No differences in short term morbidity and mortality in patients operated with Robot-Assisted laparoscopic colectomy for colonic cancer compared with laparoscopic colectomy: A case-controled study of 263 patients

Neel M Helvind, MS, Jens Ravn Eriksen, Phd, Anders Mogensen, MS, Buket Tas, MS, Jesper Olsen, MD, Henrik Loft Jakobsen, MD, Ismail Gogenur, DSc

Dept. Surgical Gastroenterology. Copenhagen University Hospital, Herlev, Denmark

Robotic-assisted laparoscopy has been reported to be a safe and feasible alternative to traditional laparoscopy. The aim of this study was to compare short-term results in patients with colonic cancer undergoing robot-assisted laparoscopic colectomy (RC) or laparoscopic colectomy (LC).

The study was a retrospective case control study of all patients with colonic cancer undergoing RC from march 2010 to March 2012 or LC from January 2009 to December 2011 at a tertiary university hospital. Data was retrieved from the national chart-database and patient journals. Biochemical markers were registered before surgery and for the first three days after surgery.

A total of 101 patients underwent RC and 162 patients underwent LC. There were no significant differences in the rate of conversion to open surgery, number of permanent enterostomies, number of intraoperative complications, levels of postoperative cellular stress response, number of postoperative complications, length of postoperative hospital stays or 30-day mortality between the two groups. There was a significantly shorter procedure time for RC (165,8 min vs. 183,4 min, P = 0,006).

We find RC to be a safe and feasible alternative to LC for colonic cancer. We found a shorter procedure time however, these results should be confirmed in future randomized clinical trials.

Session: Poster Presentation

Program Number: P642

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