- İstanbul Tıp Fakültesi Dergisi
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- COMPARISON OF POSTOPERATIVE AND ONCOLOGICAL OUTCOMES IN ROBOTIC AND OPEN RIGHT COLECTOMY FOR COLON C...
COMPARISON OF POSTOPERATIVE AND ONCOLOGICAL OUTCOMES IN ROBOTIC AND OPEN RIGHT COLECTOMY FOR COLON CANCER
Authors : Sercan Yüksel, Uğur Topal, Ece Batur, Anıl Demir, Ismail Çalikoğlu, Erdal Karaköse, Erdal Ercan, Zafer Teke, Hasan Bektaş
Pages : 185-191
Doi:10.26650/IUITFD.1280696
View : 211 | Download : 221
Publication Date : 2023-10-26
Article Type : Research
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 (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 Group2 (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 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.Keywords : Kolorektal kanser, robotik cerrahi, sağ kolektomi, postoperatif komplikasyon, onkolojik sonuçlar