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Robotic-Assisted versus Laparoscopic Left Hemicolectomy—Postoperative Inflammation Status, Short-Term Outcome and Cost Effectiveness

Author

Listed:
  • Anna Widder

    (Department of General, Visceral, Transplantat, Vascular and Pediatric Surgery, Center of Operative Medicine (ZOM), University Hospital of Wuerzburg, 97080 Wuerzburg, Germany
    These authors contributed equally to this work.)

  • Matthias Kelm

    (Department of General, Visceral, Transplantat, Vascular and Pediatric Surgery, Center of Operative Medicine (ZOM), University Hospital of Wuerzburg, 97080 Wuerzburg, Germany
    These authors contributed equally to this work.)

  • Joachim Reibetanz

    (Department of General, Visceral, Transplantat, Vascular and Pediatric Surgery, Center of Operative Medicine (ZOM), University Hospital of Wuerzburg, 97080 Wuerzburg, Germany)

  • Armin Wiegering

    (Department of General, Visceral, Transplantat, Vascular and Pediatric Surgery, Center of Operative Medicine (ZOM), University Hospital of Wuerzburg, 97080 Wuerzburg, Germany
    Department of Biochemistry and Molecular Biology, University of Wuerzburg, 97070 Wuerzburg, Germany
    Comprehensive Cancer Center Mainfranken, University of Wuerzburg Medical Centre, 97080 Wuerzburg, Germany)

  • Niels Matthes

    (Department of General, Visceral, Transplantat, Vascular and Pediatric Surgery, Center of Operative Medicine (ZOM), University Hospital of Wuerzburg, 97080 Wuerzburg, Germany
    Department of Biochemistry and Molecular Biology, University of Wuerzburg, 97070 Wuerzburg, Germany)

  • Christoph-Thomas Germer

    (Department of General, Visceral, Transplantat, Vascular and Pediatric Surgery, Center of Operative Medicine (ZOM), University Hospital of Wuerzburg, 97080 Wuerzburg, Germany
    Comprehensive Cancer Center Mainfranken, University of Wuerzburg Medical Centre, 97080 Wuerzburg, Germany)

  • Florian Seyfried

    (Department of General, Visceral, Transplantat, Vascular and Pediatric Surgery, Center of Operative Medicine (ZOM), University Hospital of Wuerzburg, 97080 Wuerzburg, Germany)

  • Sven Flemming

    (Department of General, Visceral, Transplantat, Vascular and Pediatric Surgery, Center of Operative Medicine (ZOM), University Hospital of Wuerzburg, 97080 Wuerzburg, Germany)

Abstract

Robotic-assisted colon surgery may contain advantages over the laparoscopic approach, but clear evidence is sparse. This study aimed to analyze postoperative inflammation status, short-term outcome and cost-effectiveness of robotic-assisted versus laparoscopic left hemicolectomy. All consecutive patients who received minimal-invasive left hemicolectomy at the Department of Surgery I at the University Hospital of Wuerzburg in 2021 were prospectively included. Importantly, no patient selection for either procedure was carried out. The robotic-assisted versus laparoscopic approaches were compared head to head for postoperative short-term outcomes as well as cost-effectiveness. A total of 61 patients were included, with 26 patients having received a robotic-assisted approach. Baseline characteristics did not differ among the groups. Patients receiving a robotic-assisted approach had a significantly decreased length of hospital stay as well as lower rates of complications in comparison to patients who received laparoscopic surgery (n = 35). In addition, C-reactive protein as a marker of systemic stress response was significantly reduced postoperatively in patients who were operated on in a robotic-assisted manner. Consequently, robotic-assisted surgery could be performed in a cost-effective manner. Thus, robotic-assisted left hemicolectomy represents a safe and cost-effective procedure and might improve patient outcomes in comparison to laparoscopic surgery.

Suggested Citation

  • Anna Widder & Matthias Kelm & Joachim Reibetanz & Armin Wiegering & Niels Matthes & Christoph-Thomas Germer & Florian Seyfried & Sven Flemming, 2022. "Robotic-Assisted versus Laparoscopic Left Hemicolectomy—Postoperative Inflammation Status, Short-Term Outcome and Cost Effectiveness," IJERPH, MDPI, vol. 19(17), pages 1-9, August.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:17:p:10606-:d:897350
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