COMPARISON OF POSTOPERATIVE AND ONCOLOGICAL OUTCOMES IN ROBOTIC AND OPEN RIGHT COLECTOMY FOR COLON CANCER

Sercan Yüksel; Uğur Topal; Ece Batur; Anıl Demir; İsmail Çalıkoğlu; Erdal Karaköse; Erdal Ercan; Zafer Teke; Hasan Bektaş

Article Details

COMPARISON OF POSTOPERATIVE AND ONCOLOGICAL OUTCOMES IN ROBOTIC AND OPEN RIGHT COLECTOMY FOR COLON CANCER

Authors:

Sercan Yüksel | Uğur Topal | Ece Batur | Anıl Demir | İsmail Çalıkoğlu | Erdal Karaköse | Erdal Ercan | Zafer Teke | Hasan Bektaş

Publisher:

Istanbul University

Main Topics:

Sağlık Hizmetleri ve Sistemleri (Diğer)

Journal:

İstanbul Tıp Fakültesi Dergisi Vol.86 Issue 3, pp.185-191

Document Type:

Article

Publication Date:

10/2023

Document Language:

English

Document ID (Org No.):

2001293739

pISSN:

1305-6441

Keywords:

Abstract:

 Objective:This study aims to compare the short-term outcomes of robotic right hemicolectomy for right sided colon cancer to those of conventional open right hemicolectomy. Material and Method:Patients who underwent surgical treatment for right sided colorectal cancer between 2020 and 2022 were included in the study. Patients had been divided into 2 groups: Group1, who underwent conventional surgery, and Group2, who underwent robotic surgery.Clinical data and peropative findings of patients were compared between the groups. Result:A total of 51 patients participated in our study. Group1 consisted of 39 patients and Group2 consisted of 12 patients. The mean age was 60.7 vs. 62.3 p0.773. No conversions or intraoperative complications occurred. Extended right hemicolectomy was performed in 23.1 vs. 8.36 p0.083. The operation time was longer in Group2 2.84 vs. 3.04,p0.023. One patient in Group 1 underwent reoperation for ileus during the postoperative period. T3 stage tumors 48.7 vs. 50,p0.794 and N0 lymph node metastasis 38.5 vs. 41.7,p0.827 were detected most frequently. The total number of lymph nodes dissected was 37.2 vs. 41.9 p0.179. The number of malignant lymph nodes was 2.54 vs. 6.42 p0.881. The most common Clavien-Dindo score was 1 in both groups 79.5 vs. 83.3,p0.339. The length of stay was similar between the groups 6.38 vs. 5.92, p0.156. Readmission occurred in 6 patients in Group1, with reasons being anastomotic leakage, ileus, and general condition disorder. Conclusion:Our experience shows the feasibility and safety of robotic surgery for the treatment of right sided colonic cancer. This method has provided satisfactory short-term outcomes.

 Objective:This study aims to compare the short-term outcomes of robotic right hemicolectomy for right sided colon cancer to those of conventional open right hemicolectomy. Material and Method:Patients who underwent surgical treatment for right sided colorectal cancer between 2020 and 2022 were included in the study. Patients had been divided into 2 groups: Group1, who underwent conventional surgery, and Group2, who underwent robotic surgery.Clinical data and peropative findings of patients were compared between the groups. Result:A total of 51 patients participated in our study. Group1 consisted of 39 patients and Group2 consisted of 12 patients. The mean age was 60.7 vs. 62.3 p0.773. No conversions or intraoperative complications occurred. Extended right hemicolectomy was performed in 23.1 vs. 8.36 p0.083. The operation time was longer in Group2 2.84 vs. 3.04,p0.023. One patient in Group 1 underwent reoperation for ileus during the postoperative period. T3 stage tumors 48.7 vs. 50,p0.794 and N0 lymph node metastasis 38.5 vs. 41.7,p0.827 were detected most frequently. The total number of lymph nodes dissected was 37.2 vs. 41.9 p0.179. The number of malignant lymph nodes was 2.54 vs. 6.42 p0.881. The most common Clavien-Dindo score was 1 in both groups 79.5 vs. 83.3,p0.339. The length of stay was similar between the groups 6.38 vs. 5.92, p0.156. Readmission occurred in 6 patients in Group1, with reasons being anastomotic leakage, ileus, and general condition disorder. Conclusion:Our experience shows the feasibility and safety of robotic surgery for the treatment of right sided colonic cancer. This method has provided satisfactory short-term outcomes.

 Objective:This study aims to compare the short-term outcomes of robotic right hemicolectomy for right sided colon cancer to those of conventional open right hemicolectomy. Material and Method:Patients who underwent surgical treatment for right sided colorectal cancer between 2020 and 2022 were included in the study. Patients had been divided into 2 groups: Group1, who underwent conventional surgery, and Group2, who underwent robotic surgery.Clinical data and peropative findings of patients were compared between the groups. Result:A total of 51 patients participated in our study. Group1 consisted of 39 patients and Group2 consisted of 12 patients. The mean age was 60.7 vs. 62.3 p0.773. No conversions or intraoperative complications occurred. Extended right hemicolectomy was performed in 23.1 vs. 8.36 p0.083. The operation time was longer in Group2 2.84 vs. 3.04,p0.023. One patient in Group 1 underwent reoperation for ileus during the postoperative period. T3 stage tumors 48.7 vs. 50,p0.794 and N0 lymph node metastasis 38.5 vs. 41.7,p0.827 were detected most frequently. The total number of lymph nodes dissected was 37.2 vs. 41.9 p0.179. The number of malignant lymph nodes was 2.54 vs. 6.42 p0.881. The most common Clavien-Dindo score was 1 in both groups 79.5 vs. 83.3,p0.339. The length of stay was similar between the groups 6.38 vs. 5.92, p0.156. Readmission occurred in 6 patients in Group1, with reasons being anastomotic leakage, ileus, and general condition disorder. Conclusion:Our experience shows the feasibility and safety of robotic surgery for the treatment of right sided colonic cancer. This method has provided satisfactory short-term outcomes.

