학술논문
Right Colectomy with Intracorporeal Anastomosis: A European Multicenter Propensity Score Matching Retrospective Study of Robotic Versus Laparoscopic Procedures.
Document Type
Article
Author
de'Angelis, Nicola; Piccoli, Micaela; Casoni Pattacini, Gianmaria; Winter, Des C.; Carcoforo, Paolo; Celentano, Valerio; Coccolini, Federico; Di Saverio, Salomone; Frontali, Alice; Fuks, David; Genova, Pietro; Guerrieri, Mario; Kraft, Miquel; Lakkis, Zaher; Le Roy, Bertrand; Micelli Lupinacci, Renato; Milone, Marco; Petri, Roberto; Scabini, Stefano; Tonini, Valeria
Source
Subject
*RIGHT hemicolectomy
*COLECTOMY
*PROPENSITY score matching
*SURGICAL complications
*LAPAROSCOPIC surgery
*COLON cancer
*INDOCYANINE green
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Language
ISSN
0364-2313
Abstract
Background: This 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. Methods: Elective 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. Results: Initially, 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). Conclusion: Within 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. [ABSTRACT FROM AUTHOR]