Our Summary

This research paper looked at the shift from traditional open surgery to robotic surgery in treating rectal cancer. They compared the results of 55 patients who had the traditional surgery and 55 patients who had the robotic surgery, all performed by the same surgeon who had no prior experience in laparoscopic surgery, between December 2016 and March 2019. They found that while the traditional surgery was faster (168 minutes versus 310 minutes), there were no significant differences in the outcomes or complication rates of the two methods. This suggests that moving from traditional surgery to robotic surgery is a safe and effective alternative for experienced surgeons.

FAQs

  1. What was the difference in duration between traditional surgery and robotic surgery for rectal cancer?
  2. Were there any significant differences in outcomes or complication rates between the two methods?
  3. Does the research suggest that transitioning from traditional surgery to robotic surgery is safe for experienced surgeons?

Doctor’s Tip

One helpful tip a doctor might tell a patient about proctectomy is to discuss with them the option of robotic surgery as a safe and effective alternative to traditional open surgery. This may result in similar outcomes and complication rates, with the added benefit of potentially shorter recovery times and less pain. It is important for patients to have a thorough discussion with their surgeon about the best surgical approach for their individual case.

Suitable For

Patients who are typically recommended for proctectomy include those with rectal cancer, inflammatory bowel disease (such as Crohn’s disease or ulcerative colitis), severe hemorrhoids, rectal prolapse, or other conditions affecting the rectum. Additionally, patients who have not had success with other treatments such as medications or minimally invasive procedures may also be recommended for proctectomy. The decision to undergo proctectomy is typically made in collaboration with a colorectal surgeon and other members of the healthcare team based on the individual patient’s specific condition and medical history.

Timeline

Before proctectomy:

  1. Patient is diagnosed with rectal cancer and consults with a surgeon to discuss treatment options.
  2. Patient undergoes preoperative tests and evaluations to assess their overall health and determine the best course of treatment.
  3. Patient receives instructions on how to prepare for surgery, which may include dietary restrictions and bowel preparation.
  4. Patient undergoes proctectomy surgery, which may be done through traditional open surgery or robotic surgery.

After proctectomy:

  1. Patient is monitored closely in the hospital for any complications or side effects from the surgery.
  2. Patient may experience pain, discomfort, and changes in bowel function following the surgery.
  3. Patient begins a recovery period, which may involve physical therapy, dietary changes, and pain management.
  4. Patient follows up with their surgeon for postoperative appointments to monitor their progress and address any concerns.
  5. Patient may undergo adjuvant treatments such as chemotherapy or radiation therapy to further treat the cancer and reduce the risk of recurrence.
  6. Patient continues to be monitored regularly for any signs of cancer recurrence or complications related to the surgery.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with a proctectomy procedure?
  2. What is the recovery process like after a proctectomy and how long can I expect to be in the hospital?
  3. What are the long-term effects of a proctectomy on bowel function and quality of life?
  4. Will I need to make any lifestyle changes or follow a special diet after the surgery?
  5. Are there any alternative treatment options to consider before proceeding with a proctectomy?
  6. How experienced are you in performing proctectomy procedures and what is your success rate?
  7. Will I need any additional treatments or follow-up care after the surgery?
  8. Can you explain the differences between traditional open surgery and robotic surgery for a proctectomy and why you recommend one over the other?
  9. How soon after the surgery can I expect to resume normal activities and return to work?
  10. Are there any support groups or resources available for patients who have undergone a proctectomy procedure?

Reference

Authors: Gilshtein H, Neymark M, Harbi A, Lutsyk M, Duek D. Journal: Isr Med Assoc J. 2021 Nov;23(11):731-734. PMID: 34811990