Functional outcomes after laparoscopic versus robotic-assisted rectal resection: a systematic review and meta-analysis
Surgical resection is crucial for curative treatment of rectal cancer. Through multidisciplinary treatment, including radiochemotherapy and total mesorectal excision, survival has improved substantially. Consequently, more patients have to deal with side effects of treatment. The most recently intro...
Saved in:
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article (Journal) |
| Language: | English |
| Published: |
2021
|
| In: |
Surgical endoscopy
Year: 2021, Volume: 35, Issue: 1, Pages: 81-95 |
| ISSN: | 0930-2794 |
| DOI: | 10.1007/s00464-019-07361-1 |
| Online Access: | Verlag, kostenfrei, Volltext: https://doi.org/10.1007/s00464-019-07361-1
|
| Author Notes: | K.F. Kowalewski, L. Seifert, S. Ali, M.W. Schmidt, S. Seide, C. Haney, C. Tapking, A. Shamiyeh, Y. Kulu, T. Hackert, B.P. Müller-Stich, F. Nickel |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1758063505 | ||
| 003 | DE-627 | ||
| 005 | 20240413193355.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 210518s2021 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s00464-019-07361-1 |2 doi | |
| 035 | |a (DE-627)1758063505 | ||
| 035 | |a (DE-599)KXP1758063505 | ||
| 035 | |a (OCoLC)1341413422 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Kowalewski, Karl-Friedrich |d 1989- |e VerfasserIn |0 (DE-588)1100724192 |0 (DE-627)859518825 |0 (DE-576)469770740 |4 aut | |
| 245 | 1 | 0 | |a Functional outcomes after laparoscopic versus robotic-assisted rectal resection |b a systematic review and meta-analysis |c K.F. Kowalewski, L. Seifert, S. Ali, M.W. Schmidt, S. Seide, C. Haney, C. Tapking, A. Shamiyeh, Y. Kulu, T. Hackert, B.P. Müller-Stich, F. Nickel |
| 264 | 1 | |c 2021 | |
| 300 | |a 15 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Published: 05 February 2020 | ||
| 500 | |a Gesehen am 18.05.2021 | ||
| 520 | |a Surgical resection is crucial for curative treatment of rectal cancer. Through multidisciplinary treatment, including radiochemotherapy and total mesorectal excision, survival has improved substantially. Consequently, more patients have to deal with side effects of treatment. The most recently introduced surgical technique is robotic-assisted surgery (RAS) which seems equally effective in terms of oncological control compared to laparoscopy. However, RAS enables further advantages which maximize the precision of surgery, thus providing better functional outcomes such as sexual function or contience without compromising oncological results. This review was done according to the PRISMA and AMSTAR-II guidelines and registered with PROSPERO (CRD42018104519). The search was planned with PICO criteria and conducted on Medline, Web of Science and CENTRAL. All screening steps were performed by two independent reviewers. Inclusion criteria were original, comparative studies for laparoscopy vs. RAS for rectal cancer and reporting of functional outcomes. Quality was assessed with the Newcastle-Ottawa scale. The search retrieved 9703 hits, of which 51 studies with 24,319 patients were included. There was a lower rate of urinary retention (non-RCTs: Odds ratio (OR) [95% Confidence Interval (CI)] 0.65 [0.46, 0.92]; RCTs: OR[CI] 1.29[0.08, 21.47]), ileus (non-RCTs: OR[CI] 0.86[0.75, 0.98]; RCTs: OR[CI] 0.80[0.33, 1.93]), less urinary symptoms (non-RCTs mean difference (MD) [CI] − 0.60 [− 1.17, − 0.03]; RCTs: − 1.37 [− 4.18, 1.44]), and higher quality of life for RAS (only non-RCTs: MD[CI]: 2.99 [2.02, 3.95]). No significant differences were found for sexual function (non-RCTs: standardized MD[CI]: 0.46[− 0.13, 1.04]; RCTs: SMD[CI]: 0.09[− 0.14, 0.31]). The current meta-analysis suggests potential benefits for RAS over laparoscopy in terms of functional outcomes after rectal cancer resection. The current evidence is limited due to non-randomized controlled trials and reporting of functional outcomes as secondary endpoints. | ||
| 700 | 1 | |a Seifert, Laura |e VerfasserIn |4 aut | |
| 700 | 1 | |a Ali, Seher |e VerfasserIn |4 aut | |
| 700 | 1 | |a Schmidt, Mona Wanda |d 1994- |e VerfasserIn |0 (DE-588)1128102269 |0 (DE-627)882387626 |0 (DE-576)485693429 |4 aut | |
| 700 | 1 | |a Seide, Svenja |d 1990- |e VerfasserIn |0 (DE-588)1179391268 |0 (DE-627)1067054855 |0 (DE-576)518208621 |4 aut | |
| 700 | 1 | |a Haney, Caelán Max |d 1994- |e VerfasserIn |0 (DE-588)1194593518 |0 (DE-627)167682281X |4 aut | |
| 700 | 1 | |a Tapking, Christian |d 1989- |e VerfasserIn |0 (DE-588)1160736014 |0 (DE-627)1024161870 |0 (DE-576)506160041 |4 aut | |
| 700 | 1 | |a Shamiyeh, Andreas |e VerfasserIn |4 aut | |
| 700 | 1 | |a Kulu, Yakup |d 1975- |e VerfasserIn |0 (DE-588)130101923 |0 (DE-627)490859798 |0 (DE-576)297997890 |4 aut | |
| 700 | 1 | |a Hackert, Thilo |d 1971- |e VerfasserIn |0 (DE-588)122158512 |0 (DE-627)70579346X |0 (DE-576)182659208 |4 aut | |
| 700 | 1 | |a Müller, Beat P. |d 1971- |e VerfasserIn |0 (DE-588)14066209X |0 (DE-627)70374819X |0 (DE-576)317992287 |4 aut | |
| 700 | 1 | |a Nickel, Felix |d 1982- |e VerfasserIn |0 (DE-588)1067980059 |0 (DE-627)819414875 |0 (DE-576)427122619 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Surgical endoscopy |d New York, NY : Springer, 1987 |g 35(2021), 1, Seite 81-95 |w (DE-627)130433292 |w (DE-600)639039-0 |w (DE-576)015929345 |x 0930-2794 |7 nnas |a Functional outcomes after laparoscopic versus robotic-assisted rectal resection a systematic review and meta-analysis |
| 773 | 1 | 8 | |g volume:35 |g year:2021 |g number:1 |g pages:81-95 |g extent:15 |a Functional outcomes after laparoscopic versus robotic-assisted rectal resection a systematic review and meta-analysis |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00464-019-07361-1 |x Verlag |x Resolving-System |z kostenfrei |3 Volltext |
| 951 | |a AR | ||
| 992 | |a 20210518 | ||
| 993 | |a Article | ||
| 994 | |a 2021 | ||
| 998 | |g 1067980059 |a Nickel, Felix |m 1067980059:Nickel, Felix |d 910000 |d 910200 |d 50000 |e 910000PN1067980059 |e 910200PN1067980059 |e 50000PN1067980059 |k 0/910000/ |k 1/910000/910200/ |k 0/50000/ |p 12 |y j | ||
| 998 | |g 14066209X |a Müller, Beat P. |m 14066209X:Müller, Beat P. |d 910000 |d 910200 |d 50000 |e 910000PM14066209X |e 910200PM14066209X |e 50000PM14066209X |k 0/910000/ |k 1/910000/910200/ |k 0/50000/ |p 11 | ||
| 998 | |g 122158512 |a Hackert, Thilo |m 122158512:Hackert, Thilo |d 910000 |d 910200 |d 50000 |e 910000PH122158512 |e 910200PH122158512 |e 50000PH122158512 |k 0/910000/ |k 1/910000/910200/ |k 0/50000/ |p 10 | ||
| 998 | |g 130101923 |a Kulu, Yakup |m 130101923:Kulu, Yakup |d 910000 |d 910200 |d 50000 |e 910000PK130101923 |e 910200PK130101923 |e 50000PK130101923 |k 0/910000/ |k 1/910000/910200/ |k 0/50000/ |p 9 | ||
| 998 | |g 1194593518 |a Haney, Caelán Max |m 1194593518:Haney, Caelán Max |d 50000 |e 50000PH1194593518 |k 0/50000/ |p 6 | ||
