Long-term oncologic after robotic versus laparoscopic right colectomy: a prospective randomized study

Park, Jun Seok; Kang, Hyun; Park, Soo Yeun; Kim, Hye Jin; Woo, In Teak; Park, Inkyu; Choi, Gyu–Seog

doi:10.1007/s00464-018-6563-8

Cited by 88 publications

(83 citation statements)

References 20 publications

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“…Scotton et al [28] Xi Diagonal MtL 253 Y Y Y Johnson et al [29] Xi 149 Y Y Spinoglio et al [30] S and Si 279 Y Y Y Park et al [31] Si 195 Y Y Y Schulte et al [32] Xi Suprapubic MtL 285 19] 0 0 D'Annibale et al [20] 0 1 (2) 0 1 (2) 0…”

Section: Intra-corporeal Vs Eamentioning

confidence: 99%

“…Several studies have demonstrated the safety and efficacy of RRC for both short-and long-term outcomes [31,60,70,71] . Only one randomized controlled trial found no differences in lengths of hospital stay and the surgical complications rate between RRC and LRC groups [72] .…”

Section: Short-and Long-term Outcomesmentioning

confidence: 99%

“…The present narrative review aims to describe the main technical aspects of robotic right colectomy (RRC) and compare the learning curve, the short-and longterm outcomes, and the costs between LRC and RRC. A literature search was performed in MEDLINE database (PubMed); articles published in English between 2000 and 2019 using the following terms were screened: "MIS", "RC/colon resection", "robotic surgery", AND "laparoscopic surgery" [Tables 1-3] [17,[19][20][21][22][23][24][25][26][27][28][29][30][31][32] .…”

Section: Introductionmentioning

confidence: 99%

“…Red points: diagonal approach; blue points: suprapublic approach III patients undergoing RRC. Park et al[31] randomized 71 patients and compared robotic and LRC, and they observed that the long-term outcomes were similar between RRC and LRC with no statistically significant differences at three-and five-year DFS and OS. These findings are consistently reproduced in the contemporary literature[80] […”

mentioning

confidence: 99%

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Minimally invasive right colectomy - from conventional laparoscopic resection to robotic-assisted surgery: a narrative review

Moroni¹,

Payá‐Llorente²,

Lauka³

et al. 2019

MIS

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Robotic-assisted abdominal surgery was introduced with the aim of overcoming the drawbacks of the conventional laparoscopic approach. The present narrative review focuses on the comparison between laparoscopic and roboticassisted approaches for right colectomy (RC) regarding short-and long-term outcomes, costs, and learning curve.The main technical aspects related to the use of robotic assistance for this specific procedure are further discussed.Minimally invasive RC is considered technically challenging due to the particularities of the right and middle colic vascular anatomy. Robotic RC is not yet widespread due to its high cost and longer operating time. However, its use may result in advantages regarding short-term clinical outcomes, and it facilitates the acquisition of basic surgical skills by speeding up the learning curve of minimally invasive colorectal surgery.

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Section: Intra-corporeal Vs Eamentioning

confidence: 99%

Section: Short-and Long-term Outcomesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Minimally invasive right colectomy - from conventional laparoscopic resection to robotic-assisted surgery: a narrative review

Moroni¹,

Payá‐Llorente²,

Lauka³

et al. 2019

MIS

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“…Auch wenn Protagonisten eine essere Visualisierung und präzisere Manipulation mit gesteigerten Freiheitsgraden hervorhe en, zeigen verfügare Studien und Meta-Analysen is auf eine ggf. verringerte Konversionsrate keine Vorteile, sowohl was das Kolonkarzinom an etri t [72,73], als auch für das Rektumkarzinom [74]. Das unlängst pu lizierte ROLARR-Trial fand ne en einer gleichen Konversionsrate keine Vorteile für das ro otische Vorgehen [73].…”

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Diagnostik und Therapie des kolorektalen Karzinoms

et al. 2019

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ZUSAMMENFASSUNGDas kolorektale Karzinom (KRK) ist der häufigste Tumor des Gastrointestinaltraktes, weltweit der zweithäufigste Tumor bei Frauen und der dritthäufigste bei Männern. Die Koloskopie ist in Deutschland seit fast 20 Jahren als endoskopische Vorsorgeuntersuchung anerkannt. Die Steigerung der Polypen- und Adenomdetektionsrate ist ein stetiges Bestreben aller Endoskopiker. Anspruch jeder endoskopischen Therapie ist die komplette Entfernung des verdächtigen Befundes. Nach der aktuellen S3-Leitlinie wird zur Behandlung von Tumoren des unteren und mittleren Rektumdrittels im Stadium II/III (cT3/4 und/oder cN+) und im oberen Rektumdrittels bei Risikofaktoren eine neoadjuvante Radiochemotherapie (RCTx) empfohlen. Das Nebenwirkungsspektrum leitet sich maßgeblich aus dem Bestrahlungsvolumen, der Einzeldosis pro Fraktion, sowie der Gesamtdosis, der Behandlungsdauer und der konkomitant eingesetzten Chemotherapie ab. Während das Kolonkarzinom in der nicht metastasierten Situation primär operiert wird, stellt die neoadjuvante R(C)Tx den Standard beim lokal fortgeschrittenen Rektumkarzinom dar. Eine adjuvante Chemotherapie ist bei Patienten mit Kolonkarzinom im UICC-Stadium II mit Risikofaktoren und Stadium III indiziert. Die Therapie bei Kolonkarzinom in Stadium UICC IV richtet sich nach der Lokalisation und Anzahl der Metastasen sowie dem Allgemeinzustand des Patienten.

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Current status and trend of laparoscopic right hemicolectomy for colon cancer

Matsuda

Yamashita

Hasegawa

et al. 2020

Annals of Gastroent Surgery

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Since the first report of laparoscopic surgery for colorectal cancer in 1991, 1 its popularity has been increasing worldwide based on evidence that laparoscopic surgery provides better short-term outcomes and similar oncological outcomes compared with open surgery, supported by previous large randomized clinical trials (RCTs). 2-5 Laparoscopic right hemicolectomy (LRH) is one of the most common procedures in colorectal cancer surgery, which is employed for right-sided colon cancer. However, it has several unique issues unlike other colorectal cancer surgeries. There were several different approaches for lymph node dissection (i.e. medial-to-lateral, lateral-to-medial, and cranial-to-caudal) and reconstruction (i.e. intracorporeal and extracorporeal). Furthermore, there are anatomical variations in vascular structures encountered during LRH, and various landmarks have been proposed for a successful surgery.

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Long-term oncologic after robotic versus laparoscopic right colectomy: a prospective randomized study

Cited by 88 publications

References 20 publications

Minimally invasive right colectomy - from conventional laparoscopic resection to robotic-assisted surgery: a narrative review

Minimally invasive right colectomy - from conventional laparoscopic resection to robotic-assisted surgery: a narrative review

Diagnostik und Therapie des kolorektalen Karzinoms

Current status and trend of laparoscopic right hemicolectomy for colon cancer

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