Segmental transverse colectomy. Minimally invasive versus open approach: results from a multicenter collaborative...

Area of Science:

• Surgical Oncology
• Gastrointestinal Surgery
• Minimally Invasive Procedures

Background:

• The efficacy of minimally invasive surgery (MIS) for transverse colon cancer remains debated.
• Conventional open surgery is the traditional standard, but MIS techniques are evolving.

Purpose of the Study:

• To compare the oncological and recovery outcomes of open surgery versus laparoscopic/robotic approaches for transverse colon cancer.
• To evaluate the specific benefits of robotic surgery and intracorporeal anastomosis.

Main Methods:

• Retrospective analysis of 388 patients undergoing segmental colon resection for transverse colon cancer.
• Data collected included demographics, tumor stage, operative details, complications, and recovery metrics.
• Long-term oncological outcomes (recurrence, mortality) and postoperative recovery were assessed.

Main Results:

• No significant differences in oncological outcomes (recurrence, mortality) or overall postoperative complications were observed between open and MIS groups.
• MIS demonstrated statistically significant advantages in recovery: faster return of flatus, improved diet tolerance, earlier mobilization, and shorter hospital stays.
• Robotic surgery and intracorporeal anastomosis showed superior recovery outcomes compared to laparoscopic approaches, with intracorporeal anastomosis also reducing infection and anastomotic leak rates.

Conclusions:

• Minimally invasive surgery is a safe and effective alternative to open surgery for transverse colon cancer, providing similar oncological results.
• MIS offers significant advantages in patient recovery, with robotic and intracorporeal techniques yielding enhanced benefits.
• Intracorporeal anastomosis is recommended for its superior recovery and complication profile.