<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec id="j_raon-2021-0026_s_006">
<h3>Background</h3>
<p>Robotic resections represent a novel approach to treatment of colorectal cancer. The aim of our study was to critically assess the implementation of robotic colorectal surgical program at our institution and to compare it to the established laparoscopically assisted surgery.</p></sec>
<sec id="j_raon-2021-0026_s_007">
<h3>Patients and methods</h3>
<p>A retrospective case-control study was designed to compare outcomes of consecutively operated patients who underwent elective laparoscopic or robotic colorectal resections at a tertiary academic centre from 2019 to 2020. The associations between patient characteristics, type of operation, operation duration, conversions, duration of hospitalization, complications and number of harvested lymph nodes were assessed by using univariate logistic regression analysis.</p></sec>
<sec id="j_raon-2021-0026_s_008">
<h3>Results</h3>
<p>A total of 83 operations met inclusion criteria, 46 robotic and 37 laparoscopic resections, respectively. The groups were comparable regarding the patient and operative characteristics. The operative time was longer in the robotic group (p &lt; 0.001), with fewer conversions to open surgery (p = 0.004), with less patients in need of transfusions (p = 0.004) and lower reoperation rate (p = 0.026). There was no significant difference between the length of stay (p = 0.17), the number of harvested lymph nodes (p = 0.24) and the overall complications (p = 0.58).</p></sec>
<sec id="j_raon-2021-0026_s_009">
<h3>Conclusions</h3>
<p>The short-term results of robotic colorectal resections were comparable to the laparoscopically assisted operations with fewer conversions to open surgery, fewer blood transfusions and lower reoperation rate in the robotic group.</p></sec>
</abstract>

Background
Robotic resections represent a novel approach to treatment of colorectal cancer. The aim of our study was to critically assess the implementation of robotic colorectal surgical program at our institution and to compare it to the established laparoscopically assisted surgery.

Patients and methods
A retrospective case-control study was designed to compare outcomes of consecutively operated patients who underwent elective laparoscopic or robotic colorectal resections at a tertiary academic centre from 2019 to 2020. The associations between patient characteristics, type of operation, operation duration, conversions, duration of hospitalization, complications and number of harvested lymph nodes were assessed by using univariate logistic regression analysis.

Results
A total of 83 operations met inclusion criteria, 46 robotic and 37 laparoscopic resections, respectively. The groups were comparable regarding the patient and operative characteristics. The operative time was longer in the robotic group (p < 0.001), with fewer conversions to open surgery (p = 0.004), with less patients in need of transfusions (p = 0.004) and lower reoperation rate (p = 0.026). There was no significant difference between the length of stay (p = 0.17), the number of harvested lymph nodes (p = 0.24) and the overall complications (p = 0.58).

Conclusions
The short-term results of robotic colorectal resections were comparable to the laparoscopically assisted operations with fewer conversions to open surgery, fewer blood transfusions and lower reoperation rate in the robotic group.

Robotic versus laparoscopic surgery for colorectal cancer: a case-control study

Radiology and Oncology

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

{"article-title":"Robotic versus laparoscopic surgery for colorectal cancer: a case-control study"}

Background
Robotic resections represent a novel approach to treatment of colorectal cancer. The aim of our study was to critically assess the implementation of...

Robotic versus laparoscopic surgery for colorectal cancer: a case-control study

Article Category: Research Article

Publié en ligne: 31 mai 2021

Pages: 433 - 438

Reçu: 29 janv. 2020

Accepté: 20 avr. 2021

DOI: https://doi.org/10.2478/raon-2021-0026

© 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.