Laparoscopic vs. Robotic Colorectal Surgery: A Single- Center Experience

Giuseppe Palomba1*, Pietro Anoldo1, Mario Palumbo1, Pierluigi Aprea1, Marco Milone2, Giovanni Domenico De Palma2 and Giovanni Aprea1

1Department of Clinical Medicine and Surgery, Federico II University of Naples, Italy
2Department of Surgical Specialties and Nephrology, Federico II University of Naples, Italy

^*Correspondance to: Giuseppe Palomba 

 PDF  Full Text DOI: 10.25107/2474-1647.2781

Abstract

Background: Colorectal cancer is a tumor with a great socio-sanitary relevance; in the United States it represents the third, by incidence and mortality, after breast and lung cancer in women and prostate and lung cancer in men. Adjuvant chemotherapy in colon cancer, radiotherapy, and introduction of the total mesorectal excision technique in rectal cancer have increased survival, especially in patients with stage III tumors. The robotic technique is considered by many to be the evolution of the laparoscopic technique, as it maintains its advantages related to the miniinvasiveness and oncological results trying to overcome its technical limits. Materials and Methods: We conducted a retrospective study of 68 patients who underwent robotic and laparoscopic colectomies (20 and 48, respectively) at our institution (Department of Endoscopic Surgery, Gastroenterology and Endocrinology, Federico II University Hospital Federico II, Naples) between January 2018 and January 2020. For statistical analysis, the P values were calculated using the T test and the chi-square test. The P<0.05 is the criterion for statistical significance. All statistical analyzes were performed with the Number Cruncher Statistical System (NCSS) 2020 data analysis version 20.0.1 (Utah, USA). Results: Conversion rate, recovery of bowel function, blood loss, complications and oncological results had not statistically significant differences between two techniques. Instead, the robotic technique was more expensive and, above all, we highlighted greater operating times. Conclusion: In our experience we can consider colorectal robotic surgery, a feasible, safe technique; with the same oncological outcomes taking into account both the greater costs and the greater operating times, associated to the greater anesthesiological risks.

Keywords

Colorectal cancer; Laparoscopic surgery; Robotic surgery; Colorectal surgery

Cite the article

Palomba G, Anoldo P, Palumbo M, Aprea P, Milone M, et al. Laparoscopic vs. Robotic Colorectal Surgery: A Single-Center Experience. Clin Surg. 2020; 5: 2781.