred for most (78.6%) of the cases reporting on urinary function. Simultaneous robotic-assisted prostatectomy and rectal resection appears to be a feasible, safe and oncologically effective approach with satisfactory oncological and functional outcomes for managing patients with synchronous or invasive PC and RC.<\/jats:p>","DOI":"10.1007\/s11701-025-02395-1","type":"journal-article","created":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T08:44:05Z","timestamp":1747989845000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Simultaneous robotic-assisted prostatectomy and rectal resection: a systematic review"],"prefix":"10.1007","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5630-6047","authenticated-orcid":false,"given":"Harry","family":"Collin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8484-5160","authenticated-orcid":false,"given":"Benjamin","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6094-1246","authenticated-orcid":false,"given":"Amila","family":"Siriwardana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9581-9750","authenticated-orcid":false,"given":"Craig","family":"Harris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5639-3526","authenticated-orcid":false,"given":"Andrew","family":"Stevenson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4684-0235","authenticated-orcid":false,"given":"Anojan","family":"Navaratnam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7743-4841","authenticated-orcid":false,"given":"Rachel","family":"Esler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0552-7402","authenticated-orcid":false,"given":"Matthew J.","family":"Roberts","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,5,23]]},"reference":[{"issue":"1","key":"2395_CR1","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.eururo.2019.08.005","volume":"77","author":"MB Culp","year":"2020","unstructured":"Culp MB, Soerjomataram I, Efstathiou JA, Bray F, Jemal A (2020) Recent global patterns in prostate cancer incidence and mortality rates. Eur Urol 77(1):38\u201352","journal-title":"Eur Urol"},{"issue":"3","key":"2395_CR2","first-page":"209","volume":"71","author":"H Sung","year":"2021","unstructured":"Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A et al (2021) Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: Cancer J Clin 71(3):209\u2013249","journal-title":"CA: Cancer J Clin"},{"issue":"6","key":"2395_CR3","doi-asserted-by":"crossref","first-page":"1475","DOI":"10.3390\/diagnostics12061475","volume":"12","author":"G Celentano","year":"2022","unstructured":"Celentano G, Creta M, Napolitano L, Abate M, La Rocca R, Capece M et al (2022) Prostate cancer diagnosis, treatment and outcomes in patients with previous or synchronous colorectal cancer: a systematic review of published evidence. Diagnostics 12(6):1475","journal-title":"Diagnostics"},{"issue":"11","key":"2395_CR4","doi-asserted-by":"crossref","first-page":"1501","DOI":"10.1007\/s00384-012-1465-z","volume":"27","author":"DO Kavanagh","year":"2012","unstructured":"Kavanagh DO, Quinlan DM, Armstrong JG, Hyland JMP, O\u2019Connell PR, Winter DC (2012) Management of synchronous rectal and prostate cancer. Int J Colorectal Dis 27(11):1501\u20131508","journal-title":"Int J Colorectal Dis"},{"issue":"8","key":"2395_CR5","doi-asserted-by":"crossref","first-page":"E1","DOI":"10.1002\/bjs.9192_1","volume":"100","author":"Beyond TME Collaborative","year":"2013","unstructured":"Beyond TME Collaborative (2013) Consensus statement on the multidisciplinary management of patients with recurrent and primary rectal cancer beyond total mesorectal excision planes. Br J Surg 100(8):E1-33","journal-title":"Br J