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Totally robotic vs 3D laparoscopic colectomy: A single centers preliminary experience
Mario Guerrieri1, Roberto Campagnacci1, Pierluigi Sperti1
1Mario Guerrieri, Roberto Campagnacci, Pierluigi Sperti, Giulio Belfiori, Roberto Ghiselli, Department of General Surgery, Clinica Chirurgica, Ospedali Riuniti, Polytechnic University of Marche, 60121 Ancona, Italy.
World Journal of Gastroenterology
|December 18, 2015
Summary
Robotic and 3D laparoscopic colectomy show similar patient outcomes, but robotic surgery is more expensive. Robotic colectomy offers better results for left-sided procedures, particularly those near the rectum.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Surgery
- Surgical Technology
Background:
- Robotic and 3D laparoscopic colectomy are advanced minimally invasive surgical techniques.
- Comparing their efficacy and outcomes is crucial for surgical decision-making.
Purpose of the Study:
- To compare robotic colectomy versus 3D laparoscopic colectomy.
- To evaluate operative measures and postoperative outcomes.
Main Methods:
- Retrospective observational study comparing 24 robotic and 23 3D laparoscopic colectomies.
- Analysis by approach (robotic vs. 3D laparoscopic) and colectomy side (left vs. right).
- Exclusion of rectal cancer procedures.
Main Results:
- Similar operative times, conversion rates, and lymph nodes removed between groups.
- Faster oral intake resumption and earlier flatus in the robotic right colectomy group.
- Significantly higher costs associated with robotic colectomy compared to 3D laparoscopic colectomy.
Conclusions:
- Robotic colectomy demonstrated better outcomes in left colectomies, especially for rectal proximity.
- Intracorporeal anastomosis was facilitated by robotic approach.
- While patient outcomes were comparable, cost differences are substantial.