Cranial-first approach for safe laparoscopic surgery in right-sided colon cancer

Kobayashi, Ryosuke; Ogura, Atsushi; Kawai, Satoru; Takagi, Kenji; Kawai, Kiyotaka; Maeda, Takashi; Aritake, Tsukasa; Nagano, Natsuki; Kamiya, Satoaki

doi:10.1007/s10151-020-02158-0

Cited by 1 publication

(1 citation statement)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although several laparoscopic approaches have been demonstrated, 26,27 no gold standard has yet been established for the entire process of lymph node dissection. In fact, according to the 2020 Japanese National Clinical Database Annual Report, the rate of laparoscopic surgery for RHC is only 54.2%, which is low compared to other CRC procedures.…”

Section: Discussionmentioning

confidence: 99%

Surgical outcomes of a prospective, phase 2 trial of robotic surgery for resectable right‐sided colon cancer (the ROBOCOLO trial)

Numata

Watanabe

Ishibe

et al. 2023

Annals of Gastroent Surgery

View full text Add to dashboard Cite

AimWe evaluated the safety of robotic surgery for right‐sided colon cancer in Japan.MethodsThis was a prospective, open‐label, single‐arm phase II trial conducted at two institutions. Patients ≥20 years old with stage I–III right‐sided colon cancer and scheduled for radical resection with ≥D2 lymph node dissection were eligible. The criterion for surgeons was experience performing robot‐assisted rectal resection in ≥40 cases. The primary endpoint was the postoperative complication rate ≤30 days after surgery.ResultsFrom August 2021 to February 2023, 42 patients were enrolled; three were excluded, with 39 analyzed as the full analysis set. The median age was 72 years, and the median body mass index was 23.2. The tumor was located in the cecum in 13 cases (33.3%), ascending colon in 20 cases (51.3%), and transverse colon in six cases (15.4%). Ileocolic resection was performed in 17 cases (43.5%) and right hemicolectomy in 22 cases (56.5%), both with D3 lymph node dissection. The median console time was 109 min, and the operative time was 170 min. The mean blood loss was 7.7 mL. Intracorporeal anastomosis was performed in 28 patients (71.8%). There were no conversions and no intraoperative adverse events. The median postoperative stay was 5 days. Postoperative complications occurred in four patients (10.2%; paralytic ileus [n = 3] and pneumonia [n = 1]). All postoperative complications were grade 1 or 2, with no mortalities noted. R0 resection was achieved in all patients.ConclusionsThis study demonstrated the safety and feasibility of robotic surgery for right‐sided colon cancer.

show abstract

Section: Discussionmentioning

confidence: 99%