K. Memeh1, V. Pandit1, P. N. Omesiete1, V. N. Nfonsam1 1University Of Arizona,Surgery,Tucson, AZ, USA
Introduction:
Robotic assisted surgery has continued to gain popularity amonsgt surgeons in the past decade. Over the last decade, robotic surgey has also started to emarge as probable porcedure of choice in sometimes difficult minimal invasive cases like colon resection. The aim of our study is to compare the outcomes of robotic colon resection (RCR) vs laparoscopic colon resection (LCR) for colon cancer.
Methods:
2-year review (2015-2016) of the ACS-NSQIP Colectomy database and included all patients with colon cancer who underwent RCR or LCR with primary anastomosis. Patients were stratified into two groups: RCR and LCR. Outcomes were conversion rates to open, 30-d complications and 30-d mortality. Regression analysis was performed.
Results:
14824 patients were analyzed of which 5726 who underwent colonic resection with primary anastomosis and were included. Mean age was 65±12 years, 52% were males, and median ASA class was 3[2-4]. Overall 16% patients underwent RCR and mortality rate was 1.6%. There was no difference in age (p=0.25), gender (p=0.35), ASA class (p=0.77), comorbidities, and pre-operative labs between the two groups. Median operative time for RCR was (218 vs. 160 minutes, p=0.01) and conversion to open rate was lower (4.7% vs. 7.7%, p=0.03) compared to LCR. There was no difference in 30-day complications and 30-day mortality (Table-1). On regression analysis, patients who underwent LCR had higher odds of converting to open (OR: 2.6[1.2-11.8], p=0.03) compared to RCR
Conclusion:
Patients who underwent robotic colonic resection for colon cancer though had longer operative times, is more likely stay minimal invasive compared to LCR. There was no difference in 30-day outcomes between robotic and laparoscopic approach for colon resection.