Journal of Istanbul Faculty of Medicine

SUBMITINFORMATION
EnglishTürkçe

Research Article


DOI :10.26650/IUITFD.1280696   IUP :10.26650/IUITFD.1280696    Full Text (PDF)

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

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 two groups: Group 1, who underwent conventional surgery, and Group 2, who underwent robotic surgery. Clinical data and preoperative findings of patients were compared between the groups.

Result: A total of 51 patients participated in our study. Group 1 consisted of 39 patients and Group 2 consisted of 12 patients. The mean age was 60.7 vs. 62.3 (p=0.773). No conversions or intraoperative complications occurred. Extended right hemicolectomy was performed in 23.1% vs. 8.36% (p=0.083). The operation time was longer in Group 2 (2.84 vs. 3.04, p=0.023). One patient in Group 1 underwent reoperation for ileus during the postoperative period. T3-stage tumors (48.7% vs. 50%, p=0.794) and N0 lymph node metastasis (38.5% vs. 41.7%, p=0.827) were detected most frequently. The total number of lymph nodes dissected was 37.2 vs. 41.9 (p=0.179). The number of malignant lymph nodes was 2.54 vs. 6.42 (p=0.881). The most common Clavien-Dindo score was 1 in both groups (79.5% vs. 83.3%, p=0.339). The length of stay was similar between the groups (6.38 vs. 5.92, p=0.156). Readmission occurred in 6 patients in Group 1, 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 colon cancer. This method has provided satisfactory short-term outcomes.

Keywords: Colorectal cancer, robotic surgery, right colectomy, postoperative complications, oncologic outcomes
DOI :10.26650/IUITFD.1280696   IUP :10.26650/IUITFD.1280696    Full Text (PDF)

KOLON KANSERİNDE ROBOTİK VE AÇIK SAĞ KOLEKTOMİNİN POSTOPERATİF VE ONKOLOJİK SONUÇLARININ KARŞILAŞTIRILMASI

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

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 p=0,773) idi. Hiçbir dönüşüm veya intraoperatif komplikasyon oluşmadı. Genişletilmiş sağ hemikolektomi (%23,1 ve %8,36 p=0,083) oranında uygulandı. Operasyon süresi Grup 2'de uzundu (2,84 ve 3,04 p=0,023). Grup 1’de bir hasta postoperatif dönemde ileus nedeniyle tekrar ameliyat edildi. En sık T3 evre tümörler (%48,7 ve %50, p=0,794) ve N0 (%38,5 ve %41,7, p=0,827) saptanmıştı. Lenf nodu diseksiyonu sayıları total lenf nodları 37,2 ve 41,9 (p=0,179) ve malign nodlar 2,54 ve 6,42 (p=0,881) idi. En sık görülen Clavien-Dindo skoru her iki grupta da 1 idi (%79,5 ve %83,3, p=0,339). Yatış süresi gruplarda benzerdi (6,38 ve 5,92, p=0,156). Grup 1'de 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. 

Keywords: Kolorektal kanser, robotik cerrahi, sağ kolektomi, postoperatif komplikasyon, onkolojik sonuçlar

