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Robotic colorectal cancer surgery in China: a nationwide retrospective observational study

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收录情况： ◇ SCIE

作者：
Jianmin Xu[1] * ; Bo Tang[2] ; Taiyuan Li[3] ; Baoqing Jia[4] ; Hongliang Yao[5] ; Ren Zhao[6] ; Weitang Yuan[7] ; Ming Zhong[8] ; Pan Chi[9] ; Yanbing Zhou[10] ; Xiongfei Yang[11] ; Longwei Cheng[12] ; Yulong He[13] ; Yongxiang Li[14] ; Weidong Tong[15] ; Xuejun Sun[16] ; Zhiwei Jiang[17] ; Kang Wang[18] ; Xiaorong Li[19] ; Xin Wang[20] ; Ye Wei[1] ; Zongyou Chen[21] ; Xiaoqiao Zhang[22] ; Yingjiang Ye[23] ; Fanghai Han[24] ; Kaixiong Tao[25] ; Dalu Kong[26] ; Ziqiang Wang[27] ; Cheng Zhang[28] ; Guodong He[1] ; Qingyang Feng[1] ;
机构： [1]Zhongshan Hospital, Fudan University, Shanghai,People’s Republic of China [2]The First Hospital Affiliated to Army MedicalUniversity (Southwest Hospital), Chongqing,People’s Republic of China [3]The First Affiliated Hospital of Nanchang University,Nanchang, People’s Republic of China [4]Chinese PLA General Hospital, Beijing,People’s Republic of China [5]The Second Xiangya Hospital of Central South University,Changsha, People’s Republic of China [6]Ruijin Hospital, Shanghai Jiaotong University Schoolof Medicine, Shanghai, People’s Republic of China [7]The First Affiliated Hospital of Zhengzhou University,Zhengzhou, People’s Republic of China [8]Renji Hospital, Shanghai Jiaotong University Schoolof Medicine, Shanghai, People’s Republic of China [9]Fujian Medical University Union Hospital, Fuzhou,People’s Republic of China [10]The Affiliated Hospital of Qingdao University, Qingdao,People’s Republic of China [11]Gansu Provincial People’s Hospital, Lanzhou,People’s Republic of China [12]Jilin Cancer Hospital, Changchun,People’s Republic of China [13]The First Affiliated Hospital, Sun Yat-Sen University,Guangzhou, People’s Republic of China [14]The First Affiliated Hospital of Anhui Medical College,Hefei, People’s Republic of China [15]Daping Hospital, Army Medical University, Chongqing,People’s Republic of China [16]The First Affiliated Hospital of Xi’an Jiaotong University,Xi’an, People’s Republic of China [17]Jiangsu Province Hospital of Chinese Medicine, Nanjing,People’s Republic of China [18]Sichuan Provincial People’s Hospital, Chengdu,People’s Republic of China [19]The Third Xiangya Hospital of Central South University,Changsha, People’s Republic of China [20]Peking University First Hospital, Beijing,People’s Republic of China [21]Huashan Hospital, Fudan University, Shanghai,People’s Republic of China [22]The 960th Hospital of the PLA Joint Logistic SupportForce (former Jinan Military General Hospital), Jinan,People’s Republic of China [23]Peking University People’s Hospital, Beijing,People’s Republic of China [24]Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University,Guangzhou, People’s Republic of China [25]Union Hospital, Tongji Medical College, HuazhongUniversity of Science and Technology, Wuhan,People’s Republic of China [26]Tianjin Medical University Cancer Institute & Hospital,Tianjin, People’s Republic of China [27]West China Hospital, Sichuan University, Chengdu,People’s Republic of China [28]The General Hospital of Northern Theater Command (formerthe General Hospital of Shenyang Military), Shenyang,People’s Republic of China
出处：
DOI： 10.1007/s00464-020-08157-4
ISSN：

关键词： Anastomotic leakage Colorectal cancer Postoperative complications Robotic surgery

摘要：
Background: Robotic colorectal cancer surgery is widely accepted and applied. However, there is still no objective and comprehensive assessment on the data of nationwide multicenter series. Method: A total of 28 medical centers in Mainland China participated in this nationwide retrospective observational study. From the first case performed in each center to the last until December 2017, patients with robotic resection for primary tumor and pathologically confirmed colorectal adenocarcinoma were consecutively enrolled. Clinical, pathological and follow-up data were collected and analyzed. Results: A total of 5389 eligible patients were finally enrolled in this study, composing 72.2% of the total robotic colorectal surgery volume of Mainland China in the same period. For resections of one bowel segment of primary tumor, the postoperative mortality rate was 0.08% (4/5063 cases), and the postoperative complication rate (Clavien–Dindo grade II or higher) was 8.6% (434/5063 cases). For multiple resections, the postoperative mortality rate was 0.6% (2/326 cases), and the postoperative complication rate was 16.3% (53/326 cases). Out of 2956 patients receiving sphincter-preserving surgery in only primary resection, 130 (4.4%) patients had anastomotic leakage. Traditional low anterior resection (tumor at middle rectum) (OR 2.384, P < 0.001), traditional low anterior resection (tumor at low rectum) (OR 1.968, P = 0.017) and intersphincteric resection (OR 5.468, P = 0.006) were significant independent risk factors for anastomotic leakage. Female gender (OR 0.557, P = 0.005), age ≥ 60 years (OR 0.684, P = 0.040), and preventive stoma (OR 0.496, P = 0.043) were significant independent protective factors. Body mass index, preoperative chemotherapy/radiotherapy, tumor size, and TNM stage did not independently affect the occurrence of anastomotic leakage. Conclusion: Robotic colorectal cancer surgery was safe and reliable and might have advantages in patients at high risk of anastomotic leakage. © 2020, Springer Science+Business Media, LLC, part of Springer Nature.

基金：
This study was carried out in accordance with the Declaration of Helsinki and relevant policies in China, and it was approved by the institutional review board (IRB) of each participating medical center. As a retrospective study, which only collected the clinical data of patients, did not intervene in the treatment of patients, and did not pose a risk to the physiology of patients, this study was approved for exemption from the informed consent of patients by the IRB of each participating medical center. This study was supported by the Professional Committee of Robotic Surgery, Professional Committee of Colorectal Cancer, Chinese Medical Doctor Association.
语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2021]版：
大类 | 2 区 医学
小类 | 2 区 外科
最新[2023]版：
大类 | 2 区 医学
小类 | 2 区 外科
JCR分区：
出版当年[2021]版：
Q2 SURGERY
最新[2023]版：
Q1 SURGERY

影响因子： 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

第一作者：
第一作者机构： [1]Zhongshan Hospital, Fudan University, Shanghai,People’s Republic of China
通讯作者：
推荐引用方式(GB/T 7714)：
Jianmin Xu,Bo Tang,Taiyuan Li,et al.Robotic colorectal cancer surgery in China: a nationwide retrospective observational study[J].Surgical Endoscopy.2021,35(12):6591-6603.doi:10.1007/s00464-020-08157-4.
APA：
Jianmin Xu,Bo Tang,Taiyuan Li,Baoqing Jia,Hongliang Yao...&Qingyang Feng.(2021).Robotic colorectal cancer surgery in China: a nationwide retrospective observational study.Surgical Endoscopy,35,(12)
MLA：
Jianmin Xu,et al."Robotic colorectal cancer surgery in China: a nationwide retrospective observational study".Surgical Endoscopy 35..12(2021):6591-6603

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