scholarly journals Robotic right colectomy: A worthwhile procedure? Results of a meta-analysis of trials comparing robotic versus laparoscopic right colectomy

2015 ◽  
Vol 11 (1) ◽  
pp. 22 ◽  
Author(s):  
Niccolή Petrucciani ◽  
Dario Sirimarco ◽  
GiuseppeR Nigri ◽  
Paolo Magistri ◽  
Marco La Torre ◽  
...  
Keyword(s):  
Meta Analysis ◽  
Right Colectomy ◽  
Laparoscopic Right Colectomy ◽  
Robotic Right Colectomy

scholarly journals Advantages of robotic right colectomy over laparoscopic right colectomy beyond the learning curve: a systematic review and meta-analysis

2020 ◽  
Vol 5 ◽  
pp. 33-33
Author(s):  
Lelde Lauka ◽  
Francesco Brunetti ◽  
Nassiba Beghdadi ◽  
Margherita Notarnicola ◽  
Daniele Sommacale ◽  
...  
Keyword(s):  
Systematic Review ◽  
Learning Curve ◽  
Meta Analysis ◽  
Right Colectomy ◽  
Laparoscopic Right Colectomy ◽  
Robotic Right Colectomy

scholarly journals Ileo-colic intra-corporeal anastomosis during robotic right colectomy: a systematic literature review and meta-analysis of different techniques

2021 ◽  
Author(s):  
Simone Guadagni ◽  
Matteo Palmeri ◽  
Matteo Bianchini ◽  
Desirée Gianardi ◽  
Niccolò Furbetta ◽  
...  
Keyword(s):  
Double Layer ◽  
Meta Analysis ◽  
Single Layer ◽  
Right Colectomy ◽  
Layer Versus ◽  
Bleeding Rate ◽  
Common Technique ◽  
Technical Details ◽  
Robotic Right Colectomy ◽  
Mechanical Anastomosis

Abstract Purpose Robotic assistance could increase the rate of ileo-colic intra-corporeal anastomosis (ICA) during robotic right colectomy (RRC). However, although robotic ICA can be accomplished with several different technical variants, it is not clear whether some of these technical details should be preferred. An evaluation of the possible advantage of one respect to another would be useful. Methods We conducted a systematic review of literature on technical details of robotic ileo-colic ICA, from which we performed a meta-analysis of clinical outcomes. The extracted data allowed a comparative analysis regarding the outcome of overall complication (OC), bleeding rate (BR) and leakage rate (LR), between (1) mechanical anastomosis with robotic stapler, versus laparoscopic stapler, versus totally hand-sewn anastomosis and (2) closure of enterocolotomy with manual double layer, versus single layer, versus stapled. Results A total of 30 studies including 2066 patients were selected. Globally, the side-to-side, isoperistaltic anastomosis, realized with laparoscopic staplers, and double-layer closure for enterocolotomy, is the most common technique used. According to the meta-analysis, the use of robotic stapler was significantly associated with a reduction of the BR with respect to mechanical anastomosis with laparoscopic stapler or totally hand-sewn anastomosis. None of the other technical aspects significantly influenced the outcomes. Conclusions ICA fashioning during RRC can be accomplished with several technical variants without evidence of a clear superiority of anyone of these techniques. Although the use of robotic staplers could be associated with some benefits, further studies are necessary to draw conclusions.

Laparoscopic versus robotic right colectomy with extra-corporeal or intra-corporeal anastomosis: a systematic review and meta-analysis

2020 ◽  
Author(s):  
Pietro Genova ◽  
Gianni Pantuso ◽  
Calogero Cipolla ◽  
Mario Adelfio Latteri ◽  
Solafah Abdalla ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Right Colectomy ◽  
Robotic Right Colectomy

Laparoscopic Right Colectomy. Intracorporeal Anastomosis Is Associated with Better Outcome

2020 ◽  
Author(s):  
Giulio Aniello Santoro ◽  
Simone Novello ◽  
Ugo Grossi ◽  
Martino Zucchella ◽  
Andrea Kazemi Nava ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Meta Analysis ◽  
Laparoscopic Approach ◽  
Standard Of Care ◽  
Intracorporeal Anastomosis ◽  
Right Colectomy ◽  
Laparoscopic Right Colectomy ◽  
Right Colon Cancer ◽  
Complications Rate ◽  
Developed World

Colon cancer is the third most common cancer in man and woman in the developed world. Laparoscopic right colectomy is the standard of care for right colon cancer. Since the first report on laparoscopic approach in 1991, the surgical technique has been improved and currently all procedure is performed intracorporeally. The ileo-colic anastomosis can be performed either intracorporeal and extracorporeal: the differences in clinical outcome, complications rate, hospital stay and quality of life between that two techniques are not still clear and a large number of studies has been published about that. According to most recent meta-analysis, intracorporeal anastomosis have showed better outcome in anastomotic leakage rate, surgical site infection rate, development of incisional hernia, postoperative pain and recovery of gastrointestinal function.

Sign in / Sign up

Export Citation Format

Share Document