Robotic beyond total mesorectal excision (TME) for locally advanced or recurrent rectal cancer: a systematic review protocol
IntroductionThe surgical treatment for locally advanced or recurrent rectal cancer requires oncological clearance with a pelvic exenteration or a beyond total mesorectal excision (TME). The aim of this systematic review is to explore the safety and feasibility of robotic surgery in locally advanced...
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| Published in | BMJ open Vol. 14; no. 1; p. e080043 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
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England
British Medical Journal Publishing Group
25.01.2024
BMJ Publishing Group LTD BMJ Publishing Group |
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| Abstract | IntroductionThe surgical treatment for locally advanced or recurrent rectal cancer requires oncological clearance with a pelvic exenteration or a beyond total mesorectal excision (TME). The aim of this systematic review is to explore the safety and feasibility of robotic surgery in locally advanced and recurrent rectal cancer by evaluating perioperative outcomes, oncological clearance rates, and survival and recurrence rates postrobotic beyond TME surgery.MethodsThe systematic review will include studies published until the end of December 2023. The MEDLINE, EMBASE and Scopus databases will be searched. The screening process, study selection, data extraction, quality assessment and analysis will be performed by two independent reviewers. Discrepancies will be resolved by consensus with a third independent reviewer. The risk of bias will be assessed with validated scores. The primary outcomes will be oncological clearance, overall and disease-free survival, and local and systemic recurrence rates post robotic or robot-assisted beyond TME surgery for locally advanced or recurrent rectal cancer. Secondary outcomes will include perioperative outcomes.Ethics and disseminationNo ethical approval is required for this systematic review as no individual patient cases are studied requiring access to individual medical records. The results of the systematic review will be disseminated with conference presentations and peer-reviewed paper publications.PROSPERO registration of the studyCRD42023408098. |
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| AbstractList | IntroductionThe surgical treatment for locally advanced or recurrent rectal cancer requires oncological clearance with a pelvic exenteration or a beyond total mesorectal excision (TME). The aim of this systematic review is to explore the safety and feasibility of robotic surgery in locally advanced and recurrent rectal cancer by evaluating perioperative outcomes, oncological clearance rates, and survival and recurrence rates postrobotic beyond TME surgery.MethodsThe systematic review will include studies published until the end of December 2023. The MEDLINE, EMBASE and Scopus databases will be searched. The screening process, study selection, data extraction, quality assessment and analysis will be performed by two independent reviewers. Discrepancies will be resolved by consensus with a third independent reviewer. The risk of bias will be assessed with validated scores. The primary outcomes will be oncological clearance, overall and disease-free survival, and local and systemic recurrence rates post robotic or robot-assisted beyond TME surgery for locally advanced or recurrent rectal cancer. Secondary outcomes will include perioperative outcomes.Ethics and disseminationNo ethical approval is required for this systematic review as no individual patient cases are studied requiring access to individual medical records. The results of the systematic review will be disseminated with conference presentations and peer-reviewed paper publications.PROSPERO registration of the studyCRD42023408098. The surgical treatment for locally advanced or recurrent rectal cancer requires oncological clearance with a pelvic exenteration or a beyond total mesorectal excision (TME). The aim of this systematic review is to explore the safety and feasibility of robotic surgery in locally advanced and recurrent rectal cancer by evaluating perioperative outcomes, oncological clearance rates, and survival and recurrence rates postrobotic beyond TME surgery. The systematic review will include studies published until the end of December 2023. The MEDLINE, EMBASE and Scopus databases will be searched. The screening process, study selection, data extraction, quality assessment and analysis will be performed by two independent reviewers. Discrepancies will be resolved by consensus with a third independent reviewer. The risk of bias will be assessed with validated scores. The primary outcomes will be oncological clearance, overall and disease-free survival, and local and systemic recurrence rates post robotic or robot-assisted beyond TME surgery for locally advanced or recurrent rectal