Robotic complete mesocolic excision versus conventional robotic right colectomy for right-sided colon cancer: a comparative study of perioperative outcomes

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dc.contributor.authorLarach, Jose Tomas
dc.contributor.authorFlynn, Julie
dc.contributor.authorWright, Timothy
dc.contributor.authorRajkomar, Amrish K. S.
dc.contributor.authorMcCormick, Jacob J.
dc.contributor.authorKong, Joseph
dc.contributor.authorSmart, Philip J.
dc.contributor.authorHeriot, Alexander G.
dc.contributor.authorWarrier, Satish K.
dc.date.accessioned2025-01-20T22:02:04Z
dc.date.available2025-01-20T22:02:04Z
dc.date.issued2022
dc.description.abstractAim This study aims to compare the short-term outcomes of robotic complete mesocolic excision (RCME) versus conventional robotic right colectomy (RRC) for right-sided colon cancer. Methods Consecutive patients who underwent robotic surgery for right-sided colon cancer in a public quaternary and a private tertiary healthcare centre between November 2018 and June 2020 were included. Clinical, perioperative and histopathological variables were collected and analysed. Results Fifty-one patients were included; 25 (49%) of them had an RCME. The groups were evenly distributed in terms of demographic characteristics and tumour location. Operative time was similar between both groups, and no patients required conversion to open surgery. There were no differences in overall complications (16% in RCME vs. 26.9% in RRC; p = 0.499) or their profile between groups. There were no anastomotic leaks recorded, and the reoperation rates were similar (0% for RCME versus 3.8% for RRC; p = 1). In addition, the median length of hospital stay was similar in between the RCME and the RRC groups (4 [4-6] days versus 5 [3-8.5] days, respectively; p = 0.891). Whilst there were no differences in the TNM staging, the mean number of lymph nodes harvested with RCME was 37.7 (+/- 12.9) compared to 21.8 (+/- 7.5) with RCC (p < 0.001). Conclusion In our series, RCME was associated with a higher lymph node harvest and a similar morbidity profile compared to RCC. Further studies are required to validate these results and provide long-term oncologic outcomes.
dc.description.funderDevice Technologies, Australia
dc.fuente.origenWOS
dc.identifier.doi10.1007/s00464-021-08498-8
dc.identifier.eissn1432-2218
dc.identifier.issn0930-2794
dc.identifier.urihttps://doi.org/10.1007/s00464-021-08498-8
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/93928
dc.identifier.wosidWOS:000639381100006
dc.issue.numero3
dc.language.isoen
dc.pagina.final2120
dc.pagina.inicio2113
dc.revistaSurgical endoscopy and other interventional techniques
dc.rightsacceso restringido
dc.subjectColon cancer
dc.subjectRobotic colectomy
dc.subjectComplete mesocolic excision
dc.subjectRight hemicolectomy
dc.subjectD3 lymphadenectomy
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleRobotic complete mesocolic excision versus conventional robotic right colectomy for right-sided colon cancer: a comparative study of perioperative outcomes
dc.typeartículo
dc.volumen36
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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