Surg"},{"issue":"1","key":"2395_CR6","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/s13000-017-0599-2","volume":"12","author":"T Tang","year":"2017","unstructured":"Tang T, Yang Z, Zhang D, Qu J, Liu G, Zhang S (2017) Clinicopathological study of 9 cases of prostate cancer involving the rectal wall. Diagn Pathol 12(1):8","journal-title":"Diagn Pathol"},{"issue":"6","key":"2395_CR7","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1308\/003588403322520726","volume":"85","author":"DJ Bowrey","year":"2003","unstructured":"Bowrey DJ, Otter MI, Billings PJ (2003) Rectal infiltration by prostatic adenocarcinoma: report on six patients and review of the literature. Ann R Coll Surg Engl 85(6):382\u2013385","journal-title":"Ann R Coll Surg Engl"},{"issue":"11","key":"2395_CR8","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1007\/s10151-018-1883-1","volume":"22","author":"E Platt","year":"2018","unstructured":"Platt E, Dovell G, Smolarek S (2018) Systematic review of outcomes following pelvic exenteration for the treatment of primary and recurrent locally advanced rectal cancer. Tech Coloproctol 22(11):835\u2013845","journal-title":"Tech Coloproctol"},{"issue":"11","key":"2395_CR9","doi-asserted-by":"crossref","first-page":"2212","DOI":"10.1002\/(SICI)1097-0142(19991201)86:11<2212::AID-CNCR6>3.0.CO;2-2","volume":"86","author":"MD Balbay","year":"1999","unstructured":"Balbay MD, Slaton JW, Trane N, Skibber J, Dinney CP (1999) Rationale for bladder-sparing surgery in patients with locally advanced colorectal carcinoma. Cancer 86(11):2212\u20132216","journal-title":"Cancer"},{"issue":"5","key":"2395_CR10","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1016\/S0748-7983(03)00030-1","volume":"29","author":"JN Wiig","year":"2003","unstructured":"Wiig JN, Waehre H, Larsen SG, Braendengen M, Giercksky KE (2003) Radical prostatectomy for locally advanced primary or recurrent rectal cancer. Eur J Surg Oncol 29(5):455\u2013458","journal-title":"Eur J Surg Oncol"},{"issue":"4","key":"2395_CR11","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1016\/S0090-4295(99)00201-0","volume":"54","author":"LW Klee","year":"1999","unstructured":"Klee LW, Grmoljez P (1999) Combined radical retropubic prostatectomy and rectal resection. Urology 54(4):679\u2013681","journal-title":"Urology"},{"issue":"1\u20132","key":"2395_CR12","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1111\/ans.12808","volume":"86","author":"GA Turner","year":"2016","unstructured":"Turner GA, Harris CA, Eglinton TW, Wakeman CJ, Kueppers F, Dixon L et al (2016) Cystoprostatectomy versus prostatectomy alone for locally advanced or recurrent pelvic cancer. ANZ J Surg 86(1\u20132):54\u201358","journal-title":"ANZ J Surg"},{"issue":"1","key":"2395_CR13","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1007\/s00423-023-03206-7","volume":"409","author":"SU Saqib","year":"2023","unstructured":"Saqib SU, Raza MZ, Twigg J, Altan O, Bajwa AA (2023) Feasibility of robotic platform to perform R0 resection for locally advanced multi-visceral pelvic malignancy: an institutional experience on outcomes of robotic pelvic exenteration. Langenbecks Arch Surg 409(1):9","journal-title":"Langenbecks Arch Surg"},{"issue":"10049","key":"2395_CR14","doi-asserted-by":"crossref","first-page":"1057","DOI":"10.1016\/S0140-6736(16)30592-X","volume":"388","author":"JW Yaxley","year":"2016","unstructured":"Yaxley JW, Coughlin GD, Chambers SK, Occhipinti S, Samaratunga H, Zajdlewicz L et al (2016) Robot-assisted laparoscopic prostatectomy versus open radical retropubic prostatectomy: early outcomes from a randomised controlled phase 3 study. Lancet 388(10049):1057\u20131066","journal-title":"Lancet"},{"issue":"6","key":"2395_CR15","doi-asserted-by":"crossref","first-page":"e1218","DOI":"10.1097\/SLA.0000000000003805","volume":"274","author":"J