Robotic Colorectal Cancer Surgery. How to Reach Expertise? A Single Surgeon-Experience.
colorectal
colorectal cancer
laparoscopic
learning curve
robotic
Journal
Journal of personalized medicine
ISSN: 2075-4426
Titre abrégé: J Pers Med
Pays: Switzerland
ID NLM: 101602269
Informations de publication
Date de publication:
30 Jun 2021
30 Jun 2021
Historique:
received:
06
05
2021
revised:
02
06
2021
accepted:
28
06
2021
entrez:
2
7
2021
pubmed:
3
7
2021
medline:
3
7
2021
Statut:
epublish
Résumé
The complexity associated with laparoscopic colorectal surgery requires several skills to overcome the technical difficulties related to this procedure. To overcome the technical challenges of laparoscopic surgery, a robotic approach has been introduced. Our study reports the surgical outcomes obtained by the transition from laparoscopic to robotic approach in colorectal cancer surgery to establish in which type of approach the proficiency is easier to reach. Data about the first consecutive 15 laparoscopic and the first 15 consecutive robotic cases are extracted, adopting as a comparator of proficiency the last 15 laparoscopic colorectal resections for cancer. The variables studied are operative time, number of harvested nodes, conversion rate, postoperative complications, recovery outcomes. Our analysis includes 15 patients per group. Our results show that operative time is significantly longer in the first 15 laparoscopic cases (
Identifiants
pubmed: 34208988
pii: jpm11070621
doi: 10.3390/jpm11070621
pmc: PMC8307843
pii:
doi:
Types de publication
Journal Article
Langues
eng
Références
J Laparoendosc Adv Surg Tech A. 2016 Nov;26(11):882-892
pubmed: 27454105
BMC Surg. 2020 Nov 23;20(1):294
pubmed: 33228630
Medicine (Baltimore). 2014 Nov;93(25):e109
pubmed: 25437022
Dis Colon Rectum. 2012 Dec;55(12):1300-10
pubmed: 23135590
Dis Colon Rectum. 1995 Jun;38(6):600-3
pubmed: 7774470
Int J Colorectal Dis. 2013 Jun;28(6):815-21
pubmed: 23242270
Surg Endosc. 2017 Oct;31(10):4067-4076
pubmed: 28271267
BMC Surg. 2020 Dec 2;20(1):308
pubmed: 33267802
Dis Colon Rectum. 2003 Oct;46(10):1371-8; discussion 1378-9
pubmed: 14530677
Tech Coloproctol. 2011 Oct;15 Suppl 1:S17-20
pubmed: 21887564
Am J Surg. 2001 Jun;181(6):547-50
pubmed: 11513783
Surg Endosc. 2011 Mar;25(3):855-60
pubmed: 20734081
PLoS One. 2018 Oct 9;13(10):e0204887
pubmed: 30300377
JAMA. 2017 Oct 24;318(16):1569-1580
pubmed: 29067426
Surg Oncol. 2020 Jun;33:239-248
pubmed: 31759794
Dis Colon Rectum. 2002 Dec;45(12):1689-94; discussion 1695-6
pubmed: 12473897
Lancet Oncol. 2010 Jul;11(7):637-45
pubmed: 20610322
World J Surg. 2019 Mar;43(3):659-695
pubmed: 30426190
Ann Gastroenterol Surg. 2020 Jul 20;4(6):676-683
pubmed: 33319158
Int J Colorectal Dis. 2019 Jun;34(6):983-991
pubmed: 31056732
Dis Colon Rectum. 2001 Feb;44(2):217-22
pubmed: 11227938
Curr Drug Targets. 2013 Jul;14(8):880-8
pubmed: 23627916
Int J Colorectal Dis. 2021 Apr;36(4):801-810
pubmed: 33483843
Am J Surg. 2001 Aug;182(2):137-42
pubmed: 11574084
Surg Endosc. 2009 Mar;23(3):622-8
pubmed: 18270771
Ann Surg. 2009 Aug;250(2):187-96
pubmed: 19638912
Ann Surg. 2006 Nov;244(5):642-8
pubmed: 17060751
Lancet. 2005 May 14-20;365(9472):1718-26
pubmed: 15894098
Front Surg. 2014 May 15;1:15
pubmed: 25593939
Ann Surg. 2005 Jul;242(1):83-91
pubmed: 15973105
Surg Endosc. 2016 Apr;30(4):1576-84
pubmed: 26169638
Surg Endosc. 2018 Jan;32(1):24-38
pubmed: 28812154
Aging Clin Exp Res. 2017 Feb;29(Suppl 1):55-63
pubmed: 27905087