{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T12:12:38Z","timestamp":1778069558887,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T00:00:00Z","timestamp":1774224000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2026,6,1]]},"abstract":"<jats:p>\n                    Preserving anal function in ultra-low rectal cancer surgery remains challenging in terms of technique and perioperative management. With advancements in minimally invasive techniques, Da Vinci robot-assisted intersphincteric resection (ISR) has been increasingly utilized, yet its clinical benefits remain unclear. This retrospective cohort study included 142 patients who underwent ISR at the Second Xiangya Hospital of Central South University from January 2019 to December 2024, divided into the robot-assisted ISR (RoISR) group (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 71) and the laparoscopic ISR (LaISR) group (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 71). Perioperative outcomes, postoperative complications, pain scores (numerical rating scale [NRS]), Wexner scores, quality of life (Functional Assessment of Cancer Therapy-Colorectal [FACT-C] scale), and long-term survival outcomes were compared. Results showed that RoISR had a longer operative time (220.27 \u00b1 32.21 versus 179.63 \u00b1 23.88 minutes,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .001) but earlier time to first flatus (1.77 \u00b1 1.50 versus 2.32 \u00b1 1.67 days,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .041) and shorter hospital stay (8.25 \u00b1 3.38 versus 9.77 \u00b1 4.63 days,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .027), with comparable blood loss and costs. The 30-day complication rate was lower in the RoISR group (7.04% versus 19.72%,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .027), including reduced anastomotic complications (1.41% versus 5.63%) and bleeding (0% versus 4.23%). NRS pain scores were lower in the RoISR group at 12 hours (3.56 \u00b1 0.84 versus 4.79 \u00b1 1.11,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .001), 24 hours (1.90 \u00b1 0.85 versus 2.35 \u00b1 1.02,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .05), and 48 hours (1.07 \u00b1 0.87 versus 1.61 \u00b1 0.80,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .001). Wexner scores showed greater improvement in the RoISR group at 3 months (9.49 \u00b1 2.26 versus 10.45 \u00b1 2.10,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .01) and 6 months (7.18 \u00b1 1.88 versus 7.94 \u00b1 1.96,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .02). Emotional functioning on the FACT-C scale was significantly better in the RoISR group (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .028). Kaplan\u2013Meier analysis indicated no significant differences in overall survival or recurrence-free survival (RFS) between groups. In conclusion, RoISR offers advantages in perioperative recovery, reduced complications, and improved aspects of quality of life, with long-term survival outcomes comparable to LaISR.\n                  <\/jats:p>","DOI":"10.1177\/10926429261435555","type":"journal-article","created":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T15:24:51Z","timestamp":1774279491000},"page":"423-432","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Clinical Outcomes Between Da Vinci Robot-Assisted and Laparoscopic Intersphincteric Resection for Ultra-Low Rectal Cancer"],"prefix":"10.1177","volume":"36","author":[{"given":"ChangZhong","family":"Fang","sequence":"first","affiliation":[{"name":"Nanchang Institute of Technology, Nanchang, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiming","family":"Lian","sequence":"additional","affiliation":[{"name":"Guangdong Yunfu Vocational College of Chinese Medicine, Yunfu, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nanhui","family":"Yu","sequence":"additional","affiliation":[{"name":"The 2nd Xiangya Hospital, Central South University, Changsha, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuang","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, The First Hospital of Qinhuangdao, Qinhuangdao, China."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,23]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.3393\/ac.2021.00836.0119"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2023.1292031"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12957-021-02128-2"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12893-025-02805-z"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12893-025-02764-5"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-012-2405-2"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-1253(22)00248-5"},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-024-02841-x"},{"key":"e_1_3_4_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.7219"},{"key":"e_1_3_4_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2011.02907.x"},{"key":"e_1_3_4_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000000613"},{"key":"e_1_3_4_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.1452"},{"key":"e_1_3_4_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(92)90042-P"},{"key":"e_1_3_4_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800810944"},{"key":"e_1_3_4_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02234211"},{"key":"e_1_3_4_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-006-0598-y"},{"key":"e_1_3_4_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.5621"},{"key":"e_1_3_4_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0000000000001056"},{"key":"e_1_3_4_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-1204-x"},{"key":"e_1_3_4_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181fec4fd"},{"key":"e_1_3_4_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2025.109662"},{"key":"e_1_3_4_23_1","first-page":"526","article-title":"Robot-assisted versus laparoscopic-assisted surgery for colorectal cancer: A meta-analysis","volume":"36","author":"Zhang X","year":"2022","unstructured":"22.Zhang X, , Wei Z, , Bie M, et al. Robot-assisted versus laparoscopic-assisted surgery for colorectal cancer: A meta-analysis. 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