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Outcomes of Robotic-Assisted Colorectal Surgery Compared with laparoscopic and Open Surgery: a Systematic Review

Authors
 Chang Woo Kim  ;  Chang Hee Kim  ;  Seung Hyuk Baik 
Citation
 JOURNAL OF GASTROINTESTINAL SURGERY, Vol.18(4) : 816-830, 2014 
Journal Title
 JOURNAL OF GASTROINTESTINAL SURGERY 
ISSN
 1091-255X 
Issue Date
2014
MeSH
Blood Loss, Surgical ; Colectomy/adverse effects ; Colectomy/methods ; Colonic Neoplasms/surgery* ; Conversion to Open Surgery ; Humans ; Laparoscopy/adverse effects ; Laparoscopy/methods* ; Length of Stay ; Lymph Node Excision ; Neoplasm, Residual ; Operative Time ; Rectal Neoplasms/surgery* ; Robotics* ; Treatment Outcome
Keywords
Systematic review ; Robotic surgery ; da Vinci ; Colon cancer ; Rectal cancer
Abstract
BACKGROUND: Robotic technology has been applied to colorectal surgery over the last decade. The aim of this review is to analyze the outcomes of robotic colorectal surgery systematically and to provide objective information to surgeons. METHODS: Studies were searched and identified using PubMed and Google Scholar from Jan 2001 to Feb 2013 with the search terms "robot," "robotic," "colon," "rectum," "colorectal," and "colectomy." Appropriate data in the studies about the outcomes of robotic colorectal surgery were analyzed. RESULTS: Sixty-nine publications were included in this review and composed of 39 case series, 29 comparative studies, and 1 randomized controlled trial. Most of the studies reported that robotic surgery showed a longer operation time, less estimated blood loss, shorter length of hospital stay, lower complication and conversion rates, and comparable oncologic outcomes compared to laparoscopic or open surgery. CONCLUSION: Robotic colorectal surgery is a safe and feasible option. Robotic surgery showed comparable short-term outcomes compared to laparoscopic surgery or open surgery. However, the long operation time and high cost are the limitations of robotic surgery.
Full Text
http://link.springer.com/article/10.1007%2Fs11605-014-2469-5
DOI
10.1007/s11605-014-2469-5
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Chang Woo(김창우)
Kim, Chang Hee(김창희)
Baik, Seung Hyuk(백승혁) ORCID logo https://orcid.org/0000-0003-4183-2332
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/98453
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