This website uses cookies to improve your experience.

Cookie policy

Robotic versus laparoscopic surgery for middle and low rectal cancer (REAL): short-term outcomes of a multicentre randomised controlled trial.

Feng Q, Yuan W, Li PT, Tang B, Jia B, Zhou Y et al, for the REAL Study Group.

Some 1240 patients were included in the study, and 1171 included in the analysis. Rates of positive resection margin were: robotic 4 per cent, laparoscopic 7.2 per cent, P=0.023. Complete resection rates were similarly improved: 95.4 versus 91.8 per cent, respectively. Relative postoperative complication rates were 16.2  and 23.1 per cent, P=0.003. Hospital stay was also shorter: 7 versus 8 days, P=0.0001.

Comment: The first real evidence that the robot beats the laparoscope. But what are the long term results, and are the benefits worth the increased costs?

Read paper


Part of the charitable activity of the Foundation, BJS Academy is an online educational resource for current and future surgeons.

The Academy is comprised of five distinct sections: Continuing surgical education, Young BJS, Cutting edge, Scientific surgery and Surgical news. Although the majority of this is open access, additional content is available to BJS subscribers and strategic partners.

Discover the Academy
Surgeon Training & Surgeons in Surgery