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Short- and long-term outcomes of robotic- versus laparoscopic-assisted right hemicolectomy: A propensity score-matched retrospective cohort study.

Authors :
Zhang, Yaqi
Feng, Haoran
Wang, Shaodong
Gu, Yifei
Shi, Yi
Song, Zijia
Deng, Yang
Ji, Xiaopin
Cheng, Xi
Zhang, Tao
Zhao, Ren
Source :
International Journal of Surgery; Sep2022, Vol. 105, pN.PAG-N.PAG, 1p
Publication Year :
2022

Abstract

<bold>Background: </bold>This study aimed to retrospectively compare the short- and long-term outcomes of robotic- and laparoscopic-assisted right hemicolectomies.<bold>Materials and Methods: </bold>Patients who underwent right hemicolectomy with either robotic (46 patients) or laparoscopic (186 patients) surgery between January 2016 and December 2018 were analyzed retrospectively using propensity score matching (PSM).<bold>Results: </bold>After matching, the robotic group included 45 patients (out of 46) and the laparoscopic group included 100 patients (out of 186). Compared to the laparoscopic group, the robotic group had shorter median times to first flatus (2 vs. 4 days; p < 0.01) and a liquid diet (4 vs. 5 days; p < 0.01) and shorter median postoperative hospital stays (7 vs. 8 days; p < 0.01). There were no significant differences in other short-term or oncological outcomes between the two groups. The 3-year overall survival and disease-free survival rates were equivalent.<bold>Conclusions: </bold>Robotic-assisted right hemicolectomy had the advantages of a quick recovery of bowel functions and an earlier postoperative discharge and was non-inferior to laparoscopic-assisted right hemicolectomy in all other outcomes. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
17439191
Volume :
105
Database :
Supplemental Index
Journal :
International Journal of Surgery
Publication Type :
Academic Journal
Accession number :
159095043
Full Text :
https://doi.org/10.1016/j.ijsu.2022.106855