Robotic versus laparoscopic surgery for colorectal cancer: a case-control study
, , , und
31. Mai 2021
Über diesen Artikel
Artikel-Kategorie: Research Article
Online veröffentlicht: 31. Mai 2021
Seitenbereich: 433 - 438
Eingereicht: 29. Jan. 2020
Akzeptiert: 20. Apr. 2021
DOI: https://doi.org/10.2478/raon-2021-0026
Schlüsselwörter
© 2021 Jan Grosek, Jurij Ales Kosir, Primoz Sever, Vanja Erculj, Ales Tomazic, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Association between the operation and hospitalization duration, conversion, number of lymph nodes, transfusion, complications, reoperation, and the type of the operation (results of univariate logistic regression)
| Laparoscopic (n = 37) | Robotic (n = 46) | OR (95 % CI) | P | |
|---|---|---|---|---|
| Median (IQR) operation duration (min) | 150 (130–184) | 262 (201–300) | 1.03 (1.02; 1.05) | < 0.001 |
| Conversion | 5 (13.5) | 0 (0) | 0.004 = likelihood ratio test; CI = confidence interval; IQR = interquartile range; OR = odds ratio |
|
| Median (IQR) hospitalization duration | 7 (6–8) | 6 (5–7) | 0.91 (0.81; 1.04) | 0.168 |
| Lymph nodes | 20 (15–26) | 24 (21–30) | 1.03 (0.98; 1.08) | 0.24 |
| Transfusion | 5 (13.5) | 0 (0) | 0.004 = likelihood ratio test; CI = confidence interval; IQR = interquartile range; OR = odds ratio |
|
| Complications | 10 (27) | 10 (21.7) | 0.75 (0.27; 2.06) | 0.576 |
| Clavien-Dindo | 0.12 = likelihood ratio test; CI = confidence interval; IQR = interquartile range; OR = odds ratio |
|||
| 0 | 27 (73) | 36 (78.3) | ||
| 1 | 0 (0) | 3 (6.5) | ||
| 2 | 7 (18.9) | 6 (13) | ||
| 3 | 2 (5.4) | 0 (0) | ||
| 5 | 1 (2.7) | 1 (2.2) | ||
| Reoperation | 3 (8.1) | 0 (0) | 0.026 = likelihood ratio test; CI = confidence interval; IQR = interquartile range; OR = odds ratio |
Association between demographic characteristics, concomitant diseases, severity of the disease, and type of operation (results of univariate logistic regression)
| Laparoscopic (n = 37) | Robotic (n = 46) | OR (95 % CI) | P | |
|---|---|---|---|---|
| Male gender | 23 (62.2) | 26 (56.5) | 0.79 (0.33; 1.92) | 0.604 |
| Mean age (SD) | 67.5 (10.1) | 66.8 (11) | 0.99 (0.95; 1.04) | 0.770 |
| Median (IQR) BMI | 27.2 (25.1 - 29.4) | 27.5 (25.7 - 31.3) | 1.01 (0.92; 1.12) | 0.808 |
| ASA | 0.262 = likelihood ratio test; ASA = American Society of Anaesthesiologists score; BMI = body mass index; CI = confidence interval; IQR = interquartile range; OR = odds ratio; SD = standard deviation |
|||
| 1 | 0 (0) | 2 (4.3) | ||
| 2 | 20 (54.1) | 24 (52.2) | ||
| 3 | 16 (43.2) | 20 (43.5) | ||
| 4 | 1 (2.7) | 0 (0) | ||
| Procedure | 0.273 | |||
| Right colectomy | 15 (40.5) | 21 (45.7) | - | - |
| Left colectomy | 4 (10.8) | 3 (6.5) | - | - |
| Rectosigmoid/sigmoid/anterior resection | 16 (43.2) | 22 (47.8) | - | - |
| Total colectomy | 2 (5.4) | 0 (0) | - | - |
| T stage T1 | 9 (24.3) | 7 (15.2) | - | - |
| T stage | ||||
| T2 | 7 (18.9) | 13 (28.3) | 2.39 (0.69;9.2) | 0.206 |
| T3 | 15 (40.5) | 20 (43.5) | 1.71 (0.52;5.65) | 0.376 |
| T4 | 6 (16.2) | 6 (13) | 1.29 (0.29;5.77) | 0.743 |
| Stage | ||||
| 1 | 16 (43.2) | 12 (26.1) | 1 | - |
| 2 | 9 (24.3) | 18 (39.1) | 2.67 (0.89; 7.98) | 0.079 |
| 3 | 12 (32.4) | 16 (34.8) | 1.78 (0.62; 5.12) | 0.287 |