Physician Pedja Cuk Department of Surgery, Aabenraa Hospital
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OPEN undersøgelse/kliniske data
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Comparison of short-time clinical and oncological outcomes of colonic and rectal cancer surgery in robotic versus laparoscopic surgery - a case control study
The aim of this study was to compare the short-time clinical and oncological outcomes for colonic and rectal cancer surgery in respectively robotic assisted and laparoscopic surgery.
Laparoscopic colorectal surgery (LCS) has existed for more than 20 year. The benefits of LCS and its superiority to open colorectal surgery (OCS) in terms of less pain, fewer wound complication and improved cosmetic outcome are already described. The disadvantages of LCS are a long learning curve, suboptimal ergonomics, bad camera precision because of tremor and a 2D-view. In case of oncological results LCS has shown same 3-5 year survival and recurrence rates compared to OCS. In the past 15-20 years, robotic colorectal surgery (RCS) has gained impact. This new surgical method has not shown its superiority in term of short time or pathological outcomes in meta-analysis compared to LCS. It is associated with longer operating times and higher total costs, but has several benefits; eg. a reduced risk of conversion compared with LCS. Additionally, RCS has eliminated tremor, camera is in 3D-view and the instruments has a 7 of freedom, making rectal surgery in narrow pelvis more easy than LCS.
Description of the cohort
This was a retrospective case-control study of patients undergoing robotic and laparoscopic surgery for colonic and rectal cancer in the period of may 2017 until date at surgical department, Sygehus Sønderjylland \n
Data and biological material
Retrospective review of patient material\n
Collaborating researchers and departments
Department of Surgery, Hospital of Southern Jutland