{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:23:14Z","timestamp":1785421394764,"version":"3.56.0"},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,4,4]],"date-time":"2024-04-04T00:00:00Z","timestamp":1712188800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>As multidisciplinary treatment strategies for colorectal cancer have improved, aggressive surgical resection has become commonplace. Multivisceral and extended resections offer curative\u2010intent resection with significant survival benefit. However, limited data exist regarding the feasibility and oncological efficacy of performing extended resection via a minimally invasive approach. The aim of this study was to determine the perioperative and long\u2010term outcomes following robotic extended resection for colorectal cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We describe the population of patients undergoing robotic multivisceral resection for colorectal cancer at our single institution. We evaluated perioperative details and investigated short\u2010 and long\u2010term outcomes, using the Kaplan\u2013Meier method to analyse overall and recurrence\u2010free survival.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the 86 patients most tumours were T3 (47%) or T4 (47%) lesions in the rectum (78%). Most resections involved the anterior compartment (72%): bladder (<jats:italic>n<\/jats:italic>\u2009=\u200913), seminal vesicle\/vas deferens (<jats:italic>n<\/jats:italic>\u2009=\u200927), ureter (<jats:italic>n<\/jats:italic>\u2009=\u20096), prostate (<jats:italic>n<\/jats:italic>\u2009=\u200915) and uterus\/vagina\/adnexa (<jats:italic>n<\/jats:italic>\u2009=\u200927). Three cases required conversion to open surgery; 10 patients had grade 3 complications. The median hospital stay was 4\u2009days. Resections were R0 (&gt;1\u2009mm) in 78 and R1 (0 to \u22641\u2009mm) in 8, with none being R2. The average nodal yield was 26 and 48 (55.8%) were pN0. Three\u2010year overall survival was 88% and median progression\u2010free survival was 19.4\u2009months. Local recurrence was 6.1% and distant recurrence was 26.1% at 3\u2009years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Performance of multivisceral and extended resection on the robotic platform allows patients the benefit of minimally invasive surgery while achieving oncologically sound resection of colorectal cancer.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.16964","type":"journal-article","created":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T04:14:55Z","timestamp":1712290495000},"page":"949-957","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Perioperative and oncological outcomes following robotic <i>en bloc<\/i> multivisceral resection for colorectal cancer"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4252-7065","authenticated-orcid":false,"given":"Sandra R.","family":"DiBrito","sequence":"first","affiliation":[{"name":"Department of Colon and Rectal Surgery The University of Texas MD Anderson Cancer Center  Houston Texas USA"},{"name":"Department of Surgery Albany Medical College  Albany New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naveen","family":"Manisundaram","sequence":"additional","affiliation":[{"name":"Department of Colon and Rectal Surgery The University of Texas MD Anderson Cancer Center  Houston Texas USA"},{"name":"Department of Surgery Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youngwan","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Colon and Rectal Surgery The University of Texas MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver","family":"Peacock","sequence":"additional","affiliation":[{"name":"Department of Colon and Rectal Surgery The University of Texas MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chung\u2010Yuan","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Colon and Rectal Surgery The University of Texas MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Bednarski","sequence":"additional","affiliation":[{"name":"Department of Colon and Rectal Surgery The University of Texas MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y. Nancy","family":"You","sequence":"additional","affiliation":[{"name":"Department of Colon and Rectal Surgery The University of Texas MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhineet","family":"Uppal","sequence":"additional","affiliation":[{"name":"Department of Colon and Rectal Surgery The University of Texas MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Tillman","sequence":"additional","affiliation":[{"name":"Department of Colon and Rectal Surgery The University of Texas MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsuyoshi","family":"Konishi","sequence":"additional","affiliation":[{"name":"Department of Colon and Rectal Surgery The University of Texas MD Anderson Cancer Center  Houston Texas 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