{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T22:00:02Z","timestamp":1775167202976,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,6,19]],"date-time":"2021-06-19T00:00:00Z","timestamp":1624060800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Robot\u2010assisted laparoscopic surgery has been performed in various fields, especially in the pelvic cavity. However, little is known about the utility of robot\u2010assisted laparoscopic rectal cancer surgery associated with robot\u2010assisted radical prostatectomy (RARP). We herein report the clinical impact of robot\u2010assisted laparoscopic rectal cancer surgery associated with RARP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We experienced five cases of robot\u2010assisted laparoscopic rectal cancer surgery associated with RARP. One involved robot\u2010assisted laparoscopic abdominoperineal resection with <jats:italic>en\u2009bloc<\/jats:italic> prostatectomy for T4b rectal cancer, and one involved robot\u2010assisted laparoscopic intersphincteric resection combined with RARP for synchronous rectal and prostate cancer. The remaining three involved robot\u2010assisted laparoscopic low anterior resection (RaLAR) after RARP. For robot\u2010assisted laparoscopic rectal cancer surgery, the da Vinci Xi surgical system was used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We could perform planned robotic rectal cancer surgery in all cases. The median operation time was 529\u2009min (373\u2013793\u2009min), and the median blood loss was 307\u2009ml (32\u20131191\u2009ml). No patients required any transfusion in the intra\u2010operative or immediate peri\u2010operative period. The circumferential resection margin was negative in all cases. There were no complications of grade \u2265III according to the Clavien\u2010Dindo classification and no conversions to conventional laparoscopic or open surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Robot\u2010assisted laparoscopic surgery associated with RARP is feasible in patients with rectal cancer. The long\u2010term surgical outcomes remain to be further evaluated.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12961","type":"journal-article","created":{"date-parts":[[2021,6,19]],"date-time":"2021-06-19T10:00:46Z","timestamp":1624096846000},"page":"36-43","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The clinical impact of robot\u2010assisted laparoscopic rectal cancer surgery associated with robot\u2010assisted radical prostatectomy"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7601-5570","authenticated-orcid":false,"given":"Anri","family":"Maeda","sequence":"first","affiliation":[{"name":"Department of Gastroenterological Surgery Nagoya City University Graduate School of Medical Sciences  Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroki","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of 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