Surgical oncology · 2026
Robotic intracorporeal continuous double hand-sewn versus laparoscopic assisted extracorporeal anastomosis for left-colectomy: A single-center retrospective cohort.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Yan Jianing, Hu Shiyu, Ye Zhichao, Wang Xiaofeng, Chen Jiang, Huang Wanbo, Yin Yongfang, Xie Jianming, Yan Zhilong
Аннотация
BACKGROUND: Colorectal cancer patients who underwent intracorporeal colectomy can complete anastomosis by hand-sewn or apparatus. Here we introduce a novel continuous double suture technique for robotic intracorporeal hand-sewn anastomosis in left-colectomy.
METHODS: Patients were divided into robotic intracorporeal continuous double hand-sewn anastomosis (RICD) and the laparoscopic assisted extracorporeal anastomosis (LAEA) group. Intraoperative, postoperative and pathological outcomes were analyzed.
RESULTS: Baseline characteristics had no differences. The overall operative and anastomotic time of RICD were significantly longer, and the incision length was notably shorter. Intraoperative blood loss in RICD was also significantly less. Postoperative complications had no differences. RICD exhibited shorter durations for the enhanced recovery after surgery. The maximum diameter of tumor had no differences, and the number of harvested lymph nodes in RICD was significantly higher.
CONCLUSIONS: RICD has a great potential for technical feasibility, reduced invasiveness and short-term accelerated recovery for left-colectomy requiring further large-scale studies.
METHODS: Patients were divided into robotic intracorporeal continuous double hand-sewn anastomosis (RICD) and the laparoscopic assisted extracorporeal anastomosis (LAEA) group. Intraoperative, postoperative and pathological outcomes were analyzed.
RESULTS: Baseline characteristics had no differences. The overall operative and anastomotic time of RICD were significantly longer, and the incision length was notably shorter. Intraoperative blood loss in RICD was also significantly less. Postoperative complications had no differences. RICD exhibited shorter durations for the enhanced recovery after surgery. The maximum diameter of tumor had no differences, and the number of harvested lymph nodes in RICD was significantly higher.
CONCLUSIONS: RICD has a great potential for technical feasibility, reduced invasiveness and short-term accelerated recovery for left-colectomy requiring further large-scale studies.