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Robotic left colectomy with complete mesocolectomy for splenic flexure and descending colon cancer, compared with a laparoscopic procedure
Author(s) -
Kim Jin Cheon,
Lee Jong Lyul,
Yoon Yong Sik,
Kim Chan Wook,
Park In Ja,
Lim SeokByeong
Publication year - 2018
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.1918
Subject(s) - medicine , dissection (medical) , colectomy , colorectal cancer , splenic flexure , surgery , lymph node , cancer , colonoscopy
Background Its relatively low incidence and its surgical complexity mean that a standardized technique for left colectomy has not yet been established for splenic flexure and descending colon cancer (SF‐DCC). Methods Seventy‐three patients (robot‐assisted left colectomy with complete mesocolectomy [R‐LCCM], n = 20; laparoscopic left colectomy with complete mesocolectomy [L‐LCCM], n = 53) with SF‐DCC were enrolled at the Asan Medical Center (Seoul, Korea). Results R‐LCCM conveniently enables dexterous dissection for the multi‐directional approaches during left mesocolic mobilization. A conversion to open surgery was required in two patients of the L‐LCCM group, but not in the R‐LCCM group. A positive circumferential resection margin was exclusively identified in two patients in the L‐LCCM group. Mean lymph node harvest was 21 with no difference between the two groups. Conclusions Although R‐LCCM provided few remarkable advantages over L‐LCCM, it could be considered as an efficient approach in patients with SF‐DCC.