| Title: | Robotic versus laparoscopic surgery for colorectal cancer : a case-control study |
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| Authors: | ID Grosek, Jan (Author)
ID Košir, Jurij Aleš (Author)
ID Sever, Primož (Author)
ID Erčulj, Vanja (Author)
ID Tomažič, Aleš (Author) |
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| Files: |  Grosek-2021-Robotic_versus_laparoscopic_surger.pdf (263,06 KB)
MD5: 21071E51A0FE7454B50B00D871B040E5
 https://doi.org/10.2478/raon-2021-0026
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| Language: | English |
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| Work type: | Scientific work |
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| Typology: | 1.01 - Original Scientific Article |
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| Organization: | FVV - Faculty of Criminal Justice and Security
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| Abstract: | Background: Robotic resections represent a novel approach to treatment of colorectal cancer. The aim of our study was to critically assess the implementation of robotic colorectal surgical program at our institution and to compare it to the established laparoscopically assisted surgery.
Patients and methods: A retrospective case-control study was designed to compare outcomes of consecutively operated patients who underwent elective laparoscopic or robotic colorectal resections at a tertiary academic centre from 2019 to 2020. The associations between patient characteristics, type of operation, operation duration, conversions, duration of hospitalization, complications and number of harvested lymph nodes were assessed by using univariate logistic regression analysis.
Results: A total of 83 operations met inclusion criteria, 46 robotic and 37 laparoscopic resections, respectively. The groups were comparable regarding the patient and operative characteristics. The operative time was longer in the robotic group (p < 0.001), with fewer conversions to open surgery (p = 0.004), with less patients in need of transfusions (p = 0.004) and lower reoperation rate (p = 0.026). There was no significant difference between the length of stay (p = 0.17), the number of harvested lymph nodes (p = 0.24) and the overall complications (p = 0.58).
Conclusions: The short-term results of robotic colorectal resections were comparable to the laparoscopically assisted operations with fewer conversions to open surgery, fewer blood transfusions and lower reoperation rate in the robotic group. |
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| Keywords: | robotic surgery, laparoscopic surgery, minimally invasive surgery, colorectal cancer |
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| Publication status: | Published |
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| Publication version: | Version of Record |
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| Submitted for review: | 29.01.2020 |
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| Article acceptance date: | 20.04.2021 |
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| Publication date: | 31.05.2021 |
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| Publisher: | Slovenian Medical Society - Section of Radiology, Croatian Medical Association - Croatian Society of Radiology |
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| Year of publishing: | 2021 |
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| Number of pages: | Str. 433-438 |
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| Numbering: | Letn. 55, Št. 4 |
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| PID: | 20.500.12556/DKUM-89860  |
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| UDC: | 617 |
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| ISSN on article: | 1318-2099 |
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| COBISS.SI-ID: | 64524291 |
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| DOI: | 10.2478/raon-2021-0026 |
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| Publication date in DKUM: | 14.08.2024 |
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| Views: | 404 |
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| Downloads: | 9 |
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| Metadata: |    |
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| Categories: | Misc.
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