PDF View

References

  • Zelhart M, Kaiser AM. Robotic versus laparoscopic versus open colorectal surgery: towards defining criteria to the right choice. Surg Endosc 2018;32(1):24-38. [CrossRef] google scholar
  • Xi Y, Xu P. Global colorectal cancer burden in 2020 and projections to 2040. Transl Oncol 2021;14(10):101174. [CrossRef] google scholar
  • Rausa E, Kelly ME, Asti E, Aiolfi A, Bonitta G, Bonavina L. Right hemicolectomy: a network meta-analysis comparing open, laparoscopic-assisted, total laparoscopic, and robotic approach. Surg Endosc 2019;33(4):1020-32. [CrossRef] google scholar
  • Green BL, Marshall HC, Collinson F, Quirke P, Guillou P, Jayne DG, et al. Long-term follow-up of the Medical Research Council CLASICC trial of conventional versus laparoscopically assisted resection in colorectal cancer. Br J Surg 2013;100(1):75-82. [CrossRef] google scholar
  • Colon Cancer Laparoscopic or Open Resection Study Group. Survival after laparoscopic surgery versus open surgery for colon cancer: long-term outcome of a randomised clinical trial. Lancet Oncol 2009;10(1):44-52. [CrossRef] google scholar
  • Spinoglio G, Marano A, Bianchi PP, Priora F, Lenti LM, Ravazzoni F, et al. Robotic Right Colectomy with Modified Complete Mesocolic Excision: Long-Term Oncologic Outcomes. Ann Surg Oncol 2016;23(Suppl 5):684-91. [CrossRef] google scholar
  • Hannan E, Feeney G, Ullah MF, Ryan C, McNamara E, Waldron D, et al. Robotic versus laparoscopic right hemicolectomy: a case-matched study. J Robot Surg 2022;16(3):641-7. [CrossRef] google scholar
  • Tan A, Ashrafian H, Scott AJ, Mason SE, Harling L, Athanasiou T, et al. Robotic surgery: disruptive innovation or unfulfilled promise? A systematic review and metaanalysis of the first 30 years. Surg Endosc 2016;30(10):4330- 52. [CrossRef] google scholar
  • Weiser MR. AJCC 8th Edition: Colorectal Cancer. Ann Surg Oncol 2018;25(6):1454-5. [CrossRef] google scholar
  • American College of Surgeons. User guide for the 2012 ACS NSQIP participant use data file (PUF). Chicago: 014 Jan. Available from: URL: https://www.facs.org/media/ r23m4qap/acsnsqip2012ptpuf-userguide. google scholar
  • Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 2004;240(2):205-13. [CrossRef] google scholar
  • Bertelsen CA, Neuenschwander AU, Jansen JE, Kirkegaard- Klitbo A, Tenma JR, Wilhelmsen M, et al. Short-term outcomes after complete mesocolic excision compared with ‘conventional’ colonic cancer surgery. Br J Surg 2016;103(5):581-9. [CrossRef] google scholar
  • Gavriilidis P, Davies RJ, Biondi A, Wheeler J, Testini M, Carcano G, et al. Laparoscopic versus open complete mesocolic excision: a systematic review by updated metaanalysis. Updates Surg 2020;72(3):639-48. [CrossRef] google scholar
  • Negoi I, Hostiuc S, Negoi RI, Beuran M. Laparoscopic vs open complete mesocolic excision with central vascular ligation for colon cancer: A systematic review and meta-analysis. World J Gastrointest Oncol 2017;9(12):475-91. [CrossRef] google scholar
  • Larach JT, Flynn J, Wright T, Rajkomar AKS, McCormick JJ, Kong J, et al. Robotic complete mesocolic excision versus conventional robotic right colectomy for rightsided colon cancer: a comparative study of perioperative outcomes. Surg Endosc 2022;36(3):2113-20. [CrossRef] google scholar
  • Hirschburger M, Schneider R, Kraenzlein S, Padberg W, Hecker A, Reichert M. Right colectomy from open to robotic - a single-center experience with functional outcomes in a learning-curve setting. Langenbecks Arch Surg 2022;407(7):2915-27. [CrossRef] google scholar
  • Quirke P, West N. Quality of surgery: has the time come for colon cancer? Lancet Oncol 2015;16(2):121-2. [CrossRef] google scholar
  • West NP, Hohenberger W, Weber K, Perrakis A, Finan PJ, Quirke P. Complete mesocolic excision with central vascular ligation produces an oncologically superior specimen compared with standard surgery for carcinoma of the colon. J Clin Oncol 2010;28(2):272-8. [CrossRef] google scholar
  • Kelley SR, Duchalais E, Larson DW. Robotic right colectomy with intracorporeal anastomosis for malignancy. J Robot Surg 2018;12(3):461-6. [CrossRef] google scholar
  • Keller DS, Senagore AJ, Lawrence JK, Champagne BJ, Delaney CP. Comparative effectiveness of laparoscopic versus robot-assisted colorectal resection. Surg Endosc 2014;28(1):212-21. [CrossRef] google scholar
  • Huscher CGS, Lazzarin G, Marchegiani F, Marks J. Robotic right colectomy with robotic-sewn anastomosis: a pilot case series. J Robot Surg 2023;17(2):427-34. [CrossRef] google scholar

Citations

Copy and paste a formatted citation or use one of the options to export in your chosen format


EXPORT



APA

Yüksel, S., Topal, U., Batur, E., Demir, A., Çalıkoğlu, İ., Karaköse, E., Ercan, E., Teke, Z., & Bektaş, H. (2023). COMPARISON OF POSTOPERATIVE AND ONCOLOGICAL OUTCOMES IN ROBOTIC AND OPEN RIGHT COLECTOMY FOR COLON CANCER. Journal of Istanbul Faculty of Medicine, 86(3), 185-191. https://doi.org/10.26650/IUITFD.1280696


AMA

Yüksel S, Topal U, Batur E, Demir A, Çalıkoğlu İ, Karaköse E, Ercan E, Teke Z, Bektaş H. COMPARISON OF POSTOPERATIVE AND ONCOLOGICAL OUTCOMES IN ROBOTIC AND OPEN RIGHT COLECTOMY FOR COLON CANCER. Journal of Istanbul Faculty of Medicine. 2023;86(3):185-191. https://doi.org/10.26650/IUITFD.1280696


ABNT

Yüksel, S.; Topal, U.; Batur, E.; Demir, A.; Çalıkoğlu, İ.; Karaköse, E.; Ercan, E.; Teke, Z.; Bektaş, H. COMPARISON OF POSTOPERATIVE AND ONCOLOGICAL OUTCOMES IN ROBOTIC AND OPEN RIGHT COLECTOMY FOR COLON CANCER. Journal of Istanbul Faculty of Medicine, [Publisher Location], v. 86, n. 3, p. 185-191, 2023.


