Robotic versus conventional laparoscopic colorectal operations: a-single center experience
Mehmet Abdussamet Bozkurt, Ali Kocataş, Eyüp Gemici, Mustafa Uygar Kalaycı, Halil Alış
Clinic of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey
Abstract
Objective: Robotic surgery was first introduced in 2000 especially to overcome the limitations of low rectum cancer surgery. There is still no consensus regarding the standard method for colorectal surgery. The aim of this study was to compare robotic surgery with laparoscopic colorectal surgery.
Material and Methods: This is a retrospective study. Data of patients with a diagnosis of colon or rectal cancer were analyzed for robotic colorectal surgery and laparoscopic colorectal surgery.
Results: The cost of robotic surgery group was statistically higher than the laparoscopic surgery group (p=0.032). The average operation duration was 178 minutes in the laparoscopic surgery group and 228 minutes in the robotic surgery group, and this difference was statistically significant (p=0.044). There was no statistically significant difference between the groups regarding other parameters.
Discussion: Disadvantages of robotic surgery seem to be its higher cost and longer operation duration as compared to laparoscopic surgery. We claim that an increase in the number of cases and experience may shorten the operation time while the increase in commercial interest may decrease the cost disadvantage of robotic surgery.
Keywords: Robotic surgery, colorectal surgery, laparoscopy
Ethical approval was not obtained because of the retrospective design of the study.
Written informed consent was obtained from patients who participated in this study.
Externally peer-reviewed.
Concept - M.A.B.; Design - M.A.B., A.K.; Supervision - H.A., M.U.K.; Resources - M.A.B., E.G.; Materials - M.A.B.; Data Collection and/or Processing - M.A.B., E.G.; Analysis and/or Interpretation - M.A.B., H.A.; Literature Search - M.A.B., A.K.; Writing Manuscript - M.A.B.; Critical Review - H.A., M.U.K., A.K.; Other - E.G.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.
The authors would like to thank Emire Bor for statistical analyzes.