title: Laparoscopy Versus Robotic Surgery for Colorectal Cancer: A Single-Center Initial Experience.
abstract: Background Minimally invasive approach has gained interest in the treatment of patients with colorectal cancer. The purpose of this study is to analyze the differences between laparoscopy and robotics for colorectal cancer in terms of oncologic and clinical outcomes in an initial experience of a single center. Materials and Methods Clinico-pathological data of 100 patients surgically treated for colorectal cancer from March 2008 to April 2014 with laparoscopy and robotics were analyzed. The procedures were right colonic, left colonic, and rectal resections. A comparison between the laparoscopic and robotic resections was made and an analysis of the first and the last procedures in the 2 groups was performed. Results Forty-two patients underwent robotic resection and 58 underwent laparoscopic resection. The postoperative mortality was 1%. The number of harvested lymph nodes was higher in robotics. The conversion rate was 7.1% for robotics and 3.4% for laparoscopy. The operative time was lower in laparoscopy for all the procedures. No differences were found between the first and the last procedures in the 2 groups. Conclusions This initial experience has shown that robotic surgery for the treatment of colorectal adenocarcinoma is a feasible and safe procedure in terms of oncologic and clinical outcomes, although an appropriate learning curve is necessary. Further investigation is needed to demonstrate real advantages of robotics over laparoscopy.
authors.affiliation: Department of Medicine, Surgery and Neurosciences, Unit of Surgical Oncology, Azienda Ospedaliera Universitaria Senese, University of Siena, Italy frr.fra@gmail.com.
authors.forename: Francesco
authors.initials: F
authors.lastname: Ferrara
authors.affiliation: Department of Medicine, Surgery and Neurosciences, Unit of Minimally Invasive Surgery, Azienda Ospedaliera Universitaria Senese, University of Siena, Italy.
authors.forename: Riccardo
authors.initials: R
authors.lastname: Piagnerelli
authors.affiliation: Department of Medicine, Surgery and Neurosciences, Unit of Surgical Oncology, Azienda Ospedaliera Universitaria Senese, University of Siena, Italy.
authors.forename: Maximilian
authors.initials: M
authors.lastname: Scheiterle
authors.affiliation: Department of Medicine, Surgery and Neurosciences, Unit of Surgical Oncology, Azienda Ospedaliera Universitaria Senese, University of Siena, Italy.
authors.forename: Giulio
authors.initials: G
authors.lastname: Di Mare
authors.affiliation: Department of Medicine, Surgery and Neurosciences, Unit of Surgical Oncology, Azienda Ospedaliera Universitaria Senese, University of Siena, Italy.
authors.forename: Pasquale
authors.initials: P
authors.lastname: Gnoni
authors.affiliation: Department of Medicine, Surgery and Neurosciences, Unit of Surgical Oncology, Azienda Ospedaliera Universitaria Senese, University of Siena, Italy.
authors.forename: Daniele
authors.initials: D
authors.lastname: Marrelli
authors.affiliation: Department of Medicine, Surgery and Neurosciences, Unit of Surgical Oncology, Azienda Ospedaliera Universitaria Senese, University of Siena, Italy Department of Medicine, Surgery and Neurosciences, Unit of Minimally Invasive Surgery, Azienda Ospedaliera Universitaria Senese, University of Siena, Italy.
authors.forename: Franco
authors.initials: F
authors.lastname: Roviello
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000368:Aged; D015331:Cohort Studies; D003082:Colectomy; D003110:Colonic Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*; D065287:Robotic Surgical Procedures; D016896:Treatment Outcome
keywords: colorectal surgery; robotic surgery; surgical oncology