[Short-term results of robotic and optimized laparoscopic total mesorectal excision for low rectal cancer].

OBJECTIVE

To compare perioperative results of optimized laparoscopic and robotic TME for middle and low rectal cancer.

MATERIAL AND

METHODS

A single-center retrospective non-randomized study included 100 patients with middle and low rectal cancer who underwent TME between 2018 and 2024 (65 patients - da Vinci Si unit, 35 patients - laparoscopic TME).

RESULTS

Perioperative results were similar. The robotic surgery group had patients with lower tumors (4.7±1.9 vs. 5.8±1.8 cm, p=0.005). Mean surgery time was longer in the robotic surgery group (274.4±46.6 vs. 257.7±47.8 min, p=0.04). Postoperative complications occurred in 15 (23.1%) and 10 (28.6%) patients, respectively (p=0.56).

CONCLUSION

Perioperative results of robotic and laparoscopic total mesorectal excision are comparable. Unification of these accesses allows equally effective minimally invasive surgical treatment of patients with low and middle rectal cancer.