Robotic-assisted transabdominal plus transanal approach shortens operation time and reduces bleeding in lateral lymph node dissection for low rectal cancer

Comparison of robotic-assisted lateral lymph node dissection for low rectal cancer with or without transanal approach revealed that the 2team group had significantly shorter operation times (366 minutes vs. 513 minutes), reduced intraoperative bleeding (30 ml vs. 80 ml), and comparable postoperative complication rates (5% urinary disturbance in both groups). The combined approach was deemed safe and feasible, offering promising outcomes for advanced low rectal cancer patients.