KOLON KANSERİNDE ROBOTİK VE AÇIK SAĞ KOLEKTOMİNİN POSTOPERATİF VE ONKOLOJİK SONUÇLARININ KARŞILAŞTIRILMASI

Year 2023, Volume: 86 Issue: 3, 185 - 191, 26.10.2023

Sercan Yüksel , Uğur Topal , Ece Batur , Anıl Demir , İsmail Çalıkoğlu , Erdal Karaköse , Erdal Ercan , Zafer Teke , Hasan Bektaş

https://doi.org/10.26650/IUITFD.1280696

Abstract

Amaç: Bu çalışma, sağ kolon kanseri için robotik sağ hemikolektominin kısa vadeli sonuçlarını konvansiyonel sağ hemikolektomiyle karşılaştırmayı amaçlamaktadır.
Gereç ve Yöntem: 2020-2022 yılları arasında sağ taraf yerleşimli kolorektal kanser nedeniyle cerrahi tedavi uygulanan hastalar çalışmaya dahil edildi. Hastalar konvansiyonel cerrahi geçirenler Grup 1, robotik cerrahi uygulananlar Grup 2 olmak üzere 2 gruba ayrıldı. Bu gruplarda hastalara ait klinik veriler ve peroperatif sonuçlar karşılaştırıldı.
Bulgular: Çalışmamıza 51 hasta katıldı. Grup 1 39 hastadan, Grup 2 12 hastadan oluşuyordu. Yaş ortalaması (60,7 ve 62,3 p=0,773) idi. Hiçbir dönüşüm veya intraoperatif komplikasyon oluşmadı. Genişletilmiş sağ hemikolektomi (%23,1 ve %8,36 p=0,083) oranında uygulandı. Operasyon süresi Grup 2'de uzundu (2,84 ve 3,04 p=0,023). Grup 1’de bir hasta postoperatif dönemde ileus nedeniyle tekrar ameliyat edildi. En sık T3 evre tümörler (%48,7 ve %50, p=0,794) ve N0 (%38,5 ve %41,7, p=0,827) saptanmıştı. Lenf nodu diseksiyonu sayıları total lenf nodları 37,2 ve 41,9 (p=0,179) ve malign nodlar 2,54 ve 6,42 (p=0,881) idi. En sık görülen Clavien-Dindo skoru her iki grupta da 1 idi (%79,5 ve %83,3, p=0,339). Yatış süresi gruplarda benzerdi (6,38 ve 5,92, p=0,156). Grup 1'de 6 hastada hastaneye tekrar başvuru görüldü. Başvuru sebepleri anastomoz kaçağı, ileus ve genel durum bozukluğu idi.
Sonuç: Deneyimlerimiz sağ kolon kanserinin tedavisi için robotik cerrahinin fizibilitesini ve güvenliğini doğrulamaktadır. Bu yöntem tatmin edici kısa vadeli sonuçlar sağlamıştır.

Keywords

Kolorektal kanser, robotik cerrahi, sağ kolektomi, postoperatif komplikasyon, onkolojik sonuçlar

Supporting Institution

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Project Number

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Thanks

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COMPARISON OF POSTOPERATIVE AND ONCOLOGICAL OUTCOMES IN ROBOTIC AND OPEN RIGHT COLECTOMY FOR COLON CANCER

Abstract

Objective:This study aims to compare the short-term outcomes of robotic right hemicolectomy for right sided colon cancer to those of conventional open right hemicolectomy.
Material and Method:Patients who underwent surgical treatment for right sided colorectal cancer between 2020 and 2022 were included in the study. Patients had been divided into 2 groups: Group1, who underwent conventional surgery, and Group2, who underwent robotic surgery.Clinical data and peropative findings of patients were compared between the groups.
Result:A total of 51 patients participated in our study. Group1 consisted of 39 patients and Group2 consisted of 12 patients. The mean age was 60.7 vs. 62.3 (p=0.773). No conversions or intraoperative complications occurred. Extended right hemicolectomy was performed in 23.1% vs. 8.36% (p=0.083). The operation time was longer in Group2 (2.84 vs. 3.04,p=0.023). One patient in Group 1 underwent reoperation for ileus during the postoperative period. T3 stage tumors (48.7% vs. 50%,p=0.794) and N0 lymph node metastasis (38.5% vs. 41.7%,p=0.827) were detected most frequently. The total number of lymph nodes dissected was 37.2 vs. 41.9 (p=0.179). The number of malignant lymph nodes was 2.54 vs. 6.42 (p=0.881). The most common Clavien-Dindo score was 1 in both groups (79.5% vs. 83.3%,p=0.339). The length of stay was similar between the groups (6.38 vs. 5.92, p=0.156). Readmission occurred in 6 patients in Group1, with reasons being anastomotic leakage, ileus, and general condition disorder.
Conclusion:Our experience shows the feasibility and safety of robotic surgery for the treatment of right sided colonic cancer. This method has provided satisfactory short-term outcomes.

Keywords

Colorectal cancer, Robotic surgery, Right colectomy, Postoperative complications, Oncologic outcomes

Project Number

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