Right Colectomy with Intracorporeal Anastomosis: A European Multicenter Propensity Score Matching Retrospective Study of Robotic Versus Laparoscopic Procedures.
World J Surg
; 47(8): 2039-2051, 2023 Aug.
Article
en En
| MEDLINE
| ID: mdl-37188971
ABSTRACT
BACKGROUND:
This study aimed to compare the short- and long-term outcomes of robotic (RRC-IA) versus laparoscopic (LRC-IA) right colectomy with intracorporeal anastomosis using a propensity score matching (PSM) analysis based on a large European multicentric cohort of patients with nonmetastatic right colon cancer.METHODS:
Elective curative-intent RRC-IA and LRC-IA performed between 2014 and 2020 were selected from the MERCY Study Group database. The two PSM-groups were compared for operative and postoperative outcomes, and survival rates.RESULTS:
Initially, 596 patients were selected, including 194 RRC-IA and 402 LRC-IA patients. After PSM, 298 patients (149 per group) were compared. There was no statistically significant difference between RRC-IA and LRC-IA in terms of operative time, intraoperative complication rate, conversion to open surgery, postoperative morbidity (19.5% in RRC-IA vs. 26.8% in LRC-IA; p = 0.17), or 5-yr survival (80.5% for RRC-IA and 74.7% for LRC-IA; p = 0.94). R0 resection was obtained in all patients, and > 12 lymph nodes were harvested in 92.3% of patients, without group-related differences. RRC-IA procedures were associated with a significantly higher use of indocyanine green fluorescence than LRC-IA (36.9% vs. 14.1%; OR 3.56; 95%CI 2.02-6.29; p < 0.0001).CONCLUSION:
Within the limitation of the present analyses, there is no statistically significant difference between RRC-IA and LRC-IA performed for right colon cancer in terms of short- and long-term outcomes.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Laparoscopía
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Neoplasias del Colon
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Procedimientos Quirúrgicos Robotizados
Tipo de estudio:
Clinical_trials
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Observational_studies
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Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
World J Surg
Año:
2023
Tipo del documento:
Article
País de afiliación:
Francia