Robotic Rectal Cancer Resection: A Retrospective Multicenter Analysis

Hellan, Minia; Ouellette, James R.; Lagares‐Garcia, Jorge A.; Rauh, Stephen M.; Kennedy, Harold L.; Nicholson, John; Nesbitt, David J.; Johnson, Craig S.; Pigazzi, Alessio

doi:10.1245/s10434-014-4278-1

Cited by 45 publications

(62 citation statements)

References 45 publications

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“…Several retrospective studies have indicated that robotically assisted colectomy is a safe option in the treatment of colorectal cancer; at least one prospective study is expected to confirm this finding in rectal cancer. [7, 8] However, data comparing incisional hernia rate and other wound complications in patients treated with laparoscopic or robotic colectomy is limited.…”

Section: Introductionmentioning

confidence: 99%

Incisional hernias after laparoscopic and robotic right colectomy

Widmar

Keskin

Beltran

et al. 2016

Hernia

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Purpose Incisional hernia (IH) is a common complication after colectomy, with impacts on both healthcare utilization and quality of life. The true incidence of IH after minimally invasive colectomy is not well described. The purpose of this study was to examine the IH incidence after minimally invasive right colectomies (RC), and to compare the IH rate after laparoscopic (L-RC) and robotic (R-RC) colectomies. Methods This is a retrospective review of patients undergoing minimally invasive RC at a single institution from 2009–2014. Only patients undergoing RC for colonic neoplasia were included. Patients with previous colectomy or intraperitoneal chemotherapy were excluded. Three L-RC patients were included for each R-RC patient. The primary outcome was incisional hernia (IH) rate based on clinical examination or computed tomography (CT). Univariate and multivariate time-to-event analyses were used to assess predictors of IH. Results 276 patients where included, of which 69 had undergone R-RHC and 207 L-RHC. Patient and tumor characteristics were similar between the groups, except for higher tumor stage in L-RC patients. Both the median time to diagnosis (9.2 months) and the overall IH rate were similar between the groups (17.4% for R-RHC and 22.2% for L-RHC), as were all other postoperative complications. In multivariable analyses, the only significant predictor of IH was former or current tobacco use (HR 3.0, p=0.03). Conclusions This study suggests that the incidence of IH is high after minimally invasive colectomy, and that this rate is equivalent after R-RC and L-RC. Reducing the IH rate is an important opportunity for improving quality of life and reducing health care utilization after minimally invasive colectomy.

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Section: Introductionmentioning

confidence: 99%

Incisional hernias after laparoscopic and robotic right colectomy

Widmar

Keskin

Beltran

et al. 2016

Hernia

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“…Overall operative time was included in the majority of studies and was the only reported outcome that was associated with obesity in a majority of publications (Table ) . Among the 70 studies that included operative time as an outcome metric, 42 (60%) reported that obesity was associated with a longer operative time …”

Section: Resultsmentioning

confidence: 99%

“…A subset analysis was performed that examined SSI data among patients with colorectal cancer relative to surgical approach. Among the 54 studies on colorectal cancer, 16 included data on minimally invasive techniques . Among these 16 studies, 3 did not evaluate SSI .…”

Section: Resultsmentioning

confidence: 99%

Is BMI associated with post‐operative complication risk among patients undergoing major abdominal surgery for cancer? A systematic review

Hughes

Shah

Noria

et al. 2018

Journal of Surgical Oncology

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We systematically reviewed 118 studies comparing peri-operative outcomes among obese and non-obese patients. Obesity was associated with longer operative time in 60% of available studies. Just 35.8% of studies that evaluated overall morbidity identified high morbidity in obese patients. Lymph node yield or surgical margin status, was only affected by obesity in 19.6% of studies. In this review obesity was frequently found to have no effect on peri-operative and oncologic outcomes.

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“…Ultra-low resections also had longer operative times. The authors concluded that BMI seemed to play a minor role in influencing outcomes (65).…”

Section: Robotic Colorectal Surgerymentioning

confidence: 99%

Robotik Gastrointestinal Cerrahide Güncel Uygulama

Ali̇moğlu¹,

Sağıroğlu²,

Alsmadi³

et al. 2016

Anadolu Kliniği Tıp Bilimleri Dergisi

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General surgical diseases have been long treated via conventional (open) or laparoscopic operations. With the advances in technology, there is a paradigm shift from conventional laparoscopy. As a result, single incision laparoscopic surgery (SILS), natural orifice transluminal endoscopic surgery (NOTES), and robotic surgery have evolved as new treatment options for minimal invasive surgery. It has been shown in many series that a wide variety of procedures of general surgery can be managed safely and effectively by robot assisted laparoscopic surgery (RALS). In this review, current advances and practice in robotics in the most commonly applied gastrointestinal surgical procedures will be emphasized.

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Robotic Rectal Cancer Resection: A Retrospective Multicenter Analysis

Cited by 45 publications

References 45 publications

Incisional hernias after laparoscopic and robotic right colectomy

Incisional hernias after laparoscopic and robotic right colectomy

Is BMI associated with post‐operative complication risk among patients undergoing major abdominal surgery for cancer? A systematic review

Robotik Gastrointestinal Cerrahide Güncel Uygulama

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