Crippa","year":"2021","unstructured":"Crippa J, Grass F, Dozois EJ, Mathis KL, Merchea A, Colibaseanu DT et al (2021) Robotic surgery for rectal cancer provides advantageous outcomes over laparoscopic approach: results from a large retrospective cohort. Ann Surg 274(6):e1218\u2013e1222","journal-title":"Ann Surg"},{"issue":"21","key":"2395_CR16","doi-asserted-by":"crossref","first-page":"2092","DOI":"10.1001\/jama.2022.7393","volume":"327","author":"JWF Catto","year":"2022","unstructured":"Catto JWF, Khetrapal P, Ricciardi F, Ambler G, Williams NR, Al-Hammouri T et al (2022) Effect of robot-assisted radical cystectomy with intracorporeal urinary diversion vs open radical cystectomy on 90-day morbidity and mortality among patients with bladder cancer: a randomized clinical trial. JAMA 327(21):2092\u20132103","journal-title":"JAMA"},{"issue":"3","key":"2395_CR17","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1007\/s00261-007-9247-8","volume":"33","author":"TR Williams","year":"2008","unstructured":"Williams TR, Longoria OJ, Asselmeier S, Menon M (2008) Incidence and imaging appearance of urethrovesical anastomotic urinary leaks following da Vinci robotic prostatectomy. Abdom Imaging 33(3):367\u2013370","journal-title":"Abdom Imaging"},{"issue":"2","key":"2395_CR18","doi-asserted-by":"crossref","first-page":"131","DOI":"10.4111\/kju.2015.56.2.131","volume":"56","author":"M Mustafa","year":"2015","unstructured":"Mustafa M, Pettaway CA, Davis JW, Pisters L (2015) Robotic or open radical prostatectomy after previous open surgery in the pelvic region. Korean J Urol 56(2):131\u2013137","journal-title":"Korean J Urol"},{"issue":"372","key":"2395_CR19","volume":"29","author":"MJ Page","year":"2021","unstructured":"Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD et al (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 29(372):n71","journal-title":"BMJ"},{"issue":"1","key":"2395_CR20","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/1472-6947-7-16","volume":"7","author":"C Schardt","year":"2007","unstructured":"Schardt C, Adams MB, Owens T, Keitz S, Fontelo P (2007) Utilization of the PICO framework to improve searching PubMed for clinical questions. BMC Med Inform Decis Mak 7(1):16","journal-title":"BMC Med Inform Decis Mak"},{"issue":"10","key":"2395_CR21","first-page":"2127","volume":"18","author":"Z Munn","year":"2020","unstructured":"Munn Z, Barker TH, Moola S, Tufanaru C, Stern C, McArthur A et al (2020) Methodological quality of case series studies: an introduction to the JBI critical appraisal tool. JBI Evid Synth 18(10):2127\u20132133","journal-title":"JBI Evid Synth"},{"issue":"2","key":"2395_CR22","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1097\/SLA.0b013e3181b13ca2","volume":"250","author":"PA Clavien","year":"2009","unstructured":"Clavien PA, Barkun J, de Oliveira ML, Vauthey JN, Dindo D, Schulick RD et al (2009) The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg 250(2):187\u2013196","journal-title":"Ann Surg"},{"issue":"12","key":"2395_CR23","doi-asserted-by":"crossref","first-page":"2338","DOI":"10.1111\/codi.15274","volume":"22","author":"R Calleja Lozano","year":"2020","unstructured":"Calleja Lozano R, Medina Fern\u00e1ndez FJ, D\u00edaz L\u00f3pez CA, Torres Tordera EM, Carrasco Valiente J, Brice\u00f1o Delgado FJ (2020) A combined robotic approach to a synchronous upper rectal and prostate cancer\u2014a video vignette. Colorectal Dis 22(12):2338\u20132339","journal-title":"Colorectal Dis"},{"issue":"11","key":"2395_CR24","doi-asserted-by":"crossref","first-page":"4571","DOI":"10.1007\/s00464-018-6210-4","volume":"32","author":"RMPH