Article
Medicine, General & Internal
Shinichiro Nakada, Yuichiro Otsuka, Jun Ishii, Tetsuya Maeda, Kazutaka Kimura, Yu Matsumoto, Yuko Ito, Hideaki Shimada, Kimihiko Funahashi, Masayuki Ohtsuka, Hironori Kaneko
Summary: In this retrospective study, researchers found that the predictor of conversion to hand-assisted laparoscopic surgery (HALS) in laparoscopic liver resection (LLR) was a tumor located in segments 7 or 8. Conversion to HALS did not result in significantly different blood loss compared to direct selection of HALS, and there were similar operation time, hospital stay, and severe complication rates.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Surgery
Takahiro Kinoshita, Reo Sato, Eigo Akimoto, Yuya Tanaka, Takafumi Okayama, Takumi Habu
Summary: A retrospective study comparing robotic gastrectomy and laparoscopic gastrectomy found that robotic gastrectomy can reduce the incidence of postoperative complications, especially in technically complex procedures. Patients requiring demanding anastomosis or D2 lymphadenectomy may benefit most from robotic gastrectomy.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Simone Sforza, Andrea Minervini, Riccardo Tellini, Changwei Ji, Carlo Bergamini, Alessio Giordano, Qun Lu, Wei Chen, Feifei Zhang, Hao Ji, Fabrizio Di Maida, Paolo Prosperi, Lorenzo Masieri, Marco Carini, Andrea Valeri, Hongqian Guo
Summary: In this retrospective study of 477 patients who underwent laparoscopic and robotic surgery for adrenal masses, it was found that the complication rates were similar between the robotic and laparoscopic groups, with tumor size being the sole predictive factor for overall complications.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Aftandil Alekberzade, Vitaliy Borisov, Kiril Kirov, Natmir Mena
Summary: The study investigates perioperative indices and immediate outcomes of laparoscopic and robotic surgical interventions in colorectal cancer patients. The study finds that both robot and laparoscopic procedures for colorectal cancer have comparable safety profiles.
JOURNAL OF ROBOTIC SURGERY
(2023)
Review
Oncology
Zhilong Huang, Shibo Huang, Yanping Huang, Raoshan Luo, Weiming Liang
Summary: In terms of short-term outcomes, robot-assisted colorectal surgery (RACS) has longer operation time but shorter hospital stay compared with laparoscopic-assisted colorectal surgery (LACS). RACS also shows lower conversion rate, complication rate, blood loss, reoperation rate, and longer distal resection margin.
FRONTIERS IN ONCOLOGY
(2023)
Article
Surgery
Po-Li Wei, Yan-Jiun Huang, Weu Wang, Yu-Min Huang
Summary: This study compared the effects of robotic reduced-port surgery and conventional laparoscopic surgery for left-sided colorectal cancer. The results showed that the two groups were similar in most outcome measures except for the distal resection margin, which was significantly longer in the laparoscopic group. The between-group differences in reoperation, incisional hernia development, and overall and progression-free survival were not significant, but the total hospital cost was significantly higher in the robotic group. Therefore, robotic reduced-port surgery for left-sided colorectal cancer is safe and effective but more expensive with no additional benefit compared with the conventional laparoscopic approach. This observation warrants further evaluation.
ASIAN JOURNAL OF SURGERY
(2023)
Review
Gastroenterology & Hepatology
Julie Flynn, Jose Tomas Larach, Joseph C. H. Kong, Peadar S. Waters, Satish K. Warrier, Alexander Heriot
Summary: This study analyzed studies comparing robotic and laparoscopic colorectal learning curves, finding that in some cases the robotic learning curve may be faster. Simulation studies showed faster times and error rates favoring robotic surgery. Further research is needed to determine the impact of learning curves on surgical abilities on different platforms.
