Robotic Surgery for Colorectal Cancer

Shah, Muzafar; Nasir, Irfan Ul Islam; Parvaiz, Amjad

doi:10.1159/000500785

Cited by 23 publications

(14 citation statements)

References 15 publications

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“…Recently, the use of robots to overcome these shortcomings has been employed as a new strategy for treating colon cancers in the era of minimally invasive surgery. Robotic surgical systems have some advantages, such as a three-dimensional surgical view and increased dexterity and steadiness, which ensure efficiency in surgery and thus benefit patients [2]. As a result, robotic surgery has attracted increasing attention from surgeons.…”

Section: Introductionmentioning

confidence: 99%

Perioperative and long-term outcomes of robot-assisted versus laparoscopy-assisted hemicolectomy for left-sided colon cancers: a retrospective study

Zhao

Jia

et al. 2021

Updates Surg

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The objective of this study is to evaluate the perioperative and long-term outcomes of robot-assisted hemicolectomy (RAH) versus laparoscopy-assisted hemicolectomy (LAH) for left-sided colon cancers. Patients who underwent RAH and LAH from January 2012 to December 2018 were reviewed retrospectively. Patient characteristics and perioperative outcomes were compared between the two groups. Follow-up consultations were conducted to evaluate the long-term outcomes of these procedures. A total of 460 patients were included (RAH, n = 205; LAH, n = 255). There was no difference in patient characteristics between the two groups. Compared with the LAH group, the RAH group showed longer operative time (150.23 ± 43.77 min vs. 125.85 ± 38.67 min, p < 0.001) and higher surgery cost (6.33 ± 1.50 vs. 2.88 ± 0.72 thousand $, p < 0.001) and total hospital cost (14.97 ± 3.05 vs. 9.05 ± 2.31 thousand $, p < 0.001). No significant differences in tumor pathology, TNM staging, and perioperative outcomes were observed. There were no obvious differences in the 3-year and 5-year overall survival (OS) or 3-year and 5-year disease-free survival. Cox multivariate analyses showed that age, body mass index, and intravascular cancer embolus were independent risk factors for OS. Moreover, the robotic approach was not an independent risk factor for prognosis of left-sided colon cancers. RAH is an appropriate operation method for left-sided colon cancer, with perioperative and long-term outcomes comparable to those of laparoscopy. Meanwhile, RHA has longer operative time and higher cost.

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Section: Introductionmentioning

confidence: 99%

Perioperative and long-term outcomes of robot-assisted versus laparoscopy-assisted hemicolectomy for left-sided colon cancers: a retrospective study

Zhao

Jia

et al. 2021

Updates Surg

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“…Minimally invasive approaches include laparoscopic and robotic surgery. The advantages of robotic surgical systems such as superior instrumentatione and field of vision enable precise dissection in confined spaces such as the pelvis, allowing it to have rapidly gained acceptance in colorectal surgery [ 31 ]. The robotic surgical systems for the treatment of colorectal cancer were introduced into this hospital in 2020, but only a minority of patients have been treated with robotic surgery because of its high cost.…”

Section: Discussionmentioning

confidence: 99%

Nomogram for prediction of prolonged postoperative ileus after colorectal resection

Lin

et al. 2022

BMC Cancer

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Background Prolonged postoperative ileus (PPOI) is a major complication in patients undergoing colorectal resection. The aim of this study was to analyze the risk factors contributing to PPOI, and to develop an effective nomogram to determine the risks of this population. Methods A total of 1,254 patients with colorectal cancer who underwent radical colorectal resection at Fujian Cancer Hospital from March 2016 to August 2021 were enrolled as a training cohort in this study. Univariate analysis and multivariate logistic regressions were performed to determine the correlation between PPOI and clinicopathological characteristics. A nomogram predicting the incidence of PPOI was constructed. The cohort of 153 patients from Fujian Provincial Hospital were enrolled as a validation cohort. Internal and external validations were used to evaluate the prediction ability by area under the receiver operating characteristic curve (AUC) and a calibration plot. Results In the training cohort, 128 patients (10.2%) had PPOI after colorectal resection. The independent predictive factors of PPOI were identified, and included gender, age, surgical approach and intraoperative fluid overload. The AUC of nomogram were 0.779 (95% CI: 0.736–0.822) and 0.791 (95%CI: 0.677–0.905) in the training and validation cohort, respectively. The two cohorts of calibration plots showed a good consistency between nomogram prediction and actual observation. Conclusions A highly accurate nomogram was developed and validated in this study, which can be used to provide individual prediction of PPOI in patients after colorectal resection, and this predictive power can potentially assist surgeons to make the optimal treatment decisions.

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“…Furthermore, stable 3-D views of the anatomy are provided by the camera that is controlled by the primary surgeon. The robotic instruments exceed the natural range of motion of the surgeon's hand, and the robotic system can filter out the physiological tremors of the surgeon's hand 13) .…”

Section: Discussionmentioning

confidence: 99%

Single-incision Laparoscopic Colectomy for Colorectal Cancer: Experience of 376 Cases

Hirayama

Hibi

Hotta

et al. 2021

JJCS

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Introduction: Many previous RCTs comparing single-incision laparoscopic colectomy (SILC) with multiport laparoscopic colectomy (MPLC) have reported that there are no significant differences in the shortterm results between the two types of procedures. However, there are many procedures whose safety and reliability in SILC remain uncertain.Patients and methods: Introduction of our surgical techniques and identification and evaluation of our experience. Retrospective review of the surgical procedures and outcomes of 376 cases of SILC conducted between September 2009 and September 2020.Results: There were at total of 194 men and 182 women, and the median age was 74.0 years. Of the total, 65 patients underwent ileocecal resection, 65 patients underwent right hemicolectomy, 36 patients underwent transverse colectomy, 29 patients underwent left hemicolectomy, 52 patients underwent sigmoidectomy, 99 patients underwent high anterior res ec t ion , 2 9 pat ient s u nder went low a nt er ior resection, and 1 patient underwent abdominoperineal resection. The mean operative time was 227.5 min, and the mean operative blood loss was 5 ml.Clavien-Dindo classification Grade 3 postoperative complications were detected in 14 (3.7％) cases. Discussion: SILC is feasible in patients with colorectal cancer. In terms of the short-term outcomes, SILC is similar to MPLC. Our procedures

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Robotic Surgery for Colorectal Cancer

Cited by 23 publications

References 15 publications

Perioperative and long-term outcomes of robot-assisted versus laparoscopy-assisted hemicolectomy for left-sided colon cancers: a retrospective study

Perioperative and long-term outcomes of robot-assisted versus laparoscopy-assisted hemicolectomy for left-sided colon cancers: a retrospective study

Nomogram for prediction of prolonged postoperative ileus after colorectal resection

Single-incision Laparoscopic Colectomy for Colorectal Cancer: Experience of 376 Cases

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