Chicago: Author-Date Style

Yüksel, Sercan, and Uğur Topal and Ece Batur and Anıl Demir and İsmail Çalıkoğlu and Erdal Karaköse and Erdal Ercan and Zafer Teke and Hasan Bektaş. 2023. “COMPARISON OF POSTOPERATIVE AND ONCOLOGICAL OUTCOMES IN ROBOTIC AND OPEN RIGHT COLECTOMY FOR COLON CANCER.” Journal of Istanbul Faculty of Medicine 86, no. 3: 185-191. https://doi.org/10.26650/IUITFD.1280696


Chicago: Humanities Style

Yüksel, Sercan, and Uğur Topal and Ece Batur and Anıl Demir and İsmail Çalıkoğlu and Erdal Karaköse and Erdal Ercan and Zafer Teke and Hasan Bektaş. “COMPARISON OF POSTOPERATIVE AND ONCOLOGICAL OUTCOMES IN ROBOTIC AND OPEN RIGHT COLECTOMY FOR COLON CANCER.” Journal of Istanbul Faculty of Medicine 86, no. 3 (Apr. 2025): 185-191. https://doi.org/10.26650/IUITFD.1280696


Harvard: Australian Style

Yüksel, S & Topal, U & Batur, E & Demir, A & Çalıkoğlu, İ & Karaköse, E & Ercan, E & Teke, Z & Bektaş, H 2023, 'COMPARISON OF POSTOPERATIVE AND ONCOLOGICAL OUTCOMES IN ROBOTIC AND OPEN RIGHT COLECTOMY FOR COLON CANCER', Journal of Istanbul Faculty of Medicine, vol. 86, no. 3, pp. 185-191, viewed 2 Apr. 2025, https://doi.org/10.26650/IUITFD.1280696


Harvard: Author-Date Style

Yüksel, S. and Topal, U. and Batur, E. and Demir, A. and Çalıkoğlu, İ. and Karaköse, E. and Ercan, E. and Teke, Z. and Bektaş, H. (2023) ‘COMPARISON OF POSTOPERATIVE AND ONCOLOGICAL OUTCOMES IN ROBOTIC AND OPEN RIGHT COLECTOMY FOR COLON CANCER’, Journal of Istanbul Faculty of Medicine, 86(3), pp. 185-191. https://doi.org/10.26650/IUITFD.1280696 (2 Apr. 2025).


MLA

Yüksel, Sercan, and Uğur Topal and Ece Batur and Anıl Demir and İsmail Çalıkoğlu and Erdal Karaköse and Erdal Ercan and Zafer Teke and Hasan Bektaş. “COMPARISON OF POSTOPERATIVE AND ONCOLOGICAL OUTCOMES IN ROBOTIC AND OPEN RIGHT COLECTOMY FOR COLON CANCER.” Journal of Istanbul Faculty of Medicine, vol. 86, no. 3, 2023, pp. 185-191. [Database Container], https://doi.org/10.26650/IUITFD.1280696


Vancouver

Yüksel S, Topal U, Batur E, Demir A, Çalıkoğlu İ, Karaköse E, Ercan E, Teke Z, Bektaş H. COMPARISON OF POSTOPERATIVE AND ONCOLOGICAL OUTCOMES IN ROBOTIC AND OPEN RIGHT COLECTOMY FOR COLON CANCER. Journal of Istanbul Faculty of Medicine [Internet]. 2 Apr. 2025 [cited 2 Apr. 2025];86(3):185-191. Available from: https://doi.org/10.26650/IUITFD.1280696 doi: 10.26650/IUITFD.1280696


ISNAD

Yüksel, Sercan - Topal, Uğur - Batur, Ece - Demir, Anıl - Çalıkoğlu, İsmail - Karaköse, Erdal - Ercan, Erdal - Teke, Zafer - Bektaş, Hasan. “COMPARISON OF POSTOPERATIVE AND ONCOLOGICAL OUTCOMES IN ROBOTIC AND OPEN RIGHT COLECTOMY FOR COLON CANCER”. Journal of Istanbul Faculty of Medicine 86/3 (Apr. 2025): 185-191. https://doi.org/10.26650/IUITFD.1280696



TIMELINE


Submitted13.04.2023
Accepted24.06.2023
Published Online25.07.2023

LICENCE


Attribution-NonCommercial (CC BY-NC)

This license lets others remix, tweak, and build upon your work non-commercially, and although their new works must also acknowledge you and be non-commercial, they don’t have to license their derivative works on the same terms.


SHARE




Istanbul University Press aims to contribute to the dissemination of ever growing scientific knowledge through publication of high quality scientific journals and books in accordance with the international publishing standards and ethics. Istanbul University Press follows an open access, non-commercial, scholarly publishing.