 Amaç: Bu çalışma, sağ kolon kanseri için robotik sağ hemikolektominin kısa vadeli sonuçlarını konvansiyonel sağ hemikolektomiyle karşılaştırmayı amaçlamaktadır. Gereç ve Yöntem: 2020-2022 yılları arasında sağ taraf yerleşimli kolorektal kanser nedeniyle cerrahi tedavi uygulanan hastalar çalışmaya dahil edildi. Hastalar konvansiyonel cerrahi geçirenler Grup 1, robotik cerrahi uygulananlar Grup 2 olmak üzere 2 gruba ayrıldı. Bu gruplarda hastalara ait klinik veriler ve peroperatif sonuçlar karşılaştırıldı. Bulgular: Çalışmamıza 51 hasta katıldı. Grup 1 39 hastadan, Grup 2 12 hastadan oluşuyordu. Yaş ortalaması 60,7 ve 62,3 p0,773 idi. Hiçbir dönüşüm veya intraoperatif komplikasyon oluşmadı. Genişletilmiş sağ hemikolektomi 23,1 ve 8,36 p0,083 oranında uygulandı. Operasyon süresi Grup 2de uzundu 2,84 ve 3,04 p0,023. Grup 1de bir hasta postoperatif dönemde ileus nedeniyle tekrar ameliyat edildi. En sık T3 evre tümörler 48,7 ve 50, p0,794 ve N0 38,5 ve 41,7, p0,827 saptanmıştı. Lenf nodu diseksiyonu sayıları total lenf nodları 37,2 ve 41,9 p0,179 ve malign nodlar 2,54 ve 6,42 p0,881 idi. En sık görülen Clavien-Dindo skoru her iki grupta da 1 idi 79,5 ve 83,3, p0,339. Yatış süresi gruplarda benzerdi 6,38 ve 5,92, p0,156. Grup 1de 6 hastada hastaneye tekrar başvuru görüldü. Başvuru sebepleri anastomoz kaçağı, ileus ve genel durum bozukluğu idi. Sonuç: Deneyimlerimiz sağ kolon kanserinin tedavisi için robotik cerrahinin fizibilitesini ve güvenliğini doğrulamaktadır. Bu yöntem tatmin edici kısa vadeli sonuçlar sağlamıştır.

Article Details

COMPARISON OF POSTOPERATIVE AND ONCOLOGICAL OUTCOMES IN ROBOTIC AND OPEN RIGHT COLECTOMY FOR COLON CANCER

Authors:

Sercan Yüksel | Uğur Topal | Ece Batur | Anıl Demir | İsmail Çalıkoğlu | Erdal Karaköse | Erdal Ercan | Zafer Teke | Hasan Bektaş

Publisher:

Istanbul University

Main Topics:

Sağlık Hizmetleri ve Sistemleri (Diğer)

Journal:

İstanbul Tıp Fakültesi Dergisi Vol.86 Issue 3, pp.185-191

Document Type:

Article

Publication Date:

10/2023

Document Language:

English

Document ID (Org No.):

2001293739

pISSN:

1305-6441

Colorectal cancer

Robotic surgery

Right colectomy

Postoperative complications

Oncologic outcomesKolorektal kanser

robotik cerrahi

sağ kolektomi

postoperatif komplikasyon

onkolojik sonuçlar

Issues

Article Details

Authors: Sercan Yüksel | Uğur Topal | Ece Batur | Anıl Demir | İsmail Çalıkoğlu | Erdal Karaköse | Erdal Ercan | Zafer Teke | Hasan Bektaş

Publisher: Istanbul University

Main Topics: Sağlık Hizmetleri ve Sistemleri (Diğer)

Journal: İstanbul Tıp Fakültesi Dergisi Vol.86 Issue 3, pp.185-191

Document Type: Article

Publication Date: 10/2023

Document Language: English

Document ID (Org No.): 2001293739

pISSN: 1305-6441

Issues

Authors:

Sercan Yüksel | Uğur Topal | Ece Batur | Anıl Demir | İsmail Çalıkoğlu | Erdal Karaköse | Erdal Ercan | Zafer Teke | Hasan Bektaş

Publisher:

Istanbul University

Main Topics:

Sağlık Hizmetleri ve Sistemleri (Diğer)

Journal:

İstanbul Tıp Fakültesi Dergisi Vol.86 Issue 3, pp.185-191

Document Type:

Article

Publication Date:

10/2023

Document Language:

English

Document ID (Org No.):

2001293739

pISSN:

1305-6441