Impact of surgical site infection on short- and long-term outcomes of robot-assisted rectal cancer surgery: a two-center retrospective study

• DOI: 10.1007/s00384-025-04842-9
• Publication Date: 2025-03-12T17:28:39Z
• Authors: Shuangming Lin; Hao Zeng; Xiaojie Wang; Xueyi Xue; Yushuo Chen; Baodong Liao; Ying Huang; Dongbo Xu; Pan Chi
• Keywords: Perineural invasion; Surgical oncology; Univariate analysis; Colorectal Surgery

Robot-assisted surgery has increasingly gained recognition in the treatment of rectal cancer. This study aimed to assess incidence surgical site infection (SSI) that underwent robot-assisted radical cancer and evaluate their influence on patient outcomes. A retrospective analysis was conducted 360 patients who between 2017 2024 at Fujian Medical University Union Hospital Longyan First Affiliated University. The were categorized into non-surgical groups based presence infection. Baseline clinicopathological characteristics, perioperative details, follow-up data analyzed. Univariate multivariate logistic regression analyses performed identify independent predictors infection, Cox proportional hazards models utilized factors influencing overall survival. found 44 out (12.2%) developed Multivariate indicated positive perineural invasion (OR 3.59, 95% CI 1.50–8.62, P = 0.004) is an risk factor for SSI. Low anterior resection 0.26, 0.09–0.73, 0.011), preservation left colonic artery 0.20, 0.09–0.44, < 0.001), neoadjuvant therapy 0.45, 0.23–0.89, 0.021) associated with reduced risks SSI significantly a reduction survival (HR 3.43, 1.30–9.04, 0.012). developing increases number factors, two or more have much higher identified as development surgery. resection, artery, emerged protective factors. Moreover, correlated poorer