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Robotic vs laparoscopic surgery for middle and low rectal cancer: The REAL randomized clinical trial

15 October 2025
Colorectal
BJSA
BJS Academy
0000-0000
BJS Foundation Limited
London, UK
Feng Q, Yuan W, Li T, Tang B, Jia B, Zhou Y et al, for the REAL Study Group.
JAMA 2025; 334: 136-148.
A total of 1171 patients were included and followed for a median of 43 months. Three-year disease-free survival was better after robotic surgery (87.2 versus 83.4 per cent): hazard ratio 0.74, 95 per cent confidence interval 0.56 to 0.98, P=0.4. Overall survival rates were similar.
Comment: Evidence that robotic surgery may make a difference in oncological outcomes.
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