Background: This study aimed to compare the short- and long-term outcomes of robotic (RRC-IA) versus laparoscopic (LRC-IA) right colectomy with intracorporeal anastomosis using a propensity score matching (PSM) analysis based on a large European multicentric cohort of patients with nonmetastatic right colon cancer. Methods: Elective curative-intent RRC-IA and LRC-IA performed between 2014 and 2020 were selected from the MERCY Study Group database. The two PSM-groups were compared for operative and postoperative outcomes, and survival rates. Results: Initially, 596 patients were selected, including 194 RRC-IA and 402 LRC-IA patients. After PSM, 298 patients (149 per group) were compared. There was no statistically significant difference between RRC-IA and LRC-IA in terms of operative time, intraoperative complication rate, conversion to open surgery, postoperative morbidity (19.5% in RRC-IA vs. 26.8% in LRC-IA; p = 0.17), or 5-yr survival (80.5% for RRC-IA and 74.7% for LRC-IA; p = 0.94). R0 resection was obtained in all patients, and > 12 lymph nodes were harvested in 92.3% of patients, without group-related differences. RRC-IA procedures were associated with a significantly higher use of indocyanine green fluorescence than LRC-IA (36.9% vs. 14.1%; OR: 3.56; 95%CI 2.02–6.29; p < 0.0001). Conclusion: Within the limitation of the present analyses, there is no statistically significant difference between RRC-IA and LRC-IA performed for right colon cancer in terms of short- and long-term outcomes.

Right Colectomy with Intracorporeal Anastomosis: A European Multicenter Propensity Score Matching Retrospective Study of Robotic Versus Laparoscopic Procedures

de'Angelis N.
Co-primo
;
Carcoforo P.;Aisoni F.
Membro del Collaboration Group
;
Carra M. C.
Membro del Collaboration Group
;
Urbani A.
Membro del Collaboration Group
;
2023

Abstract

Background: This study aimed to compare the short- and long-term outcomes of robotic (RRC-IA) versus laparoscopic (LRC-IA) right colectomy with intracorporeal anastomosis using a propensity score matching (PSM) analysis based on a large European multicentric cohort of patients with nonmetastatic right colon cancer. Methods: Elective curative-intent RRC-IA and LRC-IA performed between 2014 and 2020 were selected from the MERCY Study Group database. The two PSM-groups were compared for operative and postoperative outcomes, and survival rates. Results: Initially, 596 patients were selected, including 194 RRC-IA and 402 LRC-IA patients. After PSM, 298 patients (149 per group) were compared. There was no statistically significant difference between RRC-IA and LRC-IA in terms of operative time, intraoperative complication rate, conversion to open surgery, postoperative morbidity (19.5% in RRC-IA vs. 26.8% in LRC-IA; p = 0.17), or 5-yr survival (80.5% for RRC-IA and 74.7% for LRC-IA; p = 0.94). R0 resection was obtained in all patients, and > 12 lymph nodes were harvested in 92.3% of patients, without group-related differences. RRC-IA procedures were associated with a significantly higher use of indocyanine green fluorescence than LRC-IA (36.9% vs. 14.1%; OR: 3.56; 95%CI 2.02–6.29; p < 0.0001). Conclusion: Within the limitation of the present analyses, there is no statistically significant difference between RRC-IA and LRC-IA performed for right colon cancer in terms of short- and long-term outcomes.
2023
De'Angelis, N.; Piccoli, M.; Casoni Pattacini, G.; Winter, D. C.; Carcoforo, P.; Celentano, V.; Coccolini, F.; Di Saverio, S.; Frontali, A.; Fuks, D.; Genova, P.; Guerrieri, M.; Kraft, M.; Lakkis, Z.; Le Roy, B.; Micelli Lupinacci, R.; Milone, M.; Petri, R.; Scabini, S.; Tonini, V.; Valverde, A.; Zorcolo, L.; Bianchi, G.; Ris, F.; Espin, E.; Aisoni, F.; Denet, C.; Antonot, C.; Vertier, J.; Martinez-Perez, A.; De Palma, G. D.; Orci, L.; Bartoletti, S.; O'Connell, L.; Ortenzi, M.; Pecchini, F.; Paquet, J. -C.; Chiarugi, M.; Tartaglia, D.; Perrotto, O.; Santangelo, A.; Arces, F.; De Rosa, R.; Andolfi, E.; De'Angelis, G. L.; Carra, M. C.; Pecchini, F.; Pellino, G.; Urbani, A.; Vidal, L.; Restivo, A.; Deidda, S.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11392/2535059
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