en
Scientific article
Review
Open access
English

Robotic versus laparoscopic right hemicolectomy : a systematic review of the evidence

Published inJournal of robotic surgery, vol. 18, no. 1, 116
Publication date2024-03-11
First online date2024-03-11
Abstract

Robotics may facilitate the realization of fully minimally invasive right hemicolectomy, including intra-corporeal anastomosis and off-midline extraction, when compared to laparoscopy. Our aim was to compare laparoscopic right hemicolectomy with robotic right hemicolectomy in terms of peri-operative outcomes. MEDLINE was searched for original studies comparing laparoscopic right hemicolectomy with robotic right hemicolectomy in terms of peri-operative outcomes. The systematic review complied with the PRISMA 2020 recommendations. Variables related to patients' demographics, surgical procedures, post-operative recovery and pathological outcomes were collected and qualitatively assessed. Two-hundred and ninety-three publications were screened, 277 were excluded and 16 were retained for qualitative analysis. The majority of included studies were observational and of limited sample size. When the type of anastomosis was left at surgeon's discretion, intra-corporeal anastomosis was favoured in robotic right hemicolectomy (4/4 studies). When compared to laparoscopy, robotics allowed harvesting more lymph nodes (4/15 studies), a lower conversion rate to open surgery (5/14 studies), a shorter time to faeces (2/3 studies) and a shorter length of stay (5/14 studies), at the cost of a longer operative time (13/14 studies). Systematic review of existing studies, which are mostly non-randomized, suggests that robotic surgery may facilitate fully minimally invasive right hemicolectomy, including intra-corporeal anastomosis, and offer improved post-operative recovery.

eng
Keywords
  • Colon cancer
  • Colorectal cancer
  • Da Vinci
  • MIS
  • RHC
  • Robotic surgery
  • Humans
  • Robotic Surgical Procedures / methods
  • Colonic Neoplasms / surgery
  • Colectomy / methods
  • Robotics
  • Laparoscopy / methods
  • Anastomosis, Surgical / methods
  • Operative Time
  • Treatment Outcome
  • Retrospective Studies
Citation (ISO format)
MEYER, Jeremy et al. Robotic versus laparoscopic right hemicolectomy : a systematic review of the evidence. In: Journal of robotic surgery, 2024, vol. 18, n° 1, p. 116. doi: 10.1007/s11701-024-01862-5
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Article (Published version)
Identifiers
ISSN of the journal1863-2483
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