World Journal of Laparoscopic Surgery

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VOLUME 11 , ISSUE 1 ( January-April, 2018 ) > List of Articles

REVIEW ARTICLE

Laparoscopic vs Robotic Surgery in Colorectal Cases

Shalmali Alva

Keywords : Colorectal surgery, Cost vs benefit, Laparoscopic surgery, Learning curve, Robotic surgery.

Citation Information : Alva S. Laparoscopic vs Robotic Surgery in Colorectal Cases. World J Lap Surg 2018; 11 (1):43-47.

DOI: 10.5005/jp-journals-10033-1332

License: CC BY-NC 4.0

Published Online: 01-04-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Minimally invasive techniques have become the new norm in the arena of colorectal cases with surgeons preferring laparoscopic commonly and robotics occasionally and sometimes hand-assisted laparoscopic surgery to deal with a variety of conditions in the colorectal region. Minimally invasive techniques have resulted in better and smaller postoperative scars, lesser postoperative pain, reduced hospital stay, and resultant faster return to daily activities and work. The aim of this review article is to compare the short-term outcomes of laparoscopic colorectal surgery and robotic colorectal surgery as also the cost vs overall benefit of both techniques. The studies have been taken from reputed institutes (both teaching and nonteaching) from across the world and have been sourced from Medline, Cochrane Central, and PubMed which have compared laparoscopic vs robotic techniques in colorectal cases on various parameters. The two methods have shown fairly comparable duration of hospital stay and postoperative recovery and places performing higher load of robotics are having cost benefit over open surgeries in colorectal cases owing to faster discharge from hospital comparable to laparoscopic approach. This promising factor will probably enable further widespread use of robotics in colorectal cases.


