Open, laparoscopic, and robotic surgery for rectal cancer: Medium-term comparative outcomes from a multicenter study

C. Corbellini, R. Biffi, F. Luca, A. Chiappa, S. Costa, E. Bertani, S. Bona, D. Lombardi, D. Tamayo, E. Botteri, B. Andreoni

Research output: Contribution to journalArticlepeer-review


Purpose: Several studies have demonstrated the oncologic equivalence of laparoscopic (LS) and open (OS) rectal cancer surgeries and have shown how challenging LS may become. Robotic surgery (RS) has emerged as a practical alternative, offering interesting advantages in comparison to both LS and OS. The aim of this study is to resolve the clinicopathologic outcome advantages of RS with respect to OS and LS techniques. Methods: Patients with rectal cancer undergoing OS, RS, or LS were evaluated within the period from April 2009 to August 2011. The evaluations were carried out in 4 Italian hospitals. Perioperative clinicopathologic data, postoperative complications, and 3-year overall and disease-free survival (DFS) rates were analyzed. Results: A total of 160 patients (94 male, 66 female) were included. A total of 105 patients underwent miniinvasive procedure (40 LS; 65 RS), whereas OS was performed in 55 patients. Anterior resection of rectal cancer was the most performed surgical procedure (139; 87%). Median operation time was significantly longer in the RS group (p
Original languageEnglish
Pages (from-to)414-421
Number of pages8
Issue number4
Publication statusPublished - 2016

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