| 998 | |g 1179391268 |a Seide, Svenja |m 1179391268:Seide, Svenja |d 910000 |d 999701 |e 910000PS1179391268 |e 999701PS1179391268 |k 0/910000/ |k 1/910000/999701/ |p 5 | ||
| 998 | |g 1128102269 |a Schmidt, Mona Wanda |m 1128102269:Schmidt, Mona Wanda |d 50000 |e 50000PS1128102269 |k 0/50000/ |p 4 | ||
| 998 | |g 1100724192 |a Kowalewski, Karl-Friedrich |m 1100724192:Kowalewski, Karl-Friedrich |d 60000 |e 60000PK1100724192 |k 0/60000/ |p 1 |x j | ||
| 999 | |a KXP-PPN1758063505 |e 3929367092 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"relHost":[{"part":{"pages":"81-95","extent":"15","year":"2021","issue":"1","volume":"35","text":"35(2021), 1, Seite 81-95"},"origin":[{"publisher":"Springer ; Springer","dateIssuedKey":"1987","publisherPlace":"New York, NY ; Berlin ; Heidelberg","dateIssuedDisp":"1987-2001"}],"type":{"bibl":"periodical"},"language":["eng"],"pubHistory":["1.1987 - 15.2001"],"disp":"Functional outcomes after laparoscopic versus robotic-assisted rectal resection a systematic review and meta-analysisSurgical endoscopy","recId":"130433292","title":[{"subtitle":"ultrasound and interventional techniques ; official journal of Society of American Gastrointestinal Endoscopic Surgeons (SAGES), European Association for Endoscopic Surgery (E.A.E.S.)","title":"Surgical endoscopy","title_sort":"Surgical endoscopy"}],"id":{"issn":["0930-2794"],"zdb":["639039-0"],"eki":["130433292"]}}],"person":[{"roleDisplay":"VerfasserIn","family":"Kowalewski","display":"Kowalewski, Karl-Friedrich","role":"aut","given":"Karl-Friedrich"},{"role":"aut","display":"Seifert, Laura","given":"Laura","family":"Seifert","roleDisplay":"VerfasserIn"},{"family":"Ali","roleDisplay":"VerfasserIn","display":"Ali, Seher","role":"aut","given":"Seher"},{"given":"Mona Wanda","display":"Schmidt, Mona Wanda","role":"aut","family":"Schmidt","roleDisplay":"VerfasserIn"},{"role":"aut","display":"Seide, Svenja","given":"Svenja","family":"Seide","roleDisplay":"VerfasserIn"},{"display":"Haney, Caelán Max","role":"aut","given":"Caelán Max","roleDisplay":"VerfasserIn","family":"Haney"},{"roleDisplay":"VerfasserIn","family":"Tapking","display":"Tapking, Christian","role":"aut","given":"Christian"},{"family":"Shamiyeh","roleDisplay":"VerfasserIn","role":"aut","display":"Shamiyeh, Andreas","given":"Andreas"},{"family":"Kulu","roleDisplay":"VerfasserIn","display":"Kulu, Yakup","role":"aut","given":"Yakup"},{"role":"aut","display":"Hackert, Thilo","given":"Thilo","roleDisplay":"VerfasserIn","family":"Hackert"},{"given":"Beat P.","role":"aut","display":"Müller, Beat P.","roleDisplay":"VerfasserIn","family":"Müller"},{"roleDisplay":"VerfasserIn","family":"Nickel","role":"aut","display":"Nickel, Felix","given":"Felix"}],"name":{"displayForm":["K.F. Kowalewski, L. Seifert, S. Ali, M.W. Schmidt, S. Seide, C. Haney, C. Tapking, A. Shamiyeh, Y. Kulu, T. Hackert, B.P. Müller-Stich, F. Nickel"]},"physDesc":[{"extent":"15 S."}],"origin":[{"dateIssuedKey":"2021","dateIssuedDisp":"2021"}],"type":{"media":"Online-Ressource","bibl":"article-journal"},"language":["eng"],"note":["Published: 05 February 2020","Gesehen am 18.05.2021"],"recId":"1758063505","id":{"eki":["1758063505"],"doi":["10.1007/s00464-019-07361-1"]},"title":[{"subtitle":"a systematic review and meta-analysis","title":"Functional outcomes after laparoscopic versus robotic-assisted rectal resection","title_sort":"Functional outcomes after laparoscopic versus robotic-assisted rectal resection"}]} | ||
| SRT | |a KOWALEWSKIFUNCTIONAL2021 | ||