cancer. Secondary outcomes will include perioperative outcomes. No ethical approval is required for this systematic review as no individual patient cases are studied requiring access to individual medical records. The results of the systematic review will be disseminated with conference presentations and peer-reviewed paper publications. CRD42023408098. Introduction The surgical treatment for locally advanced or recurrent rectal cancer requires oncological clearance with a pelvic exenteration or a beyond total mesorectal excision (TME). The aim of this systematic review is to explore the safety and feasibility of robotic surgery in locally advanced and recurrent rectal cancer by evaluating perioperative outcomes, oncological clearance rates, and survival and recurrence rates postrobotic beyond TME surgery.Methods The systematic review will include studies published until the end of December 2023. The MEDLINE, EMBASE and Scopus databases will be searched. The screening process, study selection, data extraction, quality assessment and analysis will be performed by two independent reviewers. Discrepancies will be resolved by consensus with a third independent reviewer. The risk of bias will be assessed with validated scores. The primary outcomes will be oncological clearance, overall and disease-free survival, and local and systemic recurrence rates post robotic or robot-assisted beyond TME surgery for locally advanced or recurrent rectal cancer. Secondary outcomes will include perioperative outcomes.Ethics and dissemination No ethical approval is required for this systematic review as no individual patient cases are studied requiring access to individual medical records. The results of the systematic review will be disseminated with conference presentations and peer-reviewed paper publications.PROSPERO registration of the study CRD42023408098. The surgical treatment for locally advanced or recurrent rectal cancer requires oncological clearance with a pelvic exenteration or a beyond total mesorectal excision (TME). The aim of this systematic review is to explore the safety and feasibility of robotic surgery in locally advanced and recurrent rectal cancer by evaluating perioperative outcomes, oncological clearance rates, and survival and recurrence rates postrobotic beyond TME surgery.INTRODUCTIONThe surgical treatment for locally advanced or recurrent rectal cancer requires oncological clearance with a pelvic exenteration or a beyond total mesorectal excision (TME). The aim of this systematic review is to explore the safety and feasibility of robotic surgery in locally advanced and recurrent rectal cancer by evaluating perioperative outcomes, oncological clearance rates, and survival and recurrence rates postrobotic beyond TME surgery.The systematic review will include studies published until the end of December 2023. The MEDLINE, EMBASE and Scopus databases will be searched. The screening process, study selection, data extraction, quality assessment and analysis will be performed by two independent reviewers. Discrepancies will be resolved by consensus with a third independent reviewer. The risk of bias will be assessed with validated scores. The primary outcomes will be oncological clearance, overall and disease-free survival, and local and systemic recurrence rates post robotic or robot-assisted beyond TME surgery for locally advanced or recurrent rectal cancer. Secondary outcomes will include perioperative outcomes.METHODSThe systematic review will include studies published until the end of December 2023. The MEDLINE, EMBASE and Scopus databases will be searched. The screening process, study selection, data extraction, quality assessment and analysis will be performed by two independent reviewers. Discrepancies will be resolved by consensus with a third independent reviewer. The risk of bias will be assessed with validated scores. The primary outcomes will be oncological clearance, overall and disease-free survival, and local and systemic recurrence rates post robotic or robot-assisted beyond TME surgery for locally advanced or recurrent rectal cancer. Secondary outcomes will include perioperative outcomes.No ethical approval is required for this systematic review as no individual patient cases are studied requiring access to individual medical records. The results of the systematic review will be disseminated with conference presentations and peer-reviewed paper publications.ETHICS AND DISSEMINATIONNo ethical approval is required for this systematic review as no individual patient cases are studied requiring access to individual medical records. The results of the systematic review will be disseminated with conference presentations and peer-reviewed paper publications.CRD42023408098.PROSPERO REGISTRATION OF THE STUDYCRD42023408098. |
| Author | Harper, Mick Przedlacka, Anna Khan, Jim S Mills, Graham A Panagiotopoulou, Ioanna Georgiou Piozzi, Guglielmo Niccolò |
