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Efficacy and safety of robotic complete mesocolic excision