Robotic right colectomy with robotic-sewn anastomosis: a pilot case series

Hüscher, C; Lazzarin, Gianni; Marchegiani, Francesco; Marks, John

doi:10.1007/s11701-022-01435-4

Cited by 6 publications

(3 citation statements)

References 13 publications

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“…Spinoglio et al reported disease-specific survival rates of 94.5%, disease-free survival rates of 91.4%, and overall survival rates of 90.3% in their series of 100 patients undergoing CME with robotic right hemicolectomy, during a median follow-up period of 48.5 months (range, 24-114 months) (6). In the pilot studies of Huscher et al, which included 123 patients undergoing robotic right hemicolectomy, the median follow-up period was 39 months (IQR, 25-55), with a median overall survival of 69 months (95% CI, 57-80) and a mean disease-free survival of 67 months (95% CI, 65-68) (21). However, the literature currently lacks sufficient evidence to support the claim that robotic surgery provides a survival advantage for right colon cancer.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Postoperative and Oncological Outcomes in Robotic and Open Right Colectomy for Colon Cancer

Yüksel¹,

Topal²,

Batur³

et al. 2023

jmed

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Objective: This study aims to compare the short-term outcomes of robotic right hemicolectomy for right-sided colon cancer to those of conventional open right hemicolectomy.Material and Method: Patients who underwent surgical treatment for right-sided colorectal cancer between 2020 and 2022 were included in the study. Patients had been divided into two groups: Group 1, who underwent conventional surgery, and Group 2, who underwent robotic surgery. Clinical data and preoperative findings of patients were compared between the groups.Robotic and open colectomy for right sided colon cancer

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Section: Discussionmentioning

confidence: 99%

Comparison of Postoperative and Oncological Outcomes in Robotic and Open Right Colectomy for Colon Cancer

Yüksel¹,

Topal²,

Batur³

et al. 2023

jmed

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“…Recently, there had also been studies on the safety and effectiveness of robot approaches for T4 colon cancer (68)(69)(70). An NCDB propensity score-matched analysis of open, laparoscopic, and robotic approaches demonstrated that compared with T4 colon cancer open resection, laparoscopic and robot-assisted surgery had achieved better tumor prognosis and survival rate and robot-assisted surgery was significantly associated with a lower conversion rate compared with laparoscopic surgery (69).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic vs. open colectomy for T4 colon cancer: A meta-analysis and trial sequential analysis of prospective observational studies

et al. 2022

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BackgroundTo evaluate short- and long-term outcomes of laparoscopic colectomy (LC) vs. open colectomy (OC) in patients with T4 colon cancer.MethodsThree authors independently searched PubMed, Web of Science, Embase, Cochrane Library, and Clinicaltrials.gov for articles before June 3, 2022 to compare the clinical outcomes of T4 colon cancer patients undergoing LC or OC.ResultsThis meta-analysis included 7 articles with 1,635 cases. Compared with OC, LC had lesser blood loss, lesser perioperative transfusion, lesser complications, lesser wound infection, and shorter length of hospital stay. Moreover, there was no significant difference between the two groups in terms of 5-year overall survival (5y OS), and 5-year disease-free survival (5y DFS), R0 resection rate, positive resection margin, lymph nodes harvested ≥12, and recurrence. Trial Sequential Analysis (TSA) results suggested that the potential advantages of LC on perioperative transfusion and the comparable oncological outcomes in terms of 5y OS, 5y DFS, lymph nodes harvested ≥12, and R0 resection rate was reliable and no need of further study.ConclusionsLaparoscopic surgery is safe and feasible in T4 colon cancer in terms of short- and long-term outcomes. TSA results suggested that future studies were not required to evaluate the 5y OS, 5y DFS, R0 resection rate, positive resection margin status, lymph nodes harvested ≥12 and perioperative transfusion differences between LC and OC.Systematic Review Registration:https://www.crd.york.ac.uk/PROSPERO/, identifier: CRD42022297792.

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“…The background of this video-vignette is to assess the feasibility, clinical utility and safety of complete vessels preservation in fully robotic 1 sigmoidectomy for cancer. The surgical approach combines oncological radicality and preservation of optimal blood flow, 2 leading to adequate perfusion of colo-rectal anastomosis.…”

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confidence: 99%