Robotic versus laparoscopic surgery for mid and low rectal cancer: a propensity score–matched analysis of short-term outcomes and costs

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Key Points

This analysis aims to compare the short-term outcomes and costs of robotic surgery versus laparoscopic surgery for mid and low rectal cancer.
Propensity score matching was utilized to pair patients receiving robotic surgery with those undergoing laparoscopic surgery for comparative analysis.
Short-term outcomes, including postoperative recovery metrics and costs associated with each surgical approach, were assessed.
Robotic surgery showed a statistically significant reduction in postoperative complications compared to laparoscopic surgery (HR=0.75, 95% CI 0.60-0.95, p=0.02).
The average cost of robotic surgery was found to be 15% higher than laparoscopic surgery (p<0.01).
Shorter hospital stays were observed in the robotic surgery group, with an average of 4 days compared to 6 days post-laparoscopic surgery (p=0.03).

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Compares short-term outcomes and costs of robotic and laparoscopic surgeries for rectal cancer, highlighting key differences.

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Seah et al. (2026) studied this question.

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