Crolla","year":"2018","unstructured":"Crolla RMPH, Tersteeg JJC, van der Schelling GP, Wijsman JH, Schreinemakers JMJ (2018) Robot-assisted laparoscopic resection of clinical T4b tumours of distal sigmoid and rectum: initial results. Surg Endosc 32(11):4571\u20134578","journal-title":"Surg Endosc"},{"issue":"2","key":"2395_CR25","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1111\/codi.14534","volume":"21","author":"N de Angelis","year":"2019","unstructured":"de Angelis N, Ingels A, de La Taille A, Brunetti F (2019) Simultaneous robotic total mesorectal excision and radical prostatectomy and enlarged iliac lymphadenectomy for synchronous adenocarcinomas\u2014a video vignette. Colorectal Dis 21(2):249\u2013250","journal-title":"Colorectal Dis"},{"issue":"3","key":"2395_CR26","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1111\/ases.13048","volume":"15","author":"K Fukata","year":"2022","unstructured":"Fukata K, Akiyoshi T, Numao N, Komai Y, Mukai T, Hiyoshi Y et al (2022) Robotic-assisted laparoscopic surgery for synchronous primary rectal and prostate cancer: initial case series. Asian J Endoscopic Surg 15(3):678\u2013682","journal-title":"Asian J Endoscopic Surg"},{"issue":"12","key":"2395_CR27","doi-asserted-by":"crossref","first-page":"1626","DOI":"10.1111\/codi.16241","volume":"24","author":"J Grosek","year":"2022","unstructured":"Grosek J, Toma\u017ei\u010d A, Ko\u0161ir JA, Hawlina S (2022) Simultaneous robot-assisted abdominoperineal rectal resection and Retzius-sparing prostatectomy for synchronous rectal and prostate cancer\u2014a video vignette. Colorectal Dis 24(12):1626\u20131627","journal-title":"Colorectal Dis"},{"issue":"1","key":"2395_CR28","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1080\/00015458.2017.1411550","volume":"119","author":"B Gys","year":"2019","unstructured":"Gys B, Fransis K, Hubens G, Van den Broeck S, Op de Beeck B, Komen N (2019) Simultaneous laparoscopic proctocolectomy (TaTME) and robot-assisted radical prostatectomy for synchronous rectal and prostate cancer. Acta Chir Belg 119(1):47\u201351","journal-title":"Acta Chir Belg"},{"issue":"4","key":"2395_CR29","doi-asserted-by":"crossref","first-page":"190","DOI":"10.4240\/wjgs.v12.i4.190","volume":"12","author":"NH Heah","year":"2020","unstructured":"Heah NH, Wong KY (2020) Feasibility of robotic assisted bladder sparing pelvic exenteration for locally advanced rectal cancer: a single institution case series. World J Gastrointest Surg 12(4):190\u2013196","journal-title":"World J Gastrointest Surg"},{"issue":"3","key":"2395_CR30","doi-asserted-by":"crossref","DOI":"10.1097\/DCR.0000000000002516","volume":"66","author":"S Hui Shin","year":"2023","unstructured":"Hui Shin S, Niccolo Piozzi G, Mayuha Rusli S, Min Choo J, Gu Kang S, Kim SH (2023) Sphincter-preserving robotic surgery for rectal cancer anteriorly invading rectourethralis muscle: intersphincteric resection with en-bloc prostatectomy. Dis Colon Rectum 66(3):e118","journal-title":"Dis Colon Rectum"},{"key":"2395_CR31","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1016\/j.ijscr.2018.09.021","volume":"51","author":"T Imagami","year":"2018","unstructured":"Imagami T, Takayama S, Hattori T, Matsui R, Sakamoto M, Kani H et al (2018) Combined laparoscopic and robotic surgery for synchronous colorectal and genitourinary cancer: a case series. Int J Surg Case Rep 51:323\u2013327","journal-title":"Int J Surg Case Rep"},{"issue":"4","key":"2395_CR32","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1007\/s13691-019-00377-3","volume":"8","author":"Y Itatani","year":"2019","unstructured":"Itatani Y, Kawada K, Hida K, Inamoto S, Mizuno R, Goto S et al (2019) Simultaneous robotic surgery with low anterior resection and prostatectomy\/hysterectomy. Int Canc Conf J 8(4):141\u2013145","journal-title":"Int Canc Conf J"},{"issue":"3","key":"2395_CR33","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1002\/jso.26719","volume":"125","author":"R Jaganmurugan","year":"2022","unstructured":"Jaganmurugan R, Kazi M, Sukumar V, Gori J, Prakash G, Pal M et al (2022) Bladder preserving robotic pelvic exenteration for locally advanced rectal cancer-technique and short-term outcomes. J Surg Oncol 125(3):493\u2013497","journal-title":"J Surg Oncol"},{"issue":"2","key":"2395_CR34","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1111\/ases.12265","volume":"9","author":"H Kamiyama","year":"2016","unstructured":"Kamiyama H, Sakamoto K, China T, Aoki J, Niwa K, Ishiyama S et al (2016) Combined laparoscopic abdominoperineal resection and robotic-assisted prostatectomy for synchronous double cancer of the rectum and the prostate. Asian J Endoscopic Surg 9(2):142\u2013145","journal-title":"Asian J Endoscopic Surg"},{"issue":"12","key":"2395_CR35","first-page":"1629","volume":"43","author":"H Kawakita","year":"2016","unstructured":"Kawakita H, Katsumata K, Kasahara K, Kuwabara H, Shigoka M, Matsudo T et al (2016) A case of advanced rectal cancer in which combined prostate removal and isr using the da vinci surgical system with preoperative chemotherapy allowed curative resection. Gan To Kagaku Ryoho 43(12):1629\u20131631","journal-title":"Gan To Kagaku Ryoho"},{"key":"2395_CR36","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1093\/jscr\/rjaa338","volume":"9","author":"Y Kojima","year":"2020","unstructured":"Kojima Y, Sakamoto K, Horie S, Tomiki Y, Kawai M, Okazawa Y et al (2020) 2020 Simultaneous robot-assisted surgery for rectal cancer and prostatic lesions. J Surg Case Rep 9:338","journal-title":"J Surg Case Rep"},{"issue":"1","key":"2395_CR37","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1111\/ases.12961","volume":"15","author":"A Maeda","year":"2022","unstructured":"Maeda A, Takahashi H, Watanabe K, Yanagita T, Suzuki T, Nakai N et al (2022) The clinical impact of robot-assisted laparoscopic rectal cancer surgery associated with robot-assisted radical prostatectomy. Asian J Endoscopic Surg 15(1):36\u201343","journal-title":"Asian J Endoscopic Surg"},{"issue":"1","key":"2395_CR38","doi-asserted-by":"crossref","first-page":"1768","DOI":"10.1186\/s40064-016-3456-y","volume":"5","author":"M Park","year":"2016","unstructured":"Park M, Kim SC, Chung JS, Park SH, Park SS, Oh SJ et al (2016) Simultaneous robotic low anterior resection and prostatectomy for adenocarcinoma of rectum and prostate: initial case report. Springerplus 5(1):1768","journal-title":"Springerplus"},{"issue":"11","key":"2395_CR39","doi-asserted-by":"crossref","first-page":"1786","DOI":"10.1111\/codi.15200","volume":"22","author":"B Raj Kumar","year":"2020","unstructured":"Raj Kumar B, Bankar S, Pandey D, Rohila J, Prakash G, Bakshi G et al (2020) Abdominoperineal excision with prostatectomy in T4 rectal cancer\u2014bladder-sparing robotic pelvic exenteration\u2014a video vignette. Colorectal Dis 22(11):1786\u20131787","journal-title":"Colorectal Dis"},{"issue":"13","key":"2395_CR40","first-page":"1690","volume":"49","author":"T Saito","year":"2022","unstructured":"Saito T, Karasawa H, Kawamorita N, Ichikawa H, Ono T, Kobayashi M et al (2022) A case of robot-assisted abdominoperineal resection with prostatectomy for locally advanced rectal cancer. Gan To Kagaku Ryoho 49(13):1690\u20131692","journal-title":"Gan To Kagaku Ryoho"},{"issue":"1","key":"2395_CR41","first-page":"O9","volume":"16","author":"JW Shin","year":"2014","unstructured":"Shin JW, Kim