Randomized clinical trial of robot-assisted versus standard laparoscopic right colectomy
Top Cited Papers
- 2 August 2012
- journal article
- research article
- Published by Oxford University Press (OUP) in British Journal of Surgery
- Vol. 99 (9), 1219-1226
- https://doi.org/10.1002/bjs.8841
Abstract
Background: Robotic surgery was invented to overcome the demerits of laparoscopic technique. However, it is unclear whether robot‐assisted colectomy (RAC) has significant clinical advantages over laparoscopically assisted colectomy (LAC) in treating colonic cancer. The aim of this study was to compare the surgical outcomes of RAC versus LAC for right‐sided colonic cancer. Methods: Patients with right‐sided colonic cancer were randomized to receive RAC or LAC. The primary outcome measure was length of hospital stay. Secondary outcomes were duration of operation, morbidity, postoperative pain, hospital costs and pathological quality of the specimen. Results: Of 71 patients randomized, 70 (35 in each group) were included in the analysis. Hospital stay, surgical complications, postoperative pain score, resection margin clearance and number of lymph nodes harvested were similar in both groups. The duration of surgery was longer in the RAC group (195 versus 130 min; P < 0·001). No conversion to open surgery was needed in either group. Overall hospital costs were significantly higher for RAC (US $ 12 235 versus $ 10 320; P = 0·013); the higher costs were attributed primarily to the costs of surgery, including consumables. Conclusion: Robotic‐assisted laparoscopic right colectomy was feasible but provided no benefit to justify the greater cost. Registration number: NCT01042743 (http://www.clinicaltrials.gov). Copyright © 2012 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Keywords
This publication has 21 references indexed in Scilit:
- Natural orifice specimen extraction versus conventional laparoscopically assisted right hemicolectomyBritish Journal of Surgery, 2011
- Clinical Outcome of Laparoscopic Right Hemicolectomy With Transvaginal Resection, Anastomosis, and Retrieval of SpecimenDiseases of the Colon & Rectum, 2010
- Lymph Node Metastasis Patterns in Right-Sided Colon Cancers: Is Segmental Resection of These Tumors Oncologically Safe?Annals of Surgical Oncology, 2009
- Survival after laparoscopic surgery versus open surgery for colon cancer: long-term outcome of a randomised clinical trialThe Lancet Oncology, 2008
- Randomized Trial of Laparoscopic-Assisted Resection of Colorectal Carcinoma: 3-Year Results of the UK MRC CLASICC Trial GroupJournal of Clinical Oncology, 2007
- Evaluation of the Learning Curve in Laparoscopic Colorectal SurgeryAnnals of Surgery, 2005
- Robot-Assisted Endoscopic Surgery: A Four-Year Single-Center ExperienceDigestive Surgery, 2005
- Laparoscopic resection of rectosigmoid carcinoma: prospective randomised trialThe Lancet, 2004
- Defining a learning curve for laparoscopic colorectal resectionsDiseases of the Colon & Rectum, 2001
- Laparoscopic Colorectal Surgery: Ascending the Learning CurveWorld Journal of Surgery, 1996