Assessing appropriateness for elective colorectal cancer surgery: Clinical, oncological, and quality-of-life short-term outcomes employing different treatment approaches

Emilio Bertani, Antonio Chiappa, Roberto Biffi, Paolo Pietro Bianchi, Davide Radice, Vittorio Branchi, Elena Cenderelli, Irene Vetrano, Sabine Cenciarelli, Bruno Andreoni

Research output: Contribution to journalArticlepeer-review

Abstract

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

Original languageEnglish
Pages (from-to)1317-1327
Number of pages11
JournalInternational Journal of Colorectal Disease
Volume26
Issue number10
DOIs
Publication statusPublished - Oct 2011

Keywords

  • Appropriateness
  • Colorectal cancer. Robotic surgery. Laparoscopic surgery. Quality of life
  • Cost analysis

ASJC Scopus subject areas

  • Gastroenterology

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