Abstract
Robotic-assisted surgery is increasingly being utilized for colorectal surgery. Data are scarce and contradictory when outcomes are compared between robotic and laparoscopic surgery. All patients undergoing minimally invasive colorectal surgery were compared from 2011 to 2016. Outcomes between the two groups were statistically analyzed. p < 0.05 was considered statistically significant. 185 patients underwent laparoscopic resection and 70 underwent robotic resection. Demographics, ASA score, and BMI were similar between the two groups (p > 0.05). There was no statistical difference in median length of stay between laparoscopic and robotic colon (both 4 days; p = 0.5) and rectal (6 vs 4.5 days; p = 0.2) resections. Median operative times were also similar between the two approaches for colon (150.5 vs 169.5 min, p = 0.2) and rectal (197.0 vs 231.5 min, p = 0.9) resections. There was also no difference in operative time between the two approaches for right (median = 137 vs 130.5 min; p = 0.9) and left (median = 162.0 vs 170.5 min; p = 0.6) colectomies. Robotic surgery results in similar operative times and length of stay as laparoscopic surgery for patients undergoing colon and rectal resections.
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References
Trinh BB, Jackson NR, Hauch AT et al (2014) Robotic versus laparoscopic colorectal surgery. JSLS 18:00187. https://doi.org/10.4293/JSLS.2014.00187
Trinh BB, Hauch AT, Buell JF, Kandil E (2014) Robot-assisted versus standard laparoscopic colorectal surgery. JSLS 18:00154
Vasudevan V, Reusche R, Wallace H, Kaza S (2016) Clinical outcomes and cost-benefit analysis comparing laparoscopic and robotic colorectal surgeries. Surg Endosc 30:5490–5493
Casillas MA, Leichtle SW, Wahl WL et al (2014) Improved perioperative and short-term outcomes of robotic versus conventional laparoscopic colorectal operations. Am J Surg 208:33–40
Dolejs SC, Waters JA, Ceppa EP, Zarzaur BL (2016) Laparoscopic versus robotic colectomy: a national surgical quality improvement project analysis. Surg Endosc 31:2387–2396
Jiménez Rodríguez R, Díaz Pavón JM, de La Portilla de Juan F, Prendes Sillero E, Hisnard Cadet Dussort JM, Padillo J (2011) Prospective randomized study: robotic-assisted versus conventional laparoscopic surgery in colorectal cancer resection. Cir Esp 89:432–438
Wilder FG, Burnett A, Oliver J, Demyen MF, Chokshi RJ (2016) A review of the long-term oncologic outcomes of robotic surgery versus laparoscopic surgery for colorectal cancer. Indian J Surg 78:214–219
Zhang X, Wei Z, Bie M, Peng X, Chen C (2016) Robot-assisted versus laparoscopic-assisted surgery for colorectal cancer: a meta-analysis. Surg Endosc 30:5601–5614
Gorgun E, Aytac E, Gurland B, Costedio MM (2015) Case-matched comparison of robotic versus laparoscopic colorectal surgery: initial institutional experience. Surg Laparsosc Endosc Percutan Tech 25:e148–e151
Kim YS, Kim MJ, Park SC, Sohn DK, Kim DY, Chang HJ, Nam BH, Oh JH (2016) Robotic versus laparoscopic surgery for rectal cancer after preoperative chemoradiotherapy: case-matched study of short-term outcomes. Cancer Res Treat 48:225–231
Shiomi A, Kinugasa Y, Yamaguchi T, Kagawa H, Yamakawa Y (2016) Robot-assisted versus laparoscopic surgery for lower rectal cancer: the impact of visceral obesity on surgical outcomes. Int J Colorectal Dis 31:1701–1710
Sun Y, Xu H, Li Z, Han J, Song W, Wang J, Xu Z (2016) Robotic versus laparoscopic low anterior resection for rectal cancer: a meta-analysis. World J Surg Oncol 14:61
Park JS, Choi GS, Park SY, Kim HJ, Ryuk JP (2012) Randomized clinical trial of robot-assisted versus standard laparoscopic right colectomy. Br J Surg 99:1219–1226
Petrucciani N, Sirimarco D, Nigri GR, Magistri P, La Torre M, D’Angelo F, Aurello, Ramacciato G (2015) Robotic right colectomy: a worthwhile procedure? results of a meta-analysis of trials comparing robotic versus laparoscopic right colectomy. J Minim Access Surg 11:22–28
Xu H, Li J, Sun Y, Li Z, Zhen Y, Wang B, Xu Z (2014) Robotic versus laparoscopic right colectomy: a meta-analysis. World J Surg Oncol 12:274
De’Angelis N, Lizzi V, Azoulay D, Brunetti F (2016) Robotic versus laparoscopic right colectomy for colon cancer: analysis of the initial simultaneous learning curve of a surgical fellow. J Laparoendosc Adv Surg Tech A 26:882–892
Melich G, Hong YK, Kim J, Hur H, Baik SH, Kim NK, Sender Liberman A, Min BS (2015) Simultaneous development of laparoscopy and robotics provides acceptable perioperative outcomes and shows robotics to have a faster learning curve and to be overall faster in rectal cancer surgery: analysis of novice MIS surgeon learning curves. Surg Endosc 29:558–568
Fernandez R, Anaya DA, Li LT, Orcutt ST, Balentine CJ, Awad SA, Berger DH, Albo DA, Artinyan A (2013) Laparoscopic versus robotic rectal resection for rectal cancer in a veteran population. Am J Surg 2016:509–517
De Hoog DE, Heemskerk J, Nieman FH, van Gemert WG, Baeten CG, Bouvy ND (2009) Recurrence and functional results after open versus conventional laparoscopic versus roboti-assisted laparoscopic rectopexy for rectal prolapse: a case-control study. Int J Colorectal Dis 24:1201–1206
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Nolan, H.R., Smith, B.E. & Honaker, M.D. Operative time and length of stay is similar between robotic assisted and laparoscopic colon and rectal resections. J Robotic Surg 12, 659–664 (2018). https://doi.org/10.1007/s11701-018-0798-1
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DOI: https://doi.org/10.1007/s11701-018-0798-1