Abstract
Background
Complete mesocolic excision (CME) consists of the complete removal of tumor-bearing soft tissues enveloped by the mesocolic fascia and radical lymphadenectomy at the origin of feeding vessels. We conducted a systematic review, evaluating the efficacy of the robotic CME (RCME) in patients with right-sided colon cancer and presenting the data in comparison to those concerning the open RC (right colectomy) with CME.
Methods
One independent researcher searched the MEDLINE-PubMed database for published and unpublished material.
Results
Eighty-three articles were found to refer to CME, 17 of which met the selection criteria following the PRISMA guidelines. All researchers presented short-term outcomes and agreed on the oncologic safety of CME. Different surgical approaches were proposed; however, no significant differences were noticed regarding the peri-operative outcomes.
Conclusion
Although long-term outcomes are needed to establish it as a standard of care in right-sided colon cancer, RCME is a procedure that gains more and more grounds due to its oncologic safety. The standard medial-to-lateral approach seems to have similar results to other approaches.
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Availability of data and material
MEDLINE-PubMed, Cochrane Library, UpToDate, and Trip database.
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Acknowledgements
We owe a special thanks to Mr. G Lampropoulos for his valuable help in editing the current paper.
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I. Kyrochristou: main author, G. Anagnostopoulos: supervisor of research, concept creator, I. Giannakodimos: secondary author, G. Lampropoulos: assistant reviewer, editor of the manuscript.
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Kyrochristou, I., Anagnostopoulos, G., Giannakodimos, I. et al. Efficacy and safety of robotic complete mesocolic excision: a systematic review. Int J Colorectal Dis 38, 181 (2023). https://doi.org/10.1007/s00384-023-04477-8
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DOI: https://doi.org/10.1007/s00384-023-04477-8