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  1. D'Annibale A, Morpurgo E, Fiscon V, Trevisan P, Sovernigo G, Orsini C, Guidolin D. Robotic and laparoscopic surgery for treatment of colorectal diseases. Dis Colon Rectum 2004 Dec;47(12):2162-2168.
  2. Baik SH, Kwon HY, Kim JS, Hur H, Sohn SK, Cho CH, Kim H. Robotic versus laparoscopic low anterior resection of rectal cancer: short-term outcome of a prospective comparative study. Ann Surg Oncol 2009 Jun;16(6):1480-1487.
  3. Maeso S, Reza M, Mayol JA, Blasco JA, Guerra M, Andradas E, Plana MN. Efficacy of the Da Vinci surgical system in abdominal surgery compared with that of laparoscopy: a systematic review and meta-analysis. Ann Surg 2010 Aug;252(2):254-262.
  4. Pigazzi A, Garcia-Aguilar J. Robotic colorectal surgery: for whom and for what? Dis Colon Rectum 2010 Jul;53(7):969-970.
  5. Rawlings AL, Woodland JH, Crawford DL. Telerobotic surgery for right and sigmoid colectomies: 30 consecutive cases. Surg Endosc 2006 Nov;20(11):1713-1718.
  6. de Souza SL, Prasad LM, Park JJ, Marecik SJ, Blumetti J, Abcarian H. Robotic assistance in right hemicolectomy: is there a role? Dis colon rectum 2010 Jul;53(7):1000-1006.
  7. Huettner F, Pacheco PE, Doubet JL, Ryan MJ, Dynda DI, Crawford DL. One hundred and two consecutive robotic assisted minimally invasive colectomies-an outcome and technical update. J Gastrointest Surg 2011 Jul;15(7):1195-1204.
  8. Cadeddu JA, Stoianovici D, Kavoussi LR. Robotics in urologic surgery. Urology 1997 Apr;49(4):501-507.
  9. Ficarra V, Cavalleri S, Novara G, Aragona M, Artibani W. Evidence from robot-assisted laparoscopic radical prostatectomy: a systematic review. Eur Urol 2007 Jan;51(1):45-55, discussion 56.
  10. Lin S, Jiang HG, Chen ZH, Zhou SY, Liu XS, Yu JR. Meta-analysis of robotic and laparoscopic surgery for treatment of rectal cancer. World J Gastroenterol 2011 Dec;17(47): 5214-5220.
  11. Memon S, Heriot AG, Murphy DG, Bressel M, Lynch AC. Robotic versus laparoscopic proctectomy for rectal cancer: a meta-analysis. Ann Surg Oncol 2012 Jul;19(7):2095-2101.
  12. Ortiz-Oshiro E, Sanchez-Egido I, Moreno-Sierra J, Perez CF, Diaz JS, Fernandez-Represa JA. Robotic assistance may reduce conversion to open in rectal carcinoma laparoscopic surgery: systematic review and meta-analysis. Int J Med Robot 2012 Sep;8(3):360-370.
  13. Park JS, Choi GS, Park SY, Kim HJ, Ryuk JP. Randomized clinical trial of robot-assisted versus standard laparoscopic right colectomy. Br J Surg 2012 Sep;99(9):1219-1226.
  14. Trastulli S, Farinella E, Cirocchi R, Cavaliere D, Avenia N, Sciannameo F, Gulla N, Noya G, Boselli C. Robotic resection compared with laparoscopic rectal resection for cancer: systematic review and meta-analysis of short-term outcome. Colorectal Dis 2012 Apr;14(4):e134-e156.
  15. Choi GS, Park IJ, Kang BM, Lim KH, Jun SH. A novel approach of robotic-assisted anterior resection with transanal or transvaginal retrieval of the specimen for colorectal cancer. Surg Endosc 2009 Dec;23(12):2831-2835.
  16. Antoniou SA, Antoniou GA, Koch OO, Pointner R, Granderath FA. Robotic-assisted laparoscopic surgery of the colon and rectum. Surg Endosc 2012 Jan;26(1):1-11.
  17. Weber PA, Merola S, Wasielewski A, Ballantyne GH. Telerobotic- assisted laparoscopic right and sigmoid colectomies for benign disease. Dis Colon Rectum 2002 Dec;45(12):1689-94; discussion 1695-1696.
  18. Rawlings AL, Woodland JH, Vegunta RK, Crawford DL. Robotic versus laparoscopic colectomy. Surg Endosc 2007 Oct;21(10):1701-1708.
  19. Park JS, Choi GS, Lim KH, Jang YS, Jun SH. S052: a comparison of robot-assisted, laparoscopic, and open surgery in the treatment of rectal cancer. Surg Endosc 2011 Jan;25(1):240-248.
  20. Kim NK, Kang J. Optimal total mesorectal excision for rectal cancer: the role of robotic surgery from an expert's view. J Korean Soc Coloproctol 2010 Dec;26(6):377-382.
  21. Baek JH, Pastor C, Pigazzi A. Robotic and laparoscopic total mesorectal excision for rectal cancer: a case-matched study. Surg Endosc 2011 Feb;25(2):521-525.
  22. Bianchi PP, Ceriani C, Locatelli A, Spinoglio G, Zampino MG, Sonzogni A, Crosta C, Andreoni B. Robotic versus laparoscopic total mesorectal excision for rectal cancer: a comparative analysis of oncological safety and short-term outcomes. Surg Endosc 2010 Nov;24(11):2888-2894.
  23. Patriti A, Ceccarelli G, Bartoli A, Spaziani A, Biancafarina A, Casciola L. Short- and medium-term outcome of robotassisted and traditional laparoscopic rectal resection. JSLS 2009 Apr- Jun;13(2):176-183.
  24. Jimenez-Rodriguez RM, Díaz-Pavón JM, de la Portilla de Juan F, Prendes-Sillero E, Dussort HC, Padillo J. Learning curve for robotic-assisted laparoscopic rectal cancer surgery. Int J Colorectal Dis 2012 Jun;28(6):815-821.
  25. Ragupathi M, Ramos-Valadez DI, Patel CB, Haas EM. Roboticassisted laparoscopic surgery for recurrent diverticulitis: experience in consecutive cases and a review of the literature. Surg Endosc 2011 Jan;25(1):199-206.
  26. de Souza AL, Prasad LM, Marecik SJ, Blumetti J, Park JJ, Zimmern A, Abcarian H. Total mesorectal excision for rectal cancer: the potential advantage of robotic assistance. Dis Colon Rectum 2010 Dec;53(12):1611-1617.
  27. D'Annibale A, Pernazza G, Monsellato I, Pende V, Lucandri G, Mazzocchi P, Alfano G. Total mesorectal excision: a comparison of oncological and functional outcomes between robotic and laparoscopic surgery for rectal cancer. Surg Endosc 2013 Jun;27(6):1887-1895.
