Robotic versus laparoscopic right colectomy for colon cancer: a systematic review and meta-analysis.

Abstract

The aim of the study was to compare the short-term surgical outcomes of robotic right colectomy (RRC) with laparoscopic right colectomy (LRC) for colon cancer, to evaluate the safety and feasibility of the robotic surgery system. Material and methods: A systematic literature review was conducted using the PubMed, Web of Science, Embase, and Cochrane Library databases regarding the comparison of RRC vs. LRC for colon cancer in the last 5 years. Studies were included as per the PICOS criteria, and relevant event data were extracted. Results: Fifteen studies (RRC: 1116 patients; LRC: 4036 patients) were evaluated. RRC demonstrated lower conversion to laparotomy (p = 0.03) and shorter length of hospital stay (p = 0.01), compared with LRC. However, operation times were longer in RRC than in LRC (p < 0.001). The estimated blood loss, retrieved lymph nodes, and overall postoperative complications were similar between RRC and LRC (p > 0.05). Conclusions: RRC can be regarded as a feasible and safe technique for colon cancer.

Systematic Review and Meta-Analysis of Laparoscopic versus Robotic-Assisted Surgery for Colon Cancer: Efficacy, Safety, and Outcomes—A Focus on Studies from 2020–2024

“…The operative time for laparoscopic surgery was significantly shorter than that for robotic surgery, due to subjective factors that might implicate the learning curve, the experience of the surgeon, but also the complexity of the case and because of the time needed for each instrument change [44,45]. This finding corroborates the work of previous meta-analyses that suggested efficiency in operative time as a key advantage of laparoscopic surgery [46]. It is pertinent to consider that extended operative times associated with robotic surgery may not reflect inefficiency but also encompass the learning curve for surgeons less experienced with robotic techniques.…”

Precision Versus Practicality: A Comprehensive Analysis of Robotic Right Colectomy Versus Laparoscopic Right Colectomy, Future Directions, Biases, Research Gaps, and Their Implications

“…The study concluded that RRC had lower conversion rates (P = 0.03), shorter duration of hospitalization (P = 0.01), but longer operative time (P < 0.001), compared to LRC. Moreover, comparable outcomes were observed between the two techniques regarding blood loss, lymph node retrieval, and overall complications [21].…”

Prince and princesses: The current status of robotic surgery in surgical oncology

“…124 Meta-analyses generally support the findings seen in retrospective reviews and database studies. 125,126 Overall, RC is associated with shorter LOS, lower conversion rate, higher number of LN examined, and longer operative time, without impact on overall morbidity or mortality compared to LC.…”