BACKGROUND: @entity254 ( @entity254 ) is an innovative technique of pelvic dissection for low @entity5 . Our objective was to evaluate our pilot experience with this procedure compared with @entity1538 ( @entity1538 ). METHODS: We performed a retrospective 5-year review of all consecutive cases of @entity254 and @entity1538 performed at our institute. We focused on @entity5 characteristics, quality of surgery, analgesic requirements, average length of hospital stay (LOS), complications and long-term outcomes. RESULTS: Three @entity1 underwent @entity254 and 25 had @entity1538 . The average duration of surgery was similar (288 min for @entity254 v. 285 min for @entity1538 ). Four @entity1 in the @entity1538 group had positive or very close margins, and 2 had a mesorectal defect less than 5 mm. The average LOS was 6.66 and 9.29 days in the @entity254 and @entity1538 groups, respectively, and the average duration of epidural or @entity1 -controlled anesthesia was 2.67 and 5.16 days, respectively. We did not perform a statistical comparison because of the discordant size and sex distribution between the groups. There were no perioperative complications in the @entity254 group, and all @entity1 had negative margins and adequate lymph node retrievals with no long-term complications or recurrence recorded so far. CONCLUSION: Our very early experience with @entity254 is quite encouraging, suggesting that it is a safe alternative to @entity1538 with a similar duration and the added benefits of a minimally invasive procedure, including decreased LOS and reduced postoperative analgesic requirements.

Evaluation of pilot experience with robotic-assisted proctectomy and coloanal @entity254 for XXXX .

@entity5 :: ('MESH:D009369', 'Disease') :: ['rectal cancer', 'tumour'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity254 :: ('MESH:C563598', 'Disease') :: ['Robotic-assisted proctectomy with coloanal anastomosis', 'RPCA'] @entity1538 :: ('MESH:D005902', 'Disease') :: ['open proctectomy with coloanal anastomosis', 'OPCA']
@entity5 :: (MESH:D009369,Disease) :: ['rectal cancer']
