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

  • Original Article
  • Published:
Journal of Gastrointestinal Surgery Aims and scope

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.

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Conflict of Interest

Drs. C. W. Kim, C. H. Kim, and S. H. Baik have no conflicts of interest or financial ties to disclose.

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  1. Division of Colon and Rectal Surgery, Department of Surgery, Severance Hospital Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul, 120-752, Republic of Korea

    Chang Woo Kim, Chang Hee Kim & Seung Hyuk Baik

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Kim, C.W., Kim, C.H. & Baik, S.H. Outcomes of Robotic-Assisted Colorectal Surgery Compared with Laparoscopic and Open Surgery: a Systematic Review. J Gastrointest Surg 18, 816–830 (2014). https://doi.org/10.1007/s11605-014-2469-5

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  • DOI: https://doi.org/10.1007/s11605-014-2469-5

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