H Lee Swanson, Michael J Orosco, Catherine M Lussier
Growth in literacy, cognition, and working memory in English language learners
Journal of experimental child psychology
total mesorectal excision tme standard surgery lowmid locally advanced rectal cancer aim study compare three minimally invasive surgical approaches tme primary anastomosis laparoscopic tme robotic tme transanal tme records patients undergoing laparoscopic tme robotic tme transanal tme 2013 2022 according standardized techniques expert centres contributing european mri rectal cancer surgery iii eumarcsiii database analysed propensity score matching applied compare three groups respect complication rate primary outcome conversion rate postoperative recovery survival total 468 patients meansd age 64111 years included 190 406 patients underwent laparoscopic tme 141 301 patients underwent robotic tme 137 293 patients underwent transanal tme comparative analyses propensity score matching demonstrated higher rate postoperative complications laparoscopic tme compared robotic tme 180 95 ci 111291 transanal tme 287 95 ci 172480 robotic tme associated lower rate grade anastomotic leakage 2 compared laparoscopic tme 88 transanal tme 81 p 0031 robotic tme 14 transanal tme 07 associated lower conversion rate open surgery compared laparoscopic tme 88 p 0001 time flatus duration hospital stay shorter patients treated transanal tme p 0003 0001 respectively differences operating time intraoperative complications blood loss mortality readmission r0 resection survival multicentre retrospective propensity scorematched cohort study patients locally advanced rectal cancer newer minimally invasive approaches robotic tme transanal tme demonstrated improved outcomes compared laparoscopic tme