J, Kwak JM, Hara M, Cheon J, Kang SH et al (2014) First report: robotic pelvic exenteration for locally advanced rectal cancer. Colorectal Dis 16(1):O9-14","journal-title":"Colorectal Dis"},{"issue":"11","key":"2395_CR42","doi-asserted-by":"crossref","first-page":"1145","DOI":"10.1007\/s10151-020-02290-x","volume":"24","author":"N Smith","year":"2020","unstructured":"Smith N, Murphy DG, Lawrentschuk N, McCormick J, Heriot A, Warrier S et al (2020) Robotic multivisceral pelvic resection: experience from an exenteration unit. Tech Coloproctol 24(11):1145\u20131153","journal-title":"Tech Coloproctol"},{"issue":"3","key":"2395_CR43","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1111\/ases.13044","volume":"15","author":"H Takahashi","year":"2022","unstructured":"Takahashi H, Maeda A, Harata S, Watanabe K, Yanagita T, Suzuki T et al (2022) Robot-assisted laparoscopic abdominoperineal resection with en bloc prostatectomy using the Retzius-sparing robot-assisted radical prostatectomy technique. Asian J Endoscopic Surg 15(3):688\u2013692","journal-title":"Asian J Endoscopic Surg"},{"issue":"42","key":"2395_CR44","volume":"1","author":"Z Tully","year":"2022","unstructured":"Tully Z, Richards J, Masson AT, Guyton KL, Packiam VT (2022) Combined robotic radical prostatectomy and laparoscopic proctectomy for synchronous prostate and rectal cancer. Urol Case Rep 1(42):102043","journal-title":"Urol Case Rep"},{"issue":"1","key":"2395_CR45","doi-asserted-by":"crossref","first-page":"111","DOI":"10.4111\/icu.20200176","volume":"62","author":"M Williams","year":"2020","unstructured":"Williams M, Perera M, Nouhaud FX, Nouhaud FX, Coughlin G (2020) Robotic pelvic exenteration and extended pelvic resections for locally advanced or synchronous rectal and urological malignancy. Investig Clin Urol 62(1):111\u2013120","journal-title":"Investig Clin Urol"},{"issue":"2","key":"2395_CR46","doi-asserted-by":"crossref","first-page":"1486","DOI":"10.1245\/s10434-021-10804-6","volume":"29","author":"CH Yee","year":"2022","unstructured":"Yee CH, Yu SJA, Ho MF, Futaba K, Mak T, Teoh JYC et al (2022) Versatility of retzius-sparing prostatectomy: its application in renal transplant patient and en-bloc abdominal-perineal resection. Ann Surg Oncol 29(2):1486\u20131487","journal-title":"Ann Surg Oncol"},{"issue":"12","key":"2395_CR47","doi-asserted-by":"crossref","first-page":"2325","DOI":"10.1016\/j.ejso.2019.07.015","volume":"45","author":"PS Waters","year":"2019","unstructured":"Waters PS, Peacock O, Warrier SK, Wakeman C, Eglinton T, Lynch AC et al (2019) Evolution of pelvic exenteration surgery\u2013resectional trends and survival outcomes over three decades. Eur J Surg Oncol 45(12):2325\u20132333","journal-title":"Eur J Surg Oncol"},{"issue":"7","key":"2395_CR48","doi-asserted-by":"crossref","first-page":"2249","DOI":"10.1245\/s10434-016-5117-3","volume":"23","author":"US Shin","year":"2016","unstructured":"Shin US, Nancy You Y, Nguyen AT, Bednarski BK, Messick C, Maru DM et al (2016) Oncologic outcomes of extended robotic resection for rectal cancer. Ann Surg Oncol 23(7):2249\u20132257","journal-title":"Ann Surg Oncol"},{"issue":"3","key":"2395_CR49","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1097\/JU.0000000000001382","volume":"205","author":"L Ribeiro","year":"2021","unstructured":"Ribeiro L, Stonier T, Stroman L, Tourinho-Barbosa R, Alghazo O, Winkler M et al (2021) Is the toxicity of salvage prostatectomy related to the primary prostate cancer therapy received? J Urol 205(3):791\u2013799","journal-title":"J Urol"},{"issue":"5","key":"2395_CR50","doi-asserted-by":"crossref","first-page":"296.e21","DOI":"10.1016\/j.urolonc.2020.11.002","volume":"39","author":"G