Right Colectomy with Intracorporeal Anastomosis: A European Multicenter Propensity Score Matching Retrospective Study of Robotic Versus Laparoscopic Procedures-Reference-Cited by-同舟云学术

Right Colectomy with Intracorporeal Anastomosis: A European Multicenter Propensity Score Matching Retrospective Study of Robotic Versus Laparoscopic Procedures

Published:2023-05-16 Issue:8 Volume:47 Page:2039-2051
ISSN:0364-2313
Container-title:World Journal of Surgery
language:en
Short-container-title:World j. surg.

Author:

de'Angelis Nicola¹²³^ORCID,Piccoli Micaela⁴,Casoni Pattacini Gianmaria⁴,Winter Des C.⁵,Carcoforo Paolo⁶,Celentano Valerio⁷⁸,Coccolini Federico⁹,Di Saverio Salomone¹⁰,Frontali Alice¹¹,Fuks David¹²,Genova Pietro¹³,Guerrieri Mario¹⁴,Kraft Miquel¹⁵,Lakkis Zaher¹⁶,Le Roy Bertrand¹⁷,Micelli Lupinacci Renato¹⁸,Milone Marco¹⁹,Petri Roberto²⁰,Scabini Stefano²¹,Tonini Valeria²²,Valverde Alain²³,Zorcolo Luigi²⁴,Bianchi Giorgio³,Ris Frederic²⁵,Espin Eloy¹⁵,Aisoni Filippo,Denet Christine,Antonot Céphise,Vertier Jeanne,Martínez‐Perez Aleix,De Palma Giovanni Domenico,Orci Lorenzo,Bartoletti Sebastiano,O'Connell Lauren,Ortenzi Monica,Pecchini Francesca,Paquet Jean‐Christophe,Chiarugi Massimo,Tartaglia Dario,Perrotto Ornella,Santangelo Antonio,Arces Francesco,De Rosa Raffaele,Andolfi Enrico,de'Angelis Gian Luigi,Carra Maria Clotilde,Pecchini Francesca,Pellino Gianluca,Urbani Alessia,Vidal Laura,Restivo Angelo,Deidda Simona,

Affiliation:

1. Unit of Colorectal and Digestive Surgery, DIGEST Department Beaujon University Hospital Clichy France

2. University of Paris Est, UPEC Créteil France

3. Department of Digestive, Hepato‐Pancreato‐Biliary Surgery Henri‐Mondor Hospital, AP‐HP, Université Paris Est – UPEC 51, Avenue du Maréchal de Lattre de Tassigny 94010 Créteil France

4. Unit of General, Emergency Surgery and New Technologies, OCB (Ospedale Civile Baggiovara) AOU (Azienda Ospedaliero, Universitaria Di Modena) Modena Italy

5. Department of Surgery St. Vincent's University Hospital Elm Park Dublin 4 Ireland

6. Department of Surgery, Unit of General Surgery University Hospital of Ferrara, University of Ferrara Ferrara Italy

7. University of Portsmouth Portsmouth UK

8. Department of Surgery and Cancer Imperial College London UK

9. General, Emergency and Trauma Surgery Department Pisa University Hospital Pisa Italy

10. Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital Cambridge Biomedical Campus Cambridge UK

11. Department of General Surgery, Department of Biomedical and Clinical Sciences ‘L. Sacco’ University of Milan, ASST Fatebenefratelli Sacco Milan Italy

12. Department of Digestive Oncologic and Metabolic Surgery, Institut Mutualiste Montsouris Paris Descartes University Paris France

13. Department of Surgical, Oncological and Oral Sciences (Di.Chir.On.S.) Paolo Giaccone University Hospital, University of Palermo Palermo Italy

14. Department of General Surgery Università Politecnica Delle Marche Piazza Roma 22 60121 Ancona Italy

15. Unit of Colorectal Surgery, Department of General and Digestive Surgery University Hospital Vall d'Hebron‐Universitat Autonoma de Barcelona Barcelona Spain

16. Department of Digestive Surgical Oncology ‐ Liver Transplantation Unit University Hospital of Besançon Besançon France

17. Department of Digestive and Oncologic Surgery CHU Saint‐Etienne Hospital Nord Saint‐Etienne France

18. Department of Digestive, Oncologic and Metabolic Surgery Ambroise Paré Hospital, AP‐HP. Paris Saclay University Boulogne‐Billancourt France

19. Department of Clinical Medicine and Surgery “Federico II” University of Naples Naples Italy

20. General Surgery Department Azienda Sanitaria Universitaria Friuli Centrale (ASU FC) Udine Italy

21. General and Oncologic Surgical Unit Policlinico San Martino Genoa Italy

22. Emergency Surgery Department IRCCS Azienda Ospedaliero‐Universitaria Di Bologna Bologna Italy

23. Groupe Hospitalier Diaconesses Croix Saint‐Simon 75020 Paris France

24. Colon and Rectal Surgery Unit University of Cagliari Cagliari Italy

25. Division of Abdominal and Transplantation Surgery, Department of Surgery, Faculty of Medicine Geneva University Hospitals 4 Rue Gabrielle‐Perret‐Gentil 1205 Geneva Switzerland

Abstract

AbstractBackgroundThis study aimed to compare the short‐ and long‐term outcomes of robotic (RRC‐IA) versus laparoscopic (LRC‐IA) right colectomy with intracorporeal anastomosis using a propensity score matching (PSM) analysis based on a large European multicentric cohort of patients with nonmetastatic right colon cancer.MethodsElective curative‐intent RRC‐IA and LRC‐IA performed between 2014 and 2020 were selected from the MERCY Study Group database. The two PSM‐groups were compared for operative and postoperative outcomes, and survival rates.ResultsInitially, 596 patients were selected, including 194 RRC‐IA and 402 LRC‐IA patients. After PSM, 298 patients (149 per group) were compared. There was no statistically significant difference between RRC‐IA and LRC‐IA in terms of operative time, intraoperative complication rate, conversion to open surgery, postoperative morbidity (19.5% in RRC‐IA vs. 26.8% in LRC‐IA; p = 0.17), or 5‐yr survival (80.5% for RRC‐IA and 74.7% for LRC‐IA; p = 0.94). R0 resection was obtained in all patients, and > 12 lymph nodes were harvested in 92.3% of patients, without group‐related differences. RRC‐IA procedures were associated with a significantly higher use of indocyanine green fluorescence than LRC‐IA (36.9% vs. 14.1%; OR: 3.56; 95%CI 2.02–6.29; p < 0.0001).ConclusionWithin the limitation of the present analyses, there is no statistically significant difference between RRC‐IA and LRC‐IA performed for right colon cancer in terms of short‐ and long‐term outcomes.

Publisher

Wiley

Subject

Surgery

Link

https://link.springer.com/content/pdf/10.1007/s00268-023-07031-3.pdf

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3. Effect of Laparoscopic Surgery on Health Care Utilization and Costs in Patients Who Undergo Colectomy