Surgical and pathological outcomes after right hemicolectomy: case‐matched study comparing robotic and open surgery

Abstract

Robotic right hemicolectomy is an oncologically safe and effective procedure. The number of lymph nodes retrieved in the robotic group compared with the open group of our series was more homogeneous, and none of the patients operated on with this technique had a suboptimal lymphadenectomy. Further clinical trials are needed to confirm current evidence and determine whether this can influence the prognosis.

SAGES TAVAC safety and effectiveness analysis: da Vinci® Surgical System (Intuitive Surgical, Sunnyvale, CA)

“…Several other authors have also reported their early assessment of da Vinci Ò robotic colorectal surgery [93][94][95][96][97][98]. Although some variability exists, the early phases of robotic literature generally revealed similar conclusions showing comparable short-term results compared with laparoscopy with lower blood loss, and increased length of surgery and cost [99,100].…”

How Has the Robot Contributed to Colon Cancer Surgery?

“…This holds true for robotic right colectomy for colon cancer as well. 11 However, length of hospital stay was comparable between robotic and laparoscopic right colectomy. 9,12 In addition, robotic right colectomy provides similar overall morbidity and mortality rates with open 11 and conventional laparoscopic right colectomy.…”

“…9 Similarly, robotic right colectomy was associated with a longer operating time than open right colectomy for colon cancer. 11 However, the study comparing the first 30 laparoscopic and robotic right colectomies of the same surgeon and institute suggested statistically comparable operating times for both the groups. 12 Previous studies, including patients with both benign and malign disease, reported either prolonged 16 or comparable 17 operating times for robotic right colectomy.…”

“…The reported port number for robotic right colectomy for cancer varies from 4 to 5 trocars. [9][10][11][12][13][14] The basic concept in port placement is to place the camera in the middle, with one working arm superior and one inferior to the camera. One 5-mm assistant port is added in the left abdomen for additional retraction.…”

“…9,12 On the other hand, robotic surgery was found to be associated with significantly reduced blood loss when compared with open right colectomy. 11 Reduced blood loss is an advantage of robotic colectomy over open surgery, but laparoscopic colectomy offers comparable outcomes in this regard. Because intracorporeal anastomosis is challenging with nonarticulated rigid instruments, extracorporeal creation of anastomosis during conventional laparoscopic colectomy is preferred.…”