Robotic surgery for the patient undergoing resection of a rectal tumor: a systematic review
A cirurgia robótica para o paciente submetido a ressecção de tumor de reto: uma revisão sistemática
Palavras-chave:
Robotic Surgical Procedures, Colorectal Surgery, Outcome and Process Assessment, Health Care, Systematic ReviewResumo
Objective: To analyze the results of different surgical modalities for patients undergoing rectal tumor resection. Methods: A systematic literature review of texts published in databases in the last 10 years was carried out. Results: 84 results were found and 29 studies made up the corpus: 11 exclusively evaluated robotic surgery (Group I), 12 compared robotic surgery and laparoscopic surgery (Group II); four compared robotic surgery, laparoscopic surgery and open surgery (Group III); two address robotic surgery, but deal with rectal tumor resection procedures in conjunction with the resection of liver metastases (Group IV). Conclusion: 24 studies (82.8%) evaluated robotic surgery as the most favorable for the treatment of rectal cancer, three studies (10.3%) considered robotic surgery equivalent to laparoscopic and two studies (6.9%) judged laparoscopic superior to robotic surgery. Among the differentials of robotic surgery for patients undergoing the procedure, the following stand out: mortality rates below other types of surgery, significant reduction in surgical trauma, lower rate of urinary retention and loss of sphincter control.
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