Page 19 - World Journal of Laparoscopic Surgery

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10.5005/jp-journals-10033-1305
Reviewing the Comparison of Robotic Colectomy with the Laparoscopic Ones
REVIEW ARTICLE

Reviewing the Comparison of Robotic Colectomy with

the Laparoscopic Ones of All the Procedures based on
Determined Parameters

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1 Michail A Kirmanidis, Christodoulos Keskinis

1-8
ABSTRACT domain. Laparoscopic surgery (LS) for colon cancer
Aim: The purpose of our systematic review is to clarify the has a wide use due to its beneficial properties and has
current data in the domain of colorectal surgery regarding prevailed compared with open surgery. 9-15 However,
minimally invasive surgery (MIS). robotic surgery (RS) has been recently introduced as a
Introduction: Two new methods have been recently intro- new contemporary alternative because of its obvious
duced in the MIS arena. Most of the studies are in favor of advantages, including the three-dimensional view, the
robotic surgery (RS), whereas the literature lacks statistically ability to use multidegree-of-freedom forceps, the elimi-
significant results. nation of physiological tremors, and the stable camera
Results: Totally, only 19 articles fulfilled the prerequisites control, in order to broaden the horizons of MIS. 3-5,16-19
and our research was mainly based on meta-analyses. Some Initially, it was expected that RS would dominate the field
parameters were established, in order to investigate the of MIS related to colorectal surgery because of its obvious
oncologic and clinical outcomes. Heterogeneity is the existing
condition, which means that robotics is more beneficial than structural advantages and due to the limited space in the
laparoscopic surgery in some parameters in a specific proce- pelvis for the laparoscopic instruments and the restricted
dure and the opposite. potential of movements even for an experienced surgeon
3
Conclusion: There is no clear conclusion in the literature to perform rectal dissection. However, it seems that
whether RS is indeed more advantageous than laparoscopic there is no clear-cut answer in the literature determining
ones, so it is recommended that long-term meta-analyses and the beneficial use of RS over LS in the field of colorectal
reviews be conducted, in order to specify the effectiveness of cancer. 20,21 In our review, we present the data regard-
each method in every surgical procedure.
ing the use of both methods in the domain of colorectal
Clinical significance: It would be really beneficial for the surgery regarding all the surgical techniques. Accord-
patients to be informed in detail of the clinical and oncologic ing to the New York Statewide Planning and Research
outcomes for each method.
Cooperative System administrative data, colectomy is
Keywords: Colorectal malignancies, Comparison, Laparo- one of the five most common laparoscopic procedures
scopic, Robotic, Surgery, Systematic review.
between 2008 and 2012, so a comparison between the
How to cite this article: Kirmanidis MA, Keskinis C. Reviewing laparoscopic and robotic colectomy is a matter of big
the Comparison of Robotic Colectomy with the Laparoscopic significance and has to be clearly underscored. The first
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Ones of All the Procedures based on Determined Parameters.
World J Lap Surg 2017;10(2):61-65. robotic colectomy was reported in 2002, and the use of
robotic procedures has been increasing since then, while
Source of support: Nil
it has a more extensive use in the field of urology. 3,17,23,24
Conflict of interest: None This is a retrospective comprehensive review of various
publications comparing these two methods of surgical
InTRODuCTIOn procedures separately and taking into consideration
plenty of parameters, such as the clinical and the onco-
Two different main surgical methods are emerging in logic outcomes and how they can be affected, the body
the field of minimally invasive surgery (MIS) over the mass index (BMI), the total mean hospital costs for each
past 20 years and they are being applied in colorectal procedure, and postoperative complications. Only studies

that had classified their patients with similar criteria were
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1 Surgeon, Intern taken into consideration (gender, BMI, American Society
of Anesthesiologists [ASA] score, tumor location, previous
1,2 Department of General Surgery, General Hospital of Drama
Drama, Greece abdominal surgery).
Corresponding Author: Michail A Kirmanidis, Surgeon RESuLTS
Department of General Surgery, General Hospital of
Drama, Drama, Greece, Phone: +00302521350412, e-mail: The review was built-up by downloading various articles
mihaliskirmanidis@yahoo.gr
regarding laparoscopic and robotic colectomy from
World Journal of Laparoscopic Surgery, May-August 2017;10(2):61-65 61