{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T16:30:48Z","timestamp":1769013048689,"version":"3.49.0"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T00:00:00Z","timestamp":1705536000000},"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":["Colorectal Disease"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Robotic surgery is increasingly being used for rectal resection, with short\u2010term benefits such as reduced hospital stay, faster bowel recovery and fewer complications. However, its utility for advanced rectal cancers requiring beyond total mesorectal excision has not been adequately evaluated. The aim of this study was to compare robotic and laparoscopic approaches for extended rectal resection, with postoperative and short\u2010term oncological outcomes as endpoints.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A retrospective, single\u2010centre study of patients with advanced rectal cancer requiring extended rectal resection between January 2017 and December 2022 was carried out. Beyond total mesorectal excisions included pelvic exenteration, <jats:italic>en bloc<\/jats:italic> soft tissue or partial organ resection with the rectum, and lateral pelvic node dissection. Propensity score matching in a 4:1 ratio of laparoscopic to robotic was performed with age, sex, comorbidities, body mass index, organs involved, clinical T stage and colonoscopic obstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 425 beyond total mesorectal excisions were performed by minimally invasive approaches during the study period, and after propensity matching 228 laparoscopic operations were compared with 57 robotic resections. All baseline characteristics were balanced. No difference in blood loss, postoperative complications, length of hospital stay, positive resection margin or nodal yield was found, but there was a somewhat longer operating duration in robotics. The 2\u2010year disease\u2010free and overall survival were also similar.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>No differences in postoperative or short\u2010term oncological outcomes were found between robotic and laparoscopic beyond total mesorectal excisions for advanced tumours when performed by teams experienced in both robotics and laparoscopy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.16866","type":"journal-article","created":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T14:14:04Z","timestamp":1705587244000},"page":"449-458","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Comparing robotic with laparoscopic beyond total mesorectal excision for advanced rectal cancer\u2014a propensity\u2010matched analysis"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3295-0006","authenticated-orcid":false,"given":"Mufaddal","family":"Kazi","sequence":"first","affiliation":[{"name":"Division of Colorectal Surgical Oncology, Department of Surgical Oncology Tata Memorial Hospital  Mumbai India"},{"name":"Homi Bhabha National Institute  Mumbai India"},{"name":"Advanced Centre for Treatment, Research, and Education in Cancer  Navi Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aman","family":"Rastogi","sequence":"additional","affiliation":[{"name":"Division of Colorectal Surgical Oncology, Department of Surgical Oncology Tata Memorial Hospital  Mumbai India"},{"name":"Homi Bhabha National Institute  Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prudvi","family":"Raj","sequence":"additional","affiliation":[{"name":"Division of Colorectal Surgical Oncology, Department of Surgical Oncology Tata Memorial Hospital  Mumbai India"},{"name":"Homi Bhabha National Institute  Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasireddy","family":"Sadasivudu","sequence":"additional","affiliation":[{"name":"Division of Colorectal Surgical Oncology, Department of Surgical Oncology Tata Memorial Hospital  Mumbai India"},{"name":"Homi Bhabha National Institute  Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2722-0826","authenticated-orcid":false,"given":"Ashwin","family":"Desouza","sequence":"additional","affiliation":[{"name":"Division of Colorectal Surgical Oncology, Department of Surgical Oncology Tata Memorial Hospital  Mumbai India"},{"name":"Homi Bhabha National Institute  Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4498-7612","authenticated-orcid":false,"given":"Avanish","family":"Saklani","sequence":"additional","affiliation":[{"name":"Division of Colorectal Surgical Oncology, Department of Surgical Oncology Tata Memorial Hospital  Mumbai India"},{"name":"Homi Bhabha National Institute  Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,1,18]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-1253(22)00248-5"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.7219"},{"key":"e_1_2_13_4_1","article-title":"Minimally invasive lower anterior resections\u2014better than open but not all the same","author":"Lim JS","year":"2022","journal-title":"Am Surg"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000005788"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-022-02739-1"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-022-01498-3"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.18075"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers15030839"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595\u2010023\u201002671\u20103"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2022.106800"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znac396"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-021-02285-8"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.17888"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.16606"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2019.2172"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_13_18_1","unstructured":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. [cited 2023 Aug 7]. Available from:https:\/\/pubmed.ncbi.nlm.nih.gov\/18313558\/"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-018-2726-0"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.16266"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003806"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2022.07.009"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2021.12.003"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.7602\/jmis.2022.25.4.131"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.16866","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,30]],"date-time":"2024-03-30T05:22:33Z","timestamp":1711776153000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.16866"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,18]]},"references-count":23,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1111\/codi.16866"],"URL":"https:\/\/doi.org\/10.1111\/codi.16866","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,18]]},"assertion":[{"value":"2023-05-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}