COLORECTAL DISEASE
(2021)
Article
Surgery
Carla F. Justiniano, Adan Z. Becerra, Anthony Loria, Zhaomin Xu, Christopher T. Aquina, Larissa K. Temple, Fergal J. Fleming
Summary: This study found that the overall rate of minimally invasive colorectal surgery increased from 2009 to 2015, largely due to the increasing utilization of robotic surgery, especially for proctectomy.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
John S. Mayo, Miriam L. Brazer, Kenneth J. Bogenberger, Kelli B. Tavares, Robert J. Conrad, Michael B. Lustik, Suzanne M. Gillern, Chan W. Park, Carly R. Richards
Summary: The study found that the incidence rate of ureteral injuries during open colorectal surgery is increasing over time, while the injury rates for MIS cases have been stable or decreasing. These findings remain consistent even after propensity score analysis. Further research is needed to better understand the impact of MIS and robotic-assisted surgery on ureteral injuries.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Hiromichi Sato, Hirofumi Ota, Koji Munakata, Yusuke Matsuura, Makoto Fujii, Noriko Wada, Daisuke Takiuchi, Naoki Hama, Kou Takachi, Masao Yukawa
Summary: The study evaluated the efficacy and safety of the enhanced recovery after surgery (ERAS) protocol and analyzed the impact of each ERAS item on postoperative outcomes. The findings showed that the ERAS protocol led to a shorter length of hospital stay (LOHS) without significantly increasing complication rates. Higher compliance with ERAS items resulted in lower complication rates and shorter LOHS. Perioperative fluid management had a crucial impact on the outcomes.
Article
Surgery
Yozo Suzuki, Mitsuyoshi Tei, Masaki Wakasugi, Toru Masuzawa, Masahisa Ohtsuka, Manabu Mikamori, Takuro Saito, Kenta Furukawa, Mitsunobu Imasato, Kentaro Kishi, Masahiro Tanemura, Hiroki Akamatsu
Summary: The study found that single-incision laparoscopic surgery is a reasonable surgical treatment option for selected patients with small bowel obstruction.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Adrian Mancini, Vincent Vangelder, Robert Caiazzo, Camille Marciniak, Naima Oukhouya Daoud, Neil Patel, Francois Pattou, Gregory Baud
Summary: Robotic-assisted RYFJ surgery is a new and emerging technology for the treatment of chronic fistulas. This case presentation demonstrates the successful management of a chronic gastro-colic fistula using a robotic approach.
Article
Geriatrics & Gerontology
Yonggan Xue, Sen Li, Shaohua Guo, Yanshen Kuang, Mu Ke, Xin Liu, Fangming Gong, Peng Li, Baoqing Jia
Summary: This study explored the survival outcomes of elderly patients with colorectal cancer who received robotic or laparoscopic surgery, aiming to find the optimal surgical option for these patients. It found that robotic surgery was highly beneficial for elderly patients with colorectal cancer who had anemia and/or hematological conditions.
Article
Medicine, General & Internal
Narimantas Evaldas Samalavicius, Zygimantas Kuliesius, Robertas Stasys Samalavicius, Renatas Tikuisis, Edgaras Smolskas, Zilvinas Gricius, Povilas Kavaliauskas, Audrius Dulskas
Summary: This study reported the overall experience, perioperative and long-term survival results of hand assisted laparoscopic surgery (HALS) for colorectal cancer in a single tertiary referral center in Lithuania. The surgery was found to be feasible and safe, with the advantages of minimally invasive surgery, good perioperative parameters, adequate oncological quality, and excellent survival.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Oncology
Peter Tschann, Markus P. Weigl, Daniel Lechner, Christa Mittelberger, Tarkan Jaeger, Ricarda Gruber, Paolo N. C. Girotti, Christof Mittermair, Patrick Clemens, Christian Attenberger, Philipp Szeverinski, Thomas Brock, Juergen Frick, Klaus Emmanuel, Ingmar Koenigsrainer, Jaroslav Presl
Summary: This study aimed to compare the short-term outcomes and oncological findings of robotic-assisted colorectal resections with conventional laparoscopic surgery within the first three years after the introduction of the robotic platform. The results of the study clearly demonstrated that robotic-assisted colorectal cancer surgery was equally effective, feasible, and safe compared to conventional laparoscopy during the introduction phase of a robotic system.