Robotic complete mesocolic excision for transverse colon cancer can be performed with a morbidity profile similar to that of conventional laparoscopic colectomy

Background In minimally invasive surgery, complete mesocolic excision (CME) for transverse colon cancer is challenging; thus, non-CME resections are commonly preferred when laparoscopy is used. Robotic technology has been developed to reduce the limitations of laparoscopy. The aim of our study was t...

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Bibliographic Details
Published in:Techniques in coloproctology 2020-10, Vol.24 (10), p.1035-1042
Main Authors: Ozben, V., de Muijnck, C., Sengun, B., Zenger, S., Agcaoglu, O., Balik, E., Aytac, E., Bilgin, I. A., Baca, B., Hamzaoglu, I., Karahasanoglu, T., Bugra, D.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Colectomy
Colon, Transverse - surgery
Colonic Neoplasms - surgery
Colorectal cancer
Colorectal Surgery
Gastroenterology
Humans
Laparoscopy
Lymph Node Excision
Lymphatic system
Medicine
Medicine & Public Health
Mesocolon - surgery
Morbidity
Operative Time
Original Article
Proctology
Retrospective Studies
Robotic Surgical Procedures - adverse effects
Robotics
Surgery
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Summary:Background In minimally invasive surgery, complete mesocolic excision (CME) for transverse colon cancer is challenging; thus, non-CME resections are commonly preferred when laparoscopy is used. Robotic technology has been developed to reduce the limitations of laparoscopy. The aim of our study was to evaluate whether robotic CME for transverse colon cancer can be performed with short-term outcomes similar to those of laparoscopic conventional colectomy (CC). Methods A retrospective review of 118 consecutive patients having robotic CME or laparoscopic CC for transverse colon cancer in two specialized centers between May 2011 and September 2018 was performed. Perioperative 30-day outcomes of the two procedures were compared. Results There were 38 and 80 patients in the robotic CME group and laparoscopic CC group, respectively. The groups were comparable regarding preoperative characteristics. Intraoperative results were similar, including blood loss (median 50 vs 25 ml), complications (5.3% vs 3.8%), and conversions (none vs 7.5%). The rate of intracorporeal anastomosis was significantly higher (86.8% vs 20.0%), mean operative time was longer (325.0 ± 123.2 vs 159.3 ± 56.1 min ( p  
ISSN:1123-6337
1128-045X
DOI:10.1007/s10151-020-02249-y