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. 2023 Jun 29;38(1):181.
doi: 10.1007/s00384-023-04477-8.

Efficacy and safety of robotic complete mesocolic excision: a systematic review

Ilektra Kyrochristou  1 , Georgios Anagnostopoulos  2 , Ilias Giannakodimos  2 , Georgios Lampropoulos  2
Affiliations

Efficacy and safety of robotic complete mesocolic excision: a systematic review

Ilektra Kyrochristou et al. Int J Colorectal Dis. .

Abstract

Background: Complete mesocolic excision (CME) consists of the complete removal of tumor-bearing soft tissues enveloped by the mesocolic fascia and radical lymphadenectomy at the origin of feeding vessels. We conducted a systematic review, evaluating the efficacy of the robotic CME (RCME) in patients with right-sided colon cancer and presenting the data in comparison to those concerning the open RC (right colectomy) with CME.

Methods: One independent researcher searched the MEDLINE-PubMed database for published and unpublished material.

Results: Eighty-three articles were found to refer to CME, 17 of which met the selection criteria following the PRISMA guidelines. All researchers presented short-term outcomes and agreed on the oncologic safety of CME. Different surgical approaches were proposed; however, no significant differences were noticed regarding the peri-operative outcomes.

Conclusion: Although long-term outcomes are needed to establish it as a standard of care in right-sided colon cancer, RCME is a procedure that gains more and more grounds due to its oncologic safety. The standard medial-to-lateral approach seems to have similar results to other approaches.

Keywords: Colon cancer; Complete mesocolic excision; Right-sided colon cancer; Robotic right colectomy.

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References

    1. Petz W, Ribero D, Bertani E, Borin S, Formisano G, Esposito S, Spinoglio G, Bianchi P (2017) Suprapubic approach for robotic complete mesocolic excision in right colectomy: oncologic safety and short-term outcomes of an original technique. Eur J Surg Oncol 43(11):2060–2066, PMID 28912072. https://doi.org/10.1016/j.ejso.2017.07.020
    1. Trastulli S, Desiderio J, Farinacci F, Ricci F, Listorti C, Cirocchi R, Boselli C, Noya G, Parisi A (2013) Robotic right colectomy for cancer with intracorporeal anastomosis: short-term outcomes from a single institution. Int J Colorectal Dis 28(6):807–814. https://doi.org/10.1007/s00384-012-1604-6
    1. Bae S, Yang S, Min B (2019) Totally robotic modified complete mesocolic excision and central vascular ligation for right-sided colon cancer: technical feasibility and mid-term oncologic outcomes. Int J Colorectal Dis 34(3):471–479, PMID: 30560354. https://doi.org/10.1007/s00384-018-3208-2
    1. Ozben V, Aytac E, Atasoy D, Erenler Bayraktar I, Bayraktar O, Sapci I, Baca B, Karahasanoglu T, Hamzaoglu I (2019) Totally robotic complete mesocolic excision for right-sided colon cancer. J Robot Surg 13(1):107–114, PMID: 29774501. https://doi.org/10.1007/s11701-018-0817-2
    1. Yozgatli T, Aytac E, Ozben V, Bayram O, Gurbuz B, Baca B, Balik E, Hamzaoglu I, Karahasanoglu T, Bugra D (2019) Robotic complete mesocolic excision versus conventional laparoscopic hemicolectomy for right-sided colon cancer. J Laparoendosc Adv Surg Tech 29(5):671–676, PMID 30807257. https://doi.org/10.1089/lap.2018.0348

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