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International Journal of Colorectal Disease
Published in: International Journal of Colorectal Disease 6/2013

01-06-2013 | Original Article

Robotic right colectomy for cancer with intracorporeal anastomosis: short-term outcomes from a single institution

Authors: Stefano Trastulli, Jacopo Desiderio, Federico Farinacci, Francesco Ricci, Chiara Listorti, Roberto Cirocchi, Carlo Boselli, Giuseppe Noya, Amilcare Parisi

Published in: International Journal of Colorectal Disease | Issue 6/2013

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Abstract

Purpose

Laparoscopic surgery for colon cancer has widely accepted as safe and effective. However, few studies report outcomes on robotic right colon resection with confectioning of the intracorporeal ileocolic anastomosis. This study aims to evaluate the feasibility and safety of robotic right colon resection with intracorporeal ileocolic anastomosis (RRCIA) in patients with cancer.

Methods

Data of consecutive series of 20 patients undergoing RRCIA between June 2011 and May 2012 at our institution were prospectively collected in order to evaluate surgical and oncological short-term outcomes.

Results

Seven males and 13 females were operated of RRCIA during the study period. Mean age is 66.7 years. The mean overall operative time was 327.5 min (255–485), and the robot time was 286 min (range 225–440 min). No conversion to open or laparoscopy occurred. The mean specimen length was 32.7 cm (range 26–44 cm), and the mean number of harvested lymph nodes was 17.6 (range 14–21). During the 30 postoperative days, only one complication occurred, consisting in an infection of surgical specimen extraction wound.

Conclusion

The RRCIA is a feasible and safe for patients with right colon cancer, also in terms of intraoperative oncological outcomes.
Literature
1.
Ohtani H et al (2012) A meta-analysis of the short- and long-term results of randomized controlled trials that compared laparoscopy-assisted and open colectomy for colon cancer. J Cancer 3:49–57PubMedCrossRef
2.
Fleshman J et al (2007) Laparoscopic colectomy for cancer is not inferior to open surgery based on 5-year data from the COST Study Group trial. Ann Surg 246(4):655–662, discussion 662–4PubMedCrossRef
3.
Jayne DG et al (2007) Randomized trial of laparoscopic-assisted resection of colorectal carcinoma: 3-year results of the UK MRC CLASICC Trial Group. J Clin Oncol 25(21):3061–3068PubMedCrossRef
4.
Rondelli F et al (2012) Is laparoscopic right colectomy more effective than open resection? A metanalysis of randomized and non-randomized studies. Colorectal Dis 14(8):e447–e469PubMedCrossRef
5.
Jamali FR et al (2008) Evaluating the degree of difficulty of laparoscopic colorectal surgery. Arch Surg 143(8):762–767, discussion 768PubMedCrossRef
6.
Cadiere GB et al (2001) Feasibility of robotic laparoscopic surgery: 146 cases. World J Surg 25(11):1467–1477PubMed
7.
Trastulli S et al (2012) Robotic resection compared with laparoscopic rectal resection for cancer: systematic review and meta-analysis of short-term outcome. Colorectal Dis 14(4):e134–e156PubMedCrossRef
8.
deSouza AL et al (2010) Robotic assistance in right hemicolectomy: is there a role? Dis Colon Rectum 53(7):1000–1006PubMedCrossRef
9.
Nakamura T et al (2008) Risk factors for wound infection after surgery for colorectal cancer. World J Surg 32(6):1138–1141PubMedCrossRef
10.
Yamamoto S et al (2007) Wound infection after elective laparoscopic surgery for colorectal carcinoma. Surg Endosc 21(12):2248–2252PubMedCrossRef
11.
Kisielinski K, Conze J, Murken AH, Lenzen NN, Klinge U, Schumpelick V (2004) The Pfannenstiel as so called “bikini cut”: still effective more than 100 years after first description. Hernia 8:177–181PubMedCrossRef
12.
Beltrán MA, Cruces KS (2008) Incisional hernia after McBurney incision: retrospective case-control study of risk factors and surgical treatment. World J Surg 32(4):596–601
13.
Singh R, Omiccioli A, Hegge S, McKinley C (2008) Does the extraction site location in aparoscopic colorectal surgery have an impact on incisional hernia rates? Surg Endosc 22(12):2596–2600PubMedCrossRef
14.
West NP et al (2008) Pathology grading of colon cancer surgical resection and its association with survival: a retrospective observational study. Lancet Oncol 9(9):857–865PubMedCrossRef
15.
Giulianotti PC et al (2003) Robotics in general surgery: personal experience in a large community hospital. Arch Surg 138(7):777–784PubMedCrossRef
16.
Wu Z et al (2012) Lymph node harvested in laparoscopic versus open colorectal cancer approaches: a meta-analysis. Surg Laparosc Endosc Percutan Tech 22(1):5–11PubMedCrossRef
17.
West NP, Hohenberger W, Weber K, Perrakis A, Finan PJ, Quirke P (2010) Complete mesocolic excision with central vascular ligation produces an oncologically superior specimen compared with standard surgery for carcinoma of the colon. J Clin Oncol 28:272–278PubMedCrossRef
18.
Gouvas N, Pechlivanides G, Zervakis N, Kafousi M, Xynos E (2012) Complete mesocolic excision in colon cancer surgery: a comparison between open and laparoscopic approach distal right-sided colon cancer remains a challenge for laparoscopy. Colorectal Dis 14(11):1357–1364PubMedCrossRef
19.
D'Annibale A et al (2010) Robotic right colon resection: evaluation of first 50 consecutive cases for malignant disease. Ann Surg Oncol 17(11):2856–2862PubMedCrossRef
20.
Zimmern A et al (2010) Robotic colon and rectal surgery: a series of 131 cases. World J Surg 34(8):1954–1958PubMedCrossRef
21.
22.
Buchs NC et al (2011) Totally robotic right colectomy: a preliminary case series and an overview of the literature. Int J Med Robot. doi:10.​1002/​rcs.​404
23.
24.
Cirocchi R, et al. (2012) Safety and efficacy of intracorporeal anastomosis compared with extracorporeal anastomosis for right laparoscopic colectomy: a systemic review and meta-analysis. Surg Oncol (in press)
25.
Scatizzi M et al (2010) Extracorporeal versus intracorporeal anastomosis after laparoscopic right colectomy for cancer: a case-control study. World J Surg 34(12):2902–2908PubMedCrossRef
26.
Chaves JA et al (2011) A case-control study of extracorporeal versus intracorporeal anastomosis in patients subjected to right laparoscopic hemicolectomy. Cir Esp 89(1):24–30PubMedCrossRef
27.
Franklin ME Jr et al (2004) Laparoscopic right hemicolectomy for cancer: 11-year experience. Rev Gastroenterol Mex 69(Suppl 1):65–72PubMed
Metadata
Title
Robotic right colectomy for cancer with intracorporeal anastomosis: short-term outcomes from a single institution
Authors
Stefano Trastulli
Jacopo Desiderio
Federico Farinacci
Francesco Ricci
Chiara Listorti
Roberto Cirocchi
Carlo Boselli
Giuseppe Noya
Amilcare Parisi
Publication date
01-06-2013
Publisher
Springer-Verlag
Published in
International Journal of Colorectal Disease / Issue 6/2013
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-012-1604-6

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