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Single-incision robotic colectomy versus single-incision laparoscopic colectomy: A matched case control study
Tung-Cheng Chang1, En-Kwang Lin2, Yen-Jung Lu2
1Division of Colorectal Surgery, Department of Surgery, Taipei Medical University Shuang-Ho Hospital, Number 291 Zhongzheng Road, Zhonghe District, Taipei, Taiwan; Department of Surgery, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Single incision robotic colectomy (SIRC) and single incision laparoscopic colectomy (SILC) demonstrate comparable short-term outcomes. Both advanced minimally invasive techniques are safe and feasible for colectomy, with similar recovery and complication rates.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Colorectal Surgery
Background:
- Single incision laparoscopic colectomy (SILC) and single incision robotic colectomy (SIRC) are advanced minimally invasive surgical techniques.
- Comparative studies on SIRC and SILC outcomes are lacking.
- This study evaluates the short-term outcomes of SIRC versus SILC.
Purpose of the Study:
- To compare the short-term outcomes of single incision robotic colectomy (SIRC) with single incision laparoscopic colectomy (SILC).
- To assess the safety and feasibility of both SIRC and SILC procedures.
Main Methods:
- Retrospective cohort study comparing 21 SIRC patients with 136 SILC patients (January 2013 - December 2019).
- 1:4 cohort matching was employed for analysis.
- Key outcomes analyzed included operative time, blood loss, complications, hospital stay, and lymph node yield.
Main Results:
- No significant differences were found in operative time, estimated blood loss, or complication rates between SIRC and SILC groups after matching.
- Postoperative hospital stay and overall lymph node yield were similar between the two techniques.
- A subgroup analysis revealed fewer harvested lymph nodes in SIRC compared to SILC for anterior resections (P=0.04).
Conclusions:
- Single incision robotic colectomy (SIRC) and single incision laparoscopic colectomy (SILC) are safe and feasible surgical options.
- Both techniques yield similar short-term surgical and pathological outcomes for colectomy.
- Further research may explore specific subgroup differences, such as lymph node yield in anterior resections.
