A comparative analysis of outcomes of open, laparoscopic, and robotic elective (procto-) colectomies for benign and malignant disease

Huerta, Sergio; Meier, Jennie; Emuakhagbon, Valerie Sue; Favela, Juan; Argo, Madison; Polanco, Patricio M.; Augustine, Mathew M.; Pham, Thai H.

doi:10.1007/s11701-020-01069-4

Cited by 8 publications

(6 citation statements)

References 29 publications

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“…Colorectal cancer survivors more than ten years after the diagnosis reported significantly worse deficits when intestinal dysfunction was present [32]. A recent cohort study pointed to minimally invasive surgical techniques over open colectomy in subsequent QoL in patients [33].…”

Section: Discussionmentioning

confidence: 99%

Disability, quality of life and emotional problems within a few days after surgery in patients operated due to colorectal cancer in Poland

Drożdż,

Kamińska,

Chachaj

et al. 2024

Palliat Med Pract

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Section: Discussionmentioning

confidence: 99%

Disability, quality of life and emotional problems within a few days after surgery in patients operated due to colorectal cancer in Poland

Drożdż,

Kamińska,

Chachaj

et al. 2024

Palliat Med Pract

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“…The results showed again that robotic surgery had longer operative times than laparoscopic surgery [5,[20][21][22][23][24][25]. Robotic surgery had less blood loss and earlier postoperative flatus and bowel opening [5,[20][21][22][23][24][25]. Robotic surgery has better resection margins and less postoperative hospital stay [5,[20][21][22][23][24][25].…”

Section: Studies That Included More Than One Type Of Colorectal Surgerymentioning

confidence: 96%

“…Studies which looked into more than one type of colorectal surgey consisted of 1266 patients [5,[20][21][22][23][24][25]. The results showed again that robotic surgery had longer operative times than laparoscopic surgery [5,[20][21][22][23][24][25]. Robotic surgery had less blood loss and earlier postoperative flatus and bowel opening [5,[20][21][22][23][24][25].…”

Section: Studies That Included More Than One Type Of Colorectal Surgerymentioning

confidence: 99%

“…Robotic surgery had less blood loss and earlier postoperative flatus and bowel opening [5,[20][21][22][23][24][25]. Robotic surgery has better resection margins and less postoperative hospital stay [5,[20][21][22][23][24][25]. Surgeons may now easily complete difficult colorectal resections thanks to minimally invasive surgery, which has altered the trajectory of surgical intervention for colorectal illness [5].…”

Section: Studies That Included More Than One Type Of Colorectal Surgerymentioning

confidence: 99%

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A Review of Robotic Surgery in Colorectal Surgery

Ravendran¹,

Abiola²,

Balagumar³

et al. 2023

Cureus

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Colorectal surgery is a treatment for colorectal lesions. Technological advancements have given the rise to robotic colorectal surgery, a procedure that limits excessive blood loss via 3D pin-point precision capabilities during surgeries. The aim of this study is to review robotic surgery in colorectal treatment procedures in order to dictate its ultimate merits. This is a literature review utilising PubMed and Google Scholar; it only includes case studies and case reviews related to robotic colorectal surgeries. Literature reviews are excluded. We incorporated abstracts from all articles and full publications were examined to compare the benefits of robotic surgery in colorectal treatments. The number of articles reviewed was 41 literature spanning from 2003 to 2022. We found that robotic surgeries yielded finer marginal resections, greater amounts of lymph node resections and earlier recovery of bowel functions. The patients also spent less time in hospital after surgery. The obstacles on the other hand are it costs longer operative hours and further training, which is expensive. Studies show robotic approach is a choice for treating rectal cancer. However further studies would be needed to conclude the best approach. This is especially true with patients treated for anterior colorectal resections. Based on the evidence it's safe to say that the upsides outweigh the downsides, but advancements and further research in robotic colorectal surgeries are still necessary to reduce operative hours and cost. Surgical societies should also take the initiative and set up effective training programmes for colorectal robotic surgeries, as trained physicians result in better treatment outcomes.

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“…Diseases of the colon, rectum and appendix are often treated using a surgical approach, with almost 500 000 surgical procedures performed annually in the United States alone [1]. Appendectomies are often performed laparoscopically, whereas colorectal surgery is performed either using an open, laparoscopic or robot‐assisted approach, with a shift toward robotic‐assisted surgery in recent years [2‐6].…”

Section: Introductionmentioning

confidence: 99%

Training and assessment for colorectal surgery and appendicectomy– a systematic review

Hertz,

Rattenborg,

Haug

et al. 2024

Colorectal Disease

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AimThere is currently an increased focus on competency‐based training, in which training and assessment play a crucial role. The aim of this systematic review is to create an overview of hands‐on training methods and assessment tools for appendectomy and colon and rectal surgery procedures using either an open, laparoscopic or robot‐assisted approach.MethodA systematic review of Medline, Embase, Cochrane and Scopus databases was conducted following the PRISMA guidelines. We conducted the last search on 9 March 2023. All published papers describing hands‐on training, evaluation of performance data and development of assessment tools were eligible. The quality of studies and the validity evidence of assessment tools are reported.ResultsFifty‐one studies were identified. Laparoscopic assessment tools are abundant, but the literature still lacks good‐quality assessment tools for open appendectomy, robotic colectomy and open rectal surgery. Overall, there is a lack of discussion regarding the establishment of pass/fail standards and the consequences of assessment. Virtual reality simulation is used more for appendectomy than colorectal procedures. Only a few of the studies investigating training were of acceptable quality. There is a need for high‐quality studies in open and robotic‐assisted colon surgery and all approaches to rectal surgery.ConclusionThis review provides an overview of current training methods and assessment tools and identifies where more research is needed based on the quality of the studies and the current validity evidence.

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A comparative analysis of outcomes of open, laparoscopic, and robotic elective (procto-) colectomies for benign and malignant disease

Cited by 8 publications

References 29 publications

Disability, quality of life and emotional problems within a few days after surgery in patients operated due to colorectal cancer in Poland

Disability, quality of life and emotional problems within a few days after surgery in patients operated due to colorectal cancer in Poland

A Review of Robotic Surgery in Colorectal Surgery

Training and assessment for colorectal surgery and appendicectomy– a systematic review

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