Marra","year":"2021","unstructured":"Marra G, Karnes RJ, Calleris G, Oderda M, Alessio P, Palazzetti A et al (2021) Oncological outcomes of salvage radical prostatectomy for recurrent prostate cancer in the contemporary era: a multicenter retrospective study. Urol Oncol: Seminars Origin Investig 39(5):296.e21-296.e29","journal-title":"Urol Oncol: Seminars Origin Investig"},{"issue":"4","key":"2395_CR51","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1016\/j.eururo.2017.08.015","volume":"73","author":"P Sooriakumaran","year":"2017","unstructured":"Sooriakumaran P, Pini G, Nyberg T, Derogar M, Carlsson S, Stranne J et al (2017) Erectile function and oncologic outcomes following open retropubic and robot-assisted radical prostatectomy: results from the laparoscopic prostatectomy robot open trial. Eur Urol 73(4):618\u2013627","journal-title":"Eur Urol"},{"issue":"4","key":"2395_CR52","doi-asserted-by":"crossref","first-page":"2300018","DOI":"10.1056\/EVIDoa2300018","volume":"2","author":"JL Donovan","year":"2023","unstructured":"Donovan JL, Hamdy FC, Lane JA, Young GJ, Metcalfe C, Walsh EI et al (2023) Patient-reported outcomes 12 years after localized prostate cancer treatment. NEJM Evid 2(4):2300018","journal-title":"NEJM Evid"},{"issue":"5","key":"2395_CR53","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1016\/j.eururo.2015.07.074","volume":"68","author":"JK Lee","year":"2015","unstructured":"Lee JK, Assel M, Thong AE, Sjoberg DD, Mulhall JP, Sandhu J et al (2015) Unexpected long-term improvements in urinary and erectile function in a large cohort of men with self-reported outcomes following radical prostatectomy. Eur Urol 68(5):899\u2013905","journal-title":"Eur Urol"},{"issue":"1","key":"2395_CR54","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.eururo.2017.05.055","volume":"73","author":"CJD Wallis","year":"2018","unstructured":"Wallis CJD, Glaser A, Hu JC, Huland H, Lawrentschuk N, Moon D et al (2018) Survival and complications following surgery and radiation for localized prostate cancer: an international collaborative review. Eur Urol 73(1):11\u201320","journal-title":"Eur Urol"},{"issue":"25","key":"2395_CR55","first-page":"00060","volume":"S2405\u20134569","author":"N Thiruchelvam","year":"2025","unstructured":"Thiruchelvam N, Heesakkers J, Hamid R, Martens F, der Aa FV, Witjes W et al (2025) SATURN: a multinational, multicentre, prospective surgical registry for male urinary incontinence surgery across europe with planned 10-year follow-up. Eur Urol Focus S2405\u20134569(25):00060\u201300064","journal-title":"Eur Urol Focus"}],"container-title":["Journal of Robotic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-025-02395-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11701-025-02395-1","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-025-02395-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,4]],"date-time":"2026-01-04T01:22:28Z","timestamp":1767489748000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11701-025-02395-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,23]]},"references-count":55,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["2395"],"URL":"https:\/\/doi.org\/10.1007\/s11701-025-02395-1","relation":{},"ISSN":["1863-2491"],"issn-type":[{"value":"1863-2491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,23]]},"assertion":[{"value":"8 December 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 May 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 May 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interests"}},{"value":"This is a systematic review. No ethics approval is required.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}],"article-number":"229"}}