Evidence map›Paper›PMID 32372219›Full record

Observational studySurgical endoscopy2021

Robotic or three-dimensional (3D) laparoscopy for right colectomy with complete mesocolic excision (CME) and intracorporeal anastomosis? A propensity score-matching study comparison.

Graziano Ceccarelli, Gianluca Costa, Valentina Ferraro, Michele De Rosa, Fabio Rondelli, Walter Bugiantella

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 10 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 10 syntheses or guidelines pooled it.

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  20. Robotic versus laparoscopic right colectomy for colon cancer: a systematic review and meta-analysis.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Graziano CeccarelliGeneral Surgery, San Giovanni Battista" Hospital, USL Umbria 2, Via Massimo Arcamone, 1, 06034, Foligno, PG, Italy.
Gianluca CostaEmergency Surgery Unit, "Sant'Andrea" Hospital, Sapienza" University of Rome, Via di Grottarossa, 1035, 00189, Roma, Italy.
Valentina FerraroDepartment of Biomedical Sciences and Human Oncology - Unit Of Endocrine, Digestive And Emergency Surgery, Policlinic of Bari, University "A. Moro" of Bari, Piazza Giulio Cesare, 1, 70124, Bari, Italy.
Michele De RosaGeneral Surgery, San Giovanni Battista" Hospital, USL Umbria 2, Via Massimo Arcamone, 1, 06034, Foligno, PG, Italy.
Fabio RondelliGeneral Surgery, San Giovanni Battista" Hospital, USL Umbria 2, Via Massimo Arcamone, 1, 06034, Foligno, PG, Italy.
Walter BugiantellaGeneral Surgery, San Giovanni Battista" Hospital, USL Umbria 2, Via Massimo Arcamone, 1, 06034, Foligno, PG, Italy. walterbugiantella@alice.it.ORCID 0000-0003-2702-1357

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe describe our preliminary experience in complete mesocolic excision (CME) with central vascular ligation (CVL) and intracorporeal anastomosis for right colon cancer, comparing the robotic and the three-dimensional (3D) laparoscopic approach.

methodsWe performed a retrospective observational clinical cohort study on patients who underwent radical curative surgical resection of right colon cancer with CME from January 2014 to June 2019. Propensity scores were calculated by bivariate logistic regression, including the following variables: age, BMI, and size of tumor.

resultsFifty-five patients underwent CME with CVL: 26 by means of robot-assisted surgery and 29 by means of 3D laparoscopic procedure. There were not statistically significant differences about all the intra- and postoperative outcomes (operative time, length of the specimen, time to bowel canalization, time to soft oral intake, length of hospital stay, postoperative complication, number of retrieved lymph nodes, number of positive lymph nodes and lymph node ratio) between the robotic and the 3D laparoscopic approach. After the matching procedure, 20 patients of the robotic group and 20 patients of the 3D laparoscopic group were selected for the analysis. There were no differences in any of the analyzed variables between the two groups except for longer operative time in the robotic group (p = 0.002).

conclusionThe 3D vision revealed an important advantage in order to achieve the correct identification of surgical anatomy allowing a safe and effective right colectomy with CME, CVL, and intracorporeal anastomosis, either using laparoscopic or with robotic approach, providing similar short-term outcomes. Taking into account the high costs and the longer operative time of robotic procedure, the 3D laparoscopy could be considered in performing right colectomy with CME, while the robotic approach should be considered as a first choice approach for challenging situations (obese patient, complex associated procedures).

Indexed as

AgedAnastomosis, SurgicalCase-Control StudiesColectomyColonic NeoplasmsFemaleHumansLaparoscopyLength of StayLigationLymph NodesMaleMesocolonMiddle AgedOperative TimePostoperative Complications3DComplete mesocolic excisionIntracorporeal anastomosisLaparoscopyRight colectomyRobotic surgery

Identifiers

PMID32372219

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.