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dc.contributor.authorMyrseth, Elisabeth
dc.contributor.authorNymo, Linn Såve
dc.contributor.authorGjessing, Petter Fosse
dc.contributor.authorKørner, Hartwig
dc.contributor.authorKvaløy, Jan Terje
dc.contributor.authorNorderval, Stig
dc.date.accessioned2021-09-13T08:33:37Z
dc.date.available2021-09-13T08:33:37Z
dc.date.issued2021-08-18
dc.description.abstract<i>Background</i> - Conversion from laparoscopic to open access colorectal surgery is associated with a poorer postoperative outcome. The aim of this study was to assess conversion rates and outcomes after standard laparoscopic rectal resection (LR) and robotic laparoscopic rectal resection (RR).<br><br> <i>Methods</i> - A national 5-year cohort study utilizing prospectively recorded data on patients who underwent elective major laparoscopic resection for rectal cancer. Data were retrieved from the Norwegian Registry for Gastrointestinal Surgery and from the Norwegian Colorectal Cancer Registry. Primary end point was conversion rate. Secondary end points were postoperative complications within 30 days and histopathological results. Chi-square test, two-sided <i>T</i> test, and Mann–Whitney <i>U</i> test were used for univariable analyses. Both univariable and multivariable logistic regression analyses were used to analyze the relations between different predictors and outcomes, and propensity score matching was performed to address potential treatment assignment bias.<br><br> <i>Results</i> - A total of 1284 patients were included, of whom 375 underwent RR and 909 LR. Conversion rate was 8 out of 375 (2.1%) for RR compared with 87 out of 909 (9.6%) for LR (<i>p</i> < 0.001). RR was associated with reduced risk for conversion compared with LR (aOR 0.22, 95% CI 0.10–0.46). There were no other outcome differences between RR and LR. Factors associated with increased risk for conversion were male gender, severe cardiac disease and BMI > 30. Conversion was associated with higher rates of major complications (20 out of 95 (21.2%) vs 135 out of 1189 (11.4%) <i>p</i> = 0.005), reoperations (13 out of 95 (13.7%) vs 93 out of 1189 (7.1%) <i>p</i> = 0.020), and longer hospital stay (median 8 days vs 6 days, <i>p</i> = 0.001).<br><br> <i>Conclusion</i> - Conversion rate was lower with robotic assisted rectal resections compared with conventional laparoscopy. Conversions were associated with higher rates of postoperative complications.en_US
dc.identifier.citationMyrseth, Nymo, Gjessing, Kørner, Kvaløy, Norderval. Lower conversion rate with robotic assisted rectal resections compared with conventional laparoscopy; a national cohort study. Surgical Endoscopy. 2021:1-11en_US
dc.identifier.cristinIDFRIDAID 1929397
dc.identifier.doi10.1007/s00464-021-08681-x
dc.identifier.issn0930-2794
dc.identifier.issn1432-2218
dc.identifier.urihttps://hdl.handle.net/10037/22494
dc.language.isoengen_US
dc.publisherSpringeren_US
dc.relation.ispartofMyrseth, E. (2023). Results after surgical treatment of rectal cancer in Norway. (Doctoral thesis). <a href=https://hdl.handle.net/10037/30469>https://hdl.handle.net/10037/30469</a>.
dc.relation.journalSurgical Endoscopy
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2021 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700en_US
dc.subjectVDP::Medisinske Fag: 700en_US
dc.titleLower conversion rate with robotic assisted rectal resections compared with conventional laparoscopy; a national cohort studyen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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