Robotic versus laparoscopic right colectomy for colon cancer: a systematic review and meta-analysis

Jian-Chun Zheng; Shuai Zhao; Wei Chen; Jian-Xiang Wu

doi:10.5114/wiitm.2022.120960

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General surgery

abstract:

Meta-analysis

Robotic versus laparoscopic right colectomy for colon cancer: a systematic review and meta-analysis

Jian-Chun Zheng

¹

,

Shuai Zhao

²

,

Wei Chen

¹

,

Jian-Xiang Wu

¹

Department of Emergency, The Second Hospital of Jiaxing, The Second Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang Province, China
Northern Jiangsu People’s Hospital, Medical School of Nanjing University, Yangzhou, Jiangsu Province, China

Videosurgery Miniinv 2023; 18 (1): 20–30

DOI: https://doi.org/10.5114/wiitm.2022.120960

Online publish date: 2022/11/08

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Introduction
The aim of the study was to compare the short-term surgical outcomes of robotic right colectomy (RRC) with laparoscopic right colectomy (LRC) for colon cancer, to evaluate the safety and feasibility of the robotic surgery system.

Material and methods
A systematic literature review was conducted using the PubMed, Web of Science, Embase, and Cochrane Library databases regarding the comparison of RRC vs. LRC for colon cancer in the last 5 years. Studies were included as per the PICOS criteria, and relevant event data were extracted.

Results
Fifteen studies (RRC: 1116 patients; LRC: 4036 patients) were evaluated. RRC demonstrated lower conversion to laparotomy (p = 0.03) and shorter length of hospital stay (p = 0.01), compared with LRC. However, operation times were longer in RRC than in LRC (p < 0.001). The estimated blood loss, retrieved lymph nodes, and overall postoperative complications were similar between RRC and LRC (p > 0.05).

Conclusions
RRC can be regarded as a feasible and safe technique for colon cancer.

keywords:

Robotic versus laparoscopic right colectomy for colon cancer: a systematic review and meta-analysis

Jian-Chun Zheng 1 , Shuai Zhao 2 , Wei Chen 1 , Jian-Xiang Wu 1

colon cancer, right colectomy, robotic, laparoscopic, meta-analysis

Jian-Chun Zheng

¹

,

Shuai Zhao

²

,

Wei Chen

¹

,

Jian-Xiang Wu

¹