  28. Yang Y, Wang F, Zhang P, Shi C, Zou Y, Qin H, Ma Y. Robotassisted versus conventional laparoscopic surgery for colorectal disease, focusing on rectal cancer: a meta analysis. Ann Surg Oncol 2012 Nov;19(12):3727-3736.
  29. Tyler JA, Fox JP, Desai MM, Perry WB, Glasgow SC. Outcomes and costs associated with robotic colectomy in the minimally invasive era. Dis Colon Rectum 2013 Apr;56(4):458-466.
  30. Scarpinata R, Aly EH. Does robotic rectal cancer surgery offer improved early postoperative outcomes? Dis Colon Rectum 2013 Feb;56(2):253-262.
  31. Collinson FJ, Jayne DG, Pigazzi A, Tsang C, Barrie JM, Edlin R, Garbett C, Guillou P, Holloway I, Howard H, et al. An international, multicentre, prospective, randomised, controlled, unblinded, parallel-group trial of roboticassisted versus standard laparoscopic surgery for the curative treatment of rectal cancer. Int J Colorectal Dis 2012 Feb;27(2):233-241.
  32. Sng KK, Hara M, Shin JW, Yoo BE, Yang KS, Kim SH. The multiphasic learning curve for robot-assisted rectal surgery. Surg Endosc 2013 Sep;27(9):3297-3307.
  33. Sauer R, Becker H, Hohenberger W, Rödel C, Wittekind C, Fietkau R, Martus P, Tschmelitsch J, Hager E, Hess CF, et al. Preoperative versus postoperative chemoradiotherapy for rectal cancer. N Engl J Med 2004 Oct;351(17):1731-1740.
  34. Miller AT, Berian JR, Rubin M, Hurst RD, Fichera A, Umanskiy K. Robotic-assisted proctectomy for inflammatory bowel disease: a case-matched comparison of laparoscopic and robotic technique. J Gastrointest Surg 2012 Mar;16(3):587-594.
  35. Kang J, Yoon KJ, Min BS, Hur H, Baik SH, Kim NK, Lee KY. The impact of robotic surgery for mid and low rectal cancer: a case-matched analysis of a 3-arm comparison—open, laparoscopic and robotic surgery. Ann Surg 2013 Jan;257(1): 95-101.
  36. Kim JC, Yang SS, Jang TY, Kwak JY, Yun MJ, Lim SB. Open versus robot-assisted sphincter-saving operations in rectal cancer patients: techniques and comparison of outcomes between groups of 100 matched patients. Int J Med Robot 2012 Dec;8(4):468-475.
  37. Bertani E, Chiappa A, Biffi R, Bianchi PP, Radice D, Branchi V, Cenderelli E, Vetrano I, Cenciarelli S, Andreoni B. Assessing appropriateness for elective colorectal cancer surgery: clinical, oncological, and quality of life short term outcomes employing different treatment approaches. Int J Colorectal Dis 2011 Oct;26(10):1317-1327.
  38. Bhama AR, Obias V, Welch KB, Vandewarker JF, Cleary RK. A comparison of laparoscopic and robotic colorectal surgery outcomes using the American College of Surgeons National Surgical Quality Improvement Program (ACSNSQIP) database. Surg Endosc 2016 Apr;30(4):1576-1584.
  39. Dolejs SC, Waters JA, Ceppa EP, Zarzaur BL. Laparoscopic versus robotic colectomy: A national surgical quality improvement project analysis. Surg Endosc 2017 Jun;31(6): 2387-2396.
  40. Xiong B, Ma L, Huang W, Zhao Q, Cheng Y, Liu J. Robotic versus laparoscopic total mesorectal excision for rectal cancer: A meta analysis of eight studies. J Gastrointest Surg 2015 Mar;19(3):516-526.
  41. Ezekian B, Sun Z, Adam MA, Kim J, Turner MC, Gilmore BF, Ong CT, Mantyh CR, Migaly J. Robotic-assisted versus laparoscopic colectomy results in increased operative time without improved perioperative outcomes. J Gastrointest Surg 2016 Aug;20(8):1503-1510.
  42. Kim CW, Kim CH, Baik SH. Outcomes of robotic-assisted colorectal surgery compared with laparoscopic and open surgery: A systemic review. J Gastrointest Surg 2014 Apr;18(4):816-830.
  43. Keller DS, Senagore AJ, Lawrence JK, Champagne BJ, Delaney CP. Comparative effectiveness of laparoscopic versus robot-assisted colorectal resection. Surg Endosc 2014 Jan;28(1):212-221.
  44. Deutsch GB, Sathyanarayana SA, Gunabushanam V, Mishra N, Rubach E, Zemon H, Klein JD, Denoto G III. Robotic vs. laparoscopic colorectal surgery: An institutional experience. Surg Endosc 2012 Apr;26(4):956-963.
  45. Xu H, Li J, Sun Y1, Li Z, Zhen Y, Wang B, Xu Z. Robotic versus laparoscopic right colectomy: a meta analysis. World J Surg Oncol. 2014 Aug;12:274.
  46. Park JS, Choi GS, Lim KH, Jang YS, Jun SH. Robotic-assisted versus laparoscopic surgery for low rectal cancer: Case matched analysis of short term outcomes. Ann Surg Oncol 2010 Dec;17(12):3195-3202.
  47. Mirkin KA, Kulaylat AS, Hollenbeak CS, Messaris E. Robotic versus laparoscopic colectomy for stage I–III colon cancer: Oncologic and long term survival outcomes. Surg Endosc 2018 Jun;32(6):2894-2901.
  48. Solaini L, Bazzocchi F, Cavaliere D, Avanzolini A, Cucchetti A, Ercolani G. Robotic versus laparoscopic right colectomy: An updated systematic review and meta analysis. Surg Endosc 2018 Mar;32(3):1104-1110.
  49. Helvind NM, Eriksen JR, Mogensen A, Tas B, Olsen J, Bundgaard M, Jakobsen HL, Gögenür I. No differences in short-term morbidity and mortality after robot assisted laparoscopic versus laparoscopic resection for colonic cancer: A case—control study of 263 patients. Surg Endosc 2013 Jul;27(7):2575-2580.
  50. de'Angelis N, Alghamdi S, Renda A, Azoulay D, Brunetti F. Initial experience of robotic versus laparoscopic colectomy for transverse colon cancer: A matched case control study. World J Surg Oncol 2015 Oct;13:295.
  51. Vasudevan V, Reusche R, Wallace H, Kaza S. Clinical outcomes and cost–benefit analysis comparing laparoscopic and robotic colorectal surgeries. Surg Endosc 2016 Dec;30(12):5490-5493.
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