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This study aimed to assess efficacy of ArtiSential® in reducing laparoscopic rectal cancer surgery duration. We retrospectively reviewed the data of patients who underwent laparoscopic low or ultralow anterior resection for primary mid-to-low rectal cancer, performed by a single surgeon in 2012-2022. Patients were divided into groups, use group vs. non-use group, based on the use or non-use of the ArtiSential®. The total mesorectal excision quality and resection margin status did not differ between the groups. ArtiSential® reduced operative time without impairing surgical quality or oncologic outcomes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ArtiSential® Use | Laparoscopic low anterior resection, with use of both straight devices and articulated devices |
| |
| ArtiSential® Non-Use | Laparoscopic low anterior resection, with use of straight devices only |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ArtiSential® | Device | Articulated laparoscopic device made by Livsmed Co, South Korea. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Operation time | To determine whether the use of articulated device can shorten total operative time | 0 week |
| Measure | Description | Time Frame |
|---|---|---|
| Long-term Survival | 2 year recurrence free survival and 2 year overall survival | 2 year |
| Anastomotic leakage (postop outcome) | anastomotic leakage within one month |
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Inclusion Criteria:
Exclusion Criteria:
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Patients who underwent laparoscopic resection for mid-to low rectal cancer located within 10 cm of the anal verge, performed by a single experienced surgeon between 2012 and 2022.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Hospital | Seoul | South Korea |
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| ID | Term |
|---|---|
| D012004 | Rectal Neoplasms |
| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
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| 4 weeks |
| TME quality (Operative outcome) | Quality of total mesorectal excision to compare quality of surgery | 0 weeks |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |