Initial experience of robotic versus laparoscopic colectomy for transverse colon cancer: a matched case-control study
Identifieur interne : 000895 ( Pmc/Corpus ); précédent : 000894; suivant : 000896Initial experience of robotic versus laparoscopic colectomy for transverse colon cancer: a matched case-control study
Auteurs : Nicola De Ngelis ; Salah Alghamdi ; Andrea Renda ; Daniel Azoulay ; Francesco BrunettiSource :
- World Journal of Surgical Oncology [ 1477-7819 ] ; 2015.
Abstract
Robotic surgery for transverse colon cancer has rarely been described. This study reports our initial experience in robotic resection for transverse colon cancer, by comparing robotic transverse colectomy (RC) to laparoscopic transverse colectomy (LC) in terms of safety, feasibility, short-term outcomes, and the surgeon’s psychological stress and physical pain.
The study population included the first 22 consecutive patients who underwent RC between March 2013 and December 2014 for histologically confirmed transverse colon adenocarcinoma. These patients were compared with 22 matched patients undergoing LC between December 2010 and February 2013. Patients were matched based on age, gender, body mass index (BMI), American Society of Anesthesiology (ASA) score, American Joint Committee on Cancer (AJCC) tumor stage, and tumor location (ratio 1:1). Mortality, morbidity, operative, and short-term oncologic outcomes were compared between groups. The operating surgeon’s stress and pain were assessed before and after surgery on a 0–100-mm visual analog scale.
The demographic and preoperative characteristics were comparable between RC and LC patients. No group difference was observed for intraoperative complications, blood loss, postoperative pain, time to flatus, time to regular diet, and hospital stay. RC was associated with longer operative time than LC (260 min vs. 225 min;
RC for transverse colon cancer appears to be safe and feasible with short-term outcomes comparable to LC.
Url:
DOI: 10.1186/s12957-015-0708-1
PubMed: 26452727
PubMed Central: 4598969
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