Robot-Assisted Versus Standard Laparoscopic Colorectal Surgery

Abstract

Background and Objectives:Over the years, there has been a continual shift toward more minimally invasive surgical techniques, such as the use of laparoscopy in colorectal surgery. Recently, there has been increasing adoption of robotic technology. Our study aims to compare and contrast robot-assisted and laparoscopic approaches to colorectal operations.Methods:Forty patients undergoing laparoscopic or robotic colorectal surgery performed by 2 surgeons at an academic center, regardless of indication, were included in this retrospective review. Patients undergoing open approaches were excluded. Study outcomes included operative time, estimated blood loss, length of stay, complications, and conversion rate to an open procedure.Results:Twenty-five laparoscopic and fifteen robot-assisted colorectal surgeries were performed. The mean patient age was 61.1 ± 10.7 years in the laparoscopic group compared with 61.1 ± 8.5 years in the robotic group (P = .997). Patients had a similar body mass index and history of abdominal surgery. Mean blood loss was 163.3 ± 249.2 mL and 96.8 ± 157.7 mL, respectively (P = .385). Operative times were similar, with 190.8 ± 84.3 minutes in the laparoscopic group versus 258.4 ± 170.8 minutes in the robotic group (P = .183), as were lengths of hospital stay: 9.6 ± 7.3 and 6.5 ± 3.8 days, respectively (P = .091). In addition, there was no difference in the number of lymph nodes harvested between the laparoscopic group (14.0 ± 6.5) and robotic group (12.3 ± 4.2, P = .683).Conclusions:In our early experience, the robotic approach to colorectal surgery can be considered both safe and efficacious. Furthermore, it also preserves oncologically sufficient outcomes when performed for cancer operations.

Comparison of 30-Day Postoperative Outcomes after Laparoscopic vs Robotic Colectomy

“…These results support a growing body of literature that suggests that postoperative complication rates associated with robotic colectomy are at least as favorable as those associated with laparoscopic colectomy (8)(9)(10)(11)(20)(21). Another important factor regarding utilization of robotics for colectomy revolves around cost.…”

Comparison of robotic and laparoscopic colorectal resections with respect to 30-day perioperative morbidity

“…[10][11][12][13][14][15][16][17][18][19] Prior studies have demonstrated that robotic surgery is feasible and safe 7,[11][12][13][14][15][16][17][18]20,21 but may be associated with higher cost and longer operative duration, particularly for rectal resections. 10,25 Given the single-centre reporting bias present in much of the literature, there is a need for research using multi-institutional data.…”

Robotic and laparoscopic surgeries for colorectal cancer: learning curve and short-term outcomes

“…В целом при оценке периоперационных параметров в нашем исследовании обе группы малоинвазивных операций оказались со-поставимы по средней величине кровопотери, частоте конверсий, при этом РА операции отличались боль-шей средней продолжительностью. Полученные нами результаты сходны с данными литературы [15][16][17][18]. В некоторых исследованиях отмечается меньшая кро-вопотеря при РА операциях по сравнению с ЛС, что относится к одному из преимуществ РА техноло-гии, однако в нашей работе это различие не было статистически значимым.…”