Robotic versus laparoscopic right hemicolectomy with complete mesocolic excision: a retrospective multicenter study with propensity score matching

作者：Yue Tian, Dehai Xiong, Ming Xu, Fan Qi, Huichao Zheng, Haode Shen, Bin Huang, Li Wang, Chunxue Li, Anping Zhang, Baohua Liu, Fan Li, Feng Gao, Weidong Tong · 发表于：Frontiers in Oncology · 年份：2023 · DOI：10.3389/fonc.2023.1187476 · 被引用次数：17 · 研究领域：Colorectal Cancer Surgical Treatments、Cholangiocarcinoma and Gallbladder Cancer Studies、Gastric Cancer Management and Outcomes

Objective During the past decade, the concept of complete mesocolic excision (CME) has been developed in an attempt to minimize recurrence for right-sided colon cancer. This study aims to compare outcomes of robotic versus laparoscopic right hemicolectomy with CME for right-sided colon cancer. Methods We performed a retrospective multicenter propensity score matching study. From July 2016 to July 2021, 382 consecutive patients from different Chinese surgical departments were available for inclusion out of an initial cohort of 412, who underwent robotic or laparoscopic right hemicolectomy with CME. Data of all patients were retrospectively collected and reviewed. Of these, 149 cases were performed by a robotic approach, while the other 233 cases were done by laparoscopy. Propensity score matching was applied at a ratio of 1:1 to compare perioperative, pathologic, and oncologic outcomes between the robotic and the laparoscopic groups ( n = 142). Results Before propensity score matching, there were no statistical differences regarding the sex, history of abdominal surgery, body mass index (BMI), American Joint Committee on Cancer (AJCC) staging system, tumor location, and center between groups ( p > 0.05), while a significant difference was observed regarding age ( p = 0.029). After matching, two comparable groups of 142 cases were obtained with equivalent patient characteristics ( p > 0.05). Blood loss, time to oral intake, return of bowel function, length of stay...