| AuthorAffiliation | 1 School of Health and Care Professions, Faculty of Science and Health , University of Portsmouth , Portsmouth , UK 2 Cambridge University Hospitals NHS Trust , Cambridge , UK 3 Department of Colorectal Surgery , Portsmouth Hospitals University NHS Trust , Portsmouth , UK |
| AuthorAffiliation_xml | – name: 2 Cambridge University Hospitals NHS Trust , Cambridge , UK – name: 1 School of Health and Care Professions, Faculty of Science and Health , University of Portsmouth , Portsmouth , UK – name: 3 Department of Colorectal Surgery , Portsmouth Hospitals University NHS Trust , Portsmouth , UK |
| Author_xml | – sequence: 1 givenname: Ioanna Georgiou orcidid: 0000-0002-7017-0430 surname: Panagiotopoulou fullname: Panagiotopoulou, Ioanna Georgiou email: yianna@doctors.org.uk organization: Cambridge University Hospitals NHS Trust, Cambridge, UK – sequence: 2 givenname: Anna surname: Przedlacka fullname: Przedlacka, Anna organization: Department of Colorectal Surgery, Portsmouth Hospitals University NHS Trust, Portsmouth, UK – sequence: 3 givenname: Guglielmo Niccolò surname: Piozzi fullname: Piozzi, Guglielmo Niccolò organization: Department of Colorectal Surgery, Portsmouth Hospitals University NHS Trust, Portsmouth, UK – sequence: 4 givenname: Graham A surname: Mills fullname: Mills, Graham A organization: School of Health and Care Professions, Faculty of Science and Health, University of Portsmouth, Portsmouth, UK – sequence: 5 givenname: Mick surname: Harper fullname: Harper, Mick organization: School of Health and Care Professions, Faculty of Science and Health, University of Portsmouth, Portsmouth, UK – sequence: 6 givenname: Jim S surname: Khan fullname: Khan, Jim S organization: Department of Colorectal Surgery, Portsmouth Hospitals University NHS Trust, Portsmouth, UK |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38272558$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1097/SLA.0000000000003227 10.1002/cam4.1662 10.1016/j.jclinepi.2017.04.026 10.1136/bmj.n71 10.1002/bjs.9192_1 10.1016/s0140-6736(86)91510-2 10.1007/s10151-010-0585-0 10.1308/rcsann.2021.0137 10.1136/bmj.i4919 10.3109/07853899709113698 10.1097/SLA.0000000000002523 10.1016/j.jclinepi.2010.04.026 10.3390/jcm10071518 10.1136/bmj.l4898 10.1016/j.jclinepi.2010.07.015 10.1186/2046-4053-4-1 10.1016/S0140-6736(86)91510-2 |
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| Keywords | Gastrointestinal tumours Adult surgery Minimally invasive surgery Colorectal surgery |
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Rectal cancer surgery: A large population-based retrospective study publication-title: Cancer Med doi: 10.1002/cam4.1662 – volume: 4 year: 2015 ident: 2024022401030778000_14.1.e080043.10 article-title: Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement publication-title: Syst Rev doi: 10.1186/2046-4053-4-1 – ident: 2024022401030778000_14.1.e080043.7 doi: 10.1097/SLA.0000000000003227 – volume: 366 year: 2019 ident: 2024022401030778000_14.1.e080043.12 article-title: Rob2: a revised tool for assessing risk of bias in randomised trials publication-title: BMJ doi: 10.1136/bmj.l4898 – ident: 2024022401030778000_14.1.e080043.1 doi: 10.1016/S0140-6736(86)91510-2 – ident: 2024022401030778000_14.1.e080043.2 doi: 10.3109/07853899709113698 – ident: 2024022401030778000_14.1.e080043.13 doi: 10.1136/bmj.i4919 – ident: 2024022401030778000_14.1.e080043.4 doi: 10.1002/bjs.9192_1 – volume: 267 start-page: 1034 year: 2018 ident: 2024022401030778000_14.1.e080043.6 article-title: Robotic versus Laparoscopic minimally invasive surgery for Rectal cancer: a systematic review and meta-analysis of randomised controlled Trias publication-title: Ann Surg doi: 10.1097/SLA.0000000000002523 |
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| Snippet | IntroductionThe surgical treatment for locally advanced or recurrent rectal cancer requires oncological clearance with a pelvic exenteration or a beyond total... The surgical treatment for locally advanced or recurrent rectal cancer requires oncological clearance with a pelvic exenteration or a beyond total mesorectal... Introduction The surgical treatment for locally advanced or recurrent rectal cancer requires oncological clearance with a pelvic exenteration or a beyond total... |
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| SubjectTerms | Adult surgery Case reports Citation management software Clinical trials Colorectal cancer Colorectal surgery Gastrointestinal tumours Humans Laparoscopy - methods Librarians Meta-analysis Minimally invasive surgery Pelvis Rectal Neoplasms - surgery Robotic surgery Robotic Surgical Procedures Robotics Statistical analysis Subject heading schemes Surgery Systematic review Systematic Reviews as Topic Treatment Outcome |
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| Title | Robotic beyond total mesorectal excision (TME) for locally advanced or recurrent rectal cancer: a systematic review protocol |
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