Results from a New Robotic Rectal Cancer Service in South West England

Abstract

Background: Robotic colorectal surgery was first described by Weber et al in 2002. Robotic anterior resection of rectal cancers is a safe alternative to laparoscopic and open approaches. Financial barriers remain the primary challenge in establishing a new robotic service. We set out to establish whether a new regional robotic rectal cancer service could improve outcome and remain cost effective. The primary outcome was inpatient length of stay. Secondary outcomes of major complications, 90 day mortality and lymph node yield were recorded. Cost effectiveness was calculated.