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Robotic versus laparoscopic anterior resection of sigmoid colon cancer: comparative study of long-term oncologic outcomes

BACKGROUND: Robotically assisted colon resection is a new type of surgery for colon cancer. However, the evidence is inadequate for the general adaptation of robotic colon surgery. This study aimed to show the oncologic and perioperative clinical results of robotically assisted anterior resection (R...

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Autores principales: Lim, Dae Ro, Min, Byung Soh, Kim, Min Sung, Alasari, Sami, Kim, Gangmi, Hur, Hyuk, Baik, Seung Hyuk, Lee, Kang Young, Kim, Nam Kyu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer-Verlag 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3599163/
https://www.ncbi.nlm.nih.gov/pubmed/23239297
http://dx.doi.org/10.1007/s00464-012-2619-3
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author Lim, Dae Ro
Min, Byung Soh
Kim, Min Sung
Alasari, Sami
Kim, Gangmi
Hur, Hyuk
Baik, Seung Hyuk
Lee, Kang Young
Kim, Nam Kyu
author_facet Lim, Dae Ro
Min, Byung Soh
Kim, Min Sung
Alasari, Sami
Kim, Gangmi
Hur, Hyuk
Baik, Seung Hyuk
Lee, Kang Young
Kim, Nam Kyu
author_sort Lim, Dae Ro
collection PubMed
description BACKGROUND: Robotically assisted colon resection is a new type of surgery for colon cancer. However, the evidence is inadequate for the general adaptation of robotic colon surgery. This study aimed to show the oncologic and perioperative clinical results of robotically assisted anterior resection (R-AR) compared with those of laparoscopically assisted anterior resection (L-AR) for sigmoid colon cancer. METHODS: A total of 180 patients (sigmoid colon cancer stages 1–3) were assigned to receive either R-AR (n = 34) or L-AR (n = 146) between April 2006 and September 2008. Patient characteristics, perioperative clinical results, and long-term oncologic outcomes were compared between the two groups. RESULTS: The patient characteristics did not differ significantly between the two groups. The mean operation time was 217.6 ± 70.7 min for L-AR versus 252.5 ± 94.9 min for R-AR (p = 0.016). The total postoperative complication rate was 10.3 % for R-AR versus 5.9 % for L-AR (p = 0.281). The 3-year overall survival rate for all the patients was 93.4 % for L-AR versus 92.1 % for R-AR (p = 0.723). The 3-year overall survival rate was 100 % for both L-AR and R-AR in stage 1, 95.5 % for L-AR versus 100 % for R-AR (p = 0.386) in stage 2, and 88.4 % for L-AR versus 72.9 % (p = 0.881) for R-AR in stage 3. CONCLUSION: In this study, R-AR showed safety and feasibility in terms of perioperative clinical and long-term oncologic outcomes. However, the advanced technologies of R-AR did not translate into better long-term oncologic outcomes compared with L-AR.
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spelling pubmed-35991632013-03-19 Robotic versus laparoscopic anterior resection of sigmoid colon cancer: comparative study of long-term oncologic outcomes Lim, Dae Ro Min, Byung Soh Kim, Min Sung Alasari, Sami Kim, Gangmi Hur, Hyuk Baik, Seung Hyuk Lee, Kang Young Kim, Nam Kyu Surg Endosc Article BACKGROUND: Robotically assisted colon resection is a new type of surgery for colon cancer. However, the evidence is inadequate for the general adaptation of robotic colon surgery. This study aimed to show the oncologic and perioperative clinical results of robotically assisted anterior resection (R-AR) compared with those of laparoscopically assisted anterior resection (L-AR) for sigmoid colon cancer. METHODS: A total of 180 patients (sigmoid colon cancer stages 1–3) were assigned to receive either R-AR (n = 34) or L-AR (n = 146) between April 2006 and September 2008. Patient characteristics, perioperative clinical results, and long-term oncologic outcomes were compared between the two groups. RESULTS: The patient characteristics did not differ significantly between the two groups. The mean operation time was 217.6 ± 70.7 min for L-AR versus 252.5 ± 94.9 min for R-AR (p = 0.016). The total postoperative complication rate was 10.3 % for R-AR versus 5.9 % for L-AR (p = 0.281). The 3-year overall survival rate for all the patients was 93.4 % for L-AR versus 92.1 % for R-AR (p = 0.723). The 3-year overall survival rate was 100 % for both L-AR and R-AR in stage 1, 95.5 % for L-AR versus 100 % for R-AR (p = 0.386) in stage 2, and 88.4 % for L-AR versus 72.9 % (p = 0.881) for R-AR in stage 3. CONCLUSION: In this study, R-AR showed safety and feasibility in terms of perioperative clinical and long-term oncologic outcomes. However, the advanced technologies of R-AR did not translate into better long-term oncologic outcomes compared with L-AR. Springer-Verlag 2012-12-13 2013 /pmc/articles/PMC3599163/ /pubmed/23239297 http://dx.doi.org/10.1007/s00464-012-2619-3 Text en © The Author(s) 2013 https://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Article
Lim, Dae Ro
Min, Byung Soh
Kim, Min Sung
Alasari, Sami
Kim, Gangmi
Hur, Hyuk
Baik, Seung Hyuk
Lee, Kang Young
Kim, Nam Kyu
Robotic versus laparoscopic anterior resection of sigmoid colon cancer: comparative study of long-term oncologic outcomes
title Robotic versus laparoscopic anterior resection of sigmoid colon cancer: comparative study of long-term oncologic outcomes
title_full Robotic versus laparoscopic anterior resection of sigmoid colon cancer: comparative study of long-term oncologic outcomes
title_fullStr Robotic versus laparoscopic anterior resection of sigmoid colon cancer: comparative study of long-term oncologic outcomes
title_full_unstemmed Robotic versus laparoscopic anterior resection of sigmoid colon cancer: comparative study of long-term oncologic outcomes
title_short Robotic versus laparoscopic anterior resection of sigmoid colon cancer: comparative study of long-term oncologic outcomes
title_sort robotic versus laparoscopic anterior resection of sigmoid colon cancer: comparative study of long-term oncologic outcomes
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3599163/
https://www.ncbi.nlm.nih.gov/pubmed/23239297
http://dx.doi.org/10.1007/s00464-012-2619-3
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