Is robotic da Vinci Xi (R) superior to the da Vinci Si (R) for sphincter-preserving total mesorectal excision? Outcomes in 150 mid-low rectal cancer patients

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dc.authorid0000-0002-2282-7207
dc.contributor.authorAliyev, Vusal
dc.contributor.authorArslan, Naciye Çiğdem
dc.contributor.authorGöksoy, Beslen
dc.contributor.authorGüven, Koray
dc.contributor.authorGöksel, Süha
dc.contributor.authorAsoğlu, Oktar
dc.date.accessioned2022-11-23T11:05:32Z
dc.date.available2022-11-23T11:05:32Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.description.abstractThe aim of this study was to determine the superiority between the robotic da Vinci Si (R) (Si group) and da Vinci Xi (R) (Xi group) generation in patients with mid-low rectal cancer. Between December 2011 and December 2017, 88 patients with mid-low rectal cancer were operated on using the Si robotic system, from January 2018 to May 2021, 62 more patients with mid-low rectal cancer were operated on using the Xi robotic system. Perioperative and postoperative short-term outcomes were compared between the two groups. Univariate and multivariate Cox-regression analysis were performed to determine factors affecting operating time. A cumulative sum (CUSUM) analysis was also performed to determine the learning curve of the primary surgeon. All patients underwent sphincter saving total mesorectal excision (TME). The overall operating time was significantly shorter in the Xi group (181.3 +/- 31.8 min in Si group vs 123.6 +/- 25.7 min in the Xi group, p < 0.001). There were no significant differences in terms of conversion rates, mean hospital stays, complications and histopathologic data. CUSUM analysis show completion of learning curve in 44th case of Si group. Univariate and multivariate analysis demonstrated that the learning curve of the primary surgeon (p < 0.001) and the type of robotic system (Xi) are only two factors associated with operating time (OR, 95% CI p; 3.656, 0.665-9.339, p < 0.001). Our study found that the robotic da Vinci Xi systems provide significantly shorter operating time comparing with Si systems, when performing sphincter-preserving TME in mid-low rectal cancer patients. Surgical system (da Vinci Xi) and primary surgeon learning curve are two independent risk factors which associated shortened operating time. Postoperative complication rates and histopathologic outcomes are similar in both groups.
dc.identifier.citationAliyev, V., Arslan, N. Ç., Göksoy, B., Güven, K., Göksel, S. ve Asoğlu, O. (2022). Is robotic da Vinci Xi (R) superior to the da Vinci Si (R) for sphincter-preserving total mesorectal excision? Outcomes in 150 mid-low rectal cancer patients. Journal of Robotic Surgery, 16(6), 1339-1346. https://doi.org/10.1007/s11701-021-01356-8
dc.identifier.doi10.1007/s11701-021-01356-8
dc.identifier.endpage1346
dc.identifier.issn1863-2483
dc.identifier.issn1863-2491
dc.identifier.issue6
dc.identifier.pmid35107708
dc.identifier.scopus2-s2.0-85124073791
dc.identifier.scopusqualityQ2
dc.identifier.startpage1339
dc.identifier.urihttps://doi.org/10.1007/s11701-021-01356-8
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10018
dc.identifier.volume16
dc.identifier.wos000749992200004en_US
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorArslan, Naciye Çiğdem
dc.language.isoen
dc.publisherSpringer Nature
dc.relation.ispartofJournal of Robotic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectRectal Cancer
dc.subjectRobotic Surgery
dc.subjectTotal Mesorectal Excision
dc.subjectOperating Time
dc.subjectLearning Curve
dc.titleIs robotic da Vinci Xi (R) superior to the da Vinci Si (R) for sphincter-preserving total mesorectal excision? Outcomes in 150 mid-low rectal cancer patients
dc.typeArticle

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