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Robotic versus laparoscopic right colectomy for colon cancer: a systematic review and meta-analysis

AIM: The aim of the study was to compare the short-term surgical outcomes of robotic right colectomy (RRC) with laparoscopic right colectomy (LRC) for colon cancer, to evaluate the safety and feasibility of the robotic surgery system. MATERIAL AND METHODS: A systematic literature review was conducte...

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Detalles Bibliográficos
Autores principales: Zheng, Jian-Chun, Zhao, Shuai, Chen, Wei, Wu, Jian-Xiang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10091913/
https://www.ncbi.nlm.nih.gov/pubmed/37064568
http://dx.doi.org/10.5114/wiitm.2022.120960
Descripción
Sumario:AIM: The aim of the study was to compare the short-term surgical outcomes of robotic right colectomy (RRC) with laparoscopic right colectomy (LRC) for colon cancer, to evaluate the safety and feasibility of the robotic surgery system. MATERIAL AND METHODS: A systematic literature review was conducted using the PubMed, Web of Science, Embase, and Cochrane Library databases regarding the comparison of RRC vs. LRC for colon cancer in the last 5 years. Studies were included as per the PICOS criteria, and relevant event data were extracted. RESULTS: Fifteen studies (RRC: 1116 patients; LRC: 4036 patients) were evaluated. RRC demonstrated lower conversion to laparotomy (p = 0.03) and shorter length of hospital stay (p = 0.01), compared with LRC. However, operation times were longer in RRC than in LRC (p < 0.001). The estimated blood loss, retrieved lymph nodes, and overall postoperative complications were similar between RRC and LRC (p > 0.05). CONCLUSIONS: RRC can be regarded as a feasible and safe technique for colon cancer.