2021
DOI: 10.3390/jpm11060550
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Updates on Robotic CME for Right Colon Cancer: A Qualitative Systematic Review

Abstract: 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… Show more

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Cited by 8 publications
(17 citation statements)
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“…In total, 151,599 patients were treated with RALS, and 970,563 patients were treated with CLS. Some reviews included patients treated with open surgery as well, and five reviews did not provide complete data regarding the number of RALS, CLS, and/or the total amount of patients [27][28][29][30][31]. As a result, the total number of patients is slightly higher than the combined number of patients in the RALS and CLS groups.…”
Section: Study Characteristicsmentioning
confidence: 99%
See 1 more Smart Citation
“…In total, 151,599 patients were treated with RALS, and 970,563 patients were treated with CLS. Some reviews included patients treated with open surgery as well, and five reviews did not provide complete data regarding the number of RALS, CLS, and/or the total amount of patients [27][28][29][30][31]. As a result, the total number of patients is slightly higher than the combined number of patients in the RALS and CLS groups.…”
Section: Study Characteristicsmentioning
confidence: 99%
“…Twenty-three reviews on colectomy were included [30,31,37,[39][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56][57][58]. Of the twentythree reviews, two were systematic reviews [30,57], eighteen were meta-analyses [31,37,39,40,[42][43][44][45][46][47][49][50][51][52][53]55,56,58], and three were network meta-analyses [41,48,54]. The corrected covered area of the 23 reviews was 2.6% (slight overlap).…”
Section: Colectomymentioning
confidence: 99%
“…Spinoglio et al reported no significant difference in the long-term prognosis in terms of 5-year overall survival (77% vs. 73%) and 5-year disease-free survival (85% vs. 83%) in comparing RC and LC with CME [28]. In a systematic review, Petz et al suggested that surgical specimens in RC with CME were obtained appropriately with oncological adequacy and also reported the non-inferiority of RC compared with LC in terms of long-term prognosis [29]. A comparison of mid-and long-term oncological outcomes between RC and LC is summarized in Table 3 [14,28,30,31].…”
Section: Oncological Perspectives On Rc (Table 3)mentioning
confidence: 99%
“…Today both standard laparoscopic CME and robotic-assisted laparoscopic CME (RAL-CME) are considered the standard of care in the surgical treatment of right-sided colon cancer in high-volume centers. 12 13 14 15…”
mentioning
confidence: 99%
“…Today both standard laparoscopic CME and robotic-assisted laparoscopic CME (RAL-CME) are considered the standard of care in the surgical treatment of right-sided colon cancer in high-volume centers. [12][13][14][15] Minimally invasive surgery has certain advantages over open surgery such as less postoperative pain, enhanced recovery and shorter length of hospital stay, better cosmetic outcomes, and lower risk for development of incisional hernia. 16,17 In addition to general advantages of minimally invasive surgery, robotic-assisted laparoscopic surgery (RALS) has several specific advantages which can mainly be attributed to enhanced manipulation capacity and better ergonomics.…”
mentioning
confidence: 99%