Feasibility of robotic right colectomy with complete mesocolic excision and intracorporeal anastomosis: short-term outcomes of 161 consecutive patients

Bianchi, Paolo Pietro; Salaj, Adelona; Giuliani, Giuseppe; Ferraro, Luca; Formisano, Giampaolo

doi:10.1007/s13304-021-01001-x

Cited by 20 publications

(22 citation statements)

References 40 publications

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“…After duplicate censoring, fourteen studies were included in this review [22][23][24][25][26][27][28][29][30][31][32][33][34][35], and the publication dates ranged from 2013 to 2021.…”

Section: Resultsmentioning

confidence: 99%

“…There are ten retrospective non comparative case series [22,23,[27][28][29][30][31][33][34][35] and four comparative studies (three retrospective and one prospective) of robotic versus laparoscopic CME for right colectomy [24][25][26]32]; the patient number ranges from 20 to 202.…”

Section: Resultsmentioning

confidence: 99%

“…The da Vinci Xi robotic platform has been utilized in nine of the fourteen studies [23,25,28,30,31,33,35], the Si platform in two [22,24], the X platform in one [35] and both the Si and the Xi in the remaining two [29,32].…”

Section: Technical Considerationsmentioning

confidence: 99%

“…Four different approaches to colonic dissection, CME and lymphadenectomy are reported, the difference essentially residing in the sequence of surgical steps and the direction of detachment of the mesocolon from the retroperitoneum: a "medial-to-lateral" approach [22,24,30,32], a "bottom-to-up" approach [23,25,28,29,31,35], a "top-to-down" approach [26] and a "superior mesenteric vein first" approach [27,33,34].…”

Section: Technical Considerationsmentioning

confidence: 99%

“…The ileo-colic anastomosis was performed intracorporeally in ten out of the fourteen studies [22][23][24][25]29,[31][32][33][34][35] and extracorporeally in two [28,30]; both the techniques have been utilized in two studies [26,27], in which, however, the number of patients receiving intracorporeal or extracorporeal anastomosis is not specified.…”

Section: Technical Considerationsmentioning

confidence: 99%

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Updates on Robotic CME for Right Colon Cancer: A Qualitative Systematic Review

Petz

Borin

Fumagalli

2021

JPM

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Background. Complete mesocolic excision (CME) is a surgical technique introduced with the aim of ameliorating the oncologic results of colectomy. Various experiences have demonstrated favorable oncologic results of CME in comparison with standard colectomy, in which the principles of CME are not respected. The majority of the literature refers to open or laparoscopic CME. This review analyses current evidence regarding robotic CME for right colectomy. Methods. An extensive Medline (Pub Med) search for relevant case series, restricted to papers published in English, was performed, censoring video vignettes and case reports. Results. Fourteen studies (ten retrospective, four comparative series of robotic versus laparoscopic CME) were included, with patient numbers ranging from 20 to 202. Four different approaches to CME are described, which also depend on the robotic platform utilized. Intraoperative and early clinical results were good, with a low conversion and anastomotic leak rate and a majority of Clavien–Dindo complications being Grades I and II. Oncologic adequacy of the surgical specimens was found to be good, although a homogeneous histopathologic evaluation was not provided. Conclusions. Further large studies are warranted to define long-term oncologic results of robotic right colectomy with CME and its eventual benefits in comparison to laparoscopy.

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“…After duplicate censoring, fourteen studies were included in this review [22][23][24][25][26][27][28][29][30][31][32][33][34][35], and the publication dates ranged from 2013 to 2021.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Technical Considerationsmentioning

confidence: 99%

Section: Technical Considerationsmentioning

confidence: 99%

Section: Technical Considerationsmentioning

confidence: 99%

See 3 more Smart Citations

Updates on Robotic CME for Right Colon Cancer: A Qualitative Systematic Review

Petz

Borin

Fumagalli

2021

JPM

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Robot‐assisted radical prostatectomy using hugo RAS system: The pioneer experience in Taiwan and Northeast Asia

Ou,

Juan

et al. 2023

Robotics Computer Surgery

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BackgroundAmong the novel robotic platforms, the Hugo RAS system is the second most studied platform, next to the da Vinci system, and we aim to address our experiences in radical prostatectomy (RP) with the Hugo RAS system.MethodsWe recorded our first 12 cases of prostate cancer undergoing RP with the Hugo RAS system. The median console time was 145 min and median hospital stay was 7 days. Hedge’ g was applied to search for the cut‐off case in four parameters in surgeries.ResultsPre‐console preparation was significantly improved after the first seven cases, and the console time was remarkably shortened after the first two cases. The intraoperative pause for trouble shooting was remarkably shortened after the first three cases.ConclusionsWe found that RP with the Hugo RAS system was feasible, and the learning curve was short as surgeons may benefit from the previous experience with the da Vinci system.

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