TY - JOUR
T1 - Assessing appropriateness for elective colorectal cancer surgery
T2 - Clinical, oncological, and quality-of-life short-term outcomes employing different treatment approaches
AU - Bertani, Emilio
AU - Chiappa, Antonio
AU - Biffi, Roberto
AU - Bianchi, Paolo Pietro
AU - Radice, Davide
AU - Branchi, Vittorio
AU - Cenderelli, Elena
AU - Vetrano, Irene
AU - Cenciarelli, Sabine
AU - Andreoni, Bruno
PY - 2011/10
Y1 - 2011/10
N2 - Purpose In recent years, colorectal cancer surgery has benefitted from new techniques such as laparoscopy and robotic surgery. However, many treatment disparities exist among different centers for patients affected by the same kind of tumors. Methods Forty-five (41%) open (OCO) vs. 30 (28%) laparoscopic (LCO) vs. 34 (31%) robotic-assisted (RCO) colectomies and 34 (40%) open (ORR) vs. 52 (60%) robotic (ROR) rectal resections performed during a 15-month period, in elective setting, were compared. Patients presenting contraindications for minimally invasive procedures were excluded from the study, so that all the enrolled patients were suitable for either of the surgical procedures. Results Overall morbidity rates were similar among groups. Perioperative mortality was nil. No significant differences were noted as for total number of lymph nodes harvested between arms. Mean time (days) to first bowel movement to gas was 3.3 vs. 2.3 vs. 2.6 for OCO, LCO, and RCO, respectively (p
AB - Purpose In recent years, colorectal cancer surgery has benefitted from new techniques such as laparoscopy and robotic surgery. However, many treatment disparities exist among different centers for patients affected by the same kind of tumors. Methods Forty-five (41%) open (OCO) vs. 30 (28%) laparoscopic (LCO) vs. 34 (31%) robotic-assisted (RCO) colectomies and 34 (40%) open (ORR) vs. 52 (60%) robotic (ROR) rectal resections performed during a 15-month period, in elective setting, were compared. Patients presenting contraindications for minimally invasive procedures were excluded from the study, so that all the enrolled patients were suitable for either of the surgical procedures. Results Overall morbidity rates were similar among groups. Perioperative mortality was nil. No significant differences were noted as for total number of lymph nodes harvested between arms. Mean time (days) to first bowel movement to gas was 3.3 vs. 2.3 vs. 2.6 for OCO, LCO, and RCO, respectively (p
KW - Appropriateness
KW - Colorectal cancer. Robotic surgery. Laparoscopic surgery. Quality of life
KW - Cost analysis
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U2 - 10.1007/s00384-011-1270-0
DO - 10.1007/s00384-011-1270-0
M3 - Article
C2 - 21750927
AN - SCOPUS:80855148182
VL - 26
SP - 1317
EP - 1327
JO - International Journal of Colorectal Disease
JF - International Journal of Colorectal Disease
SN - 0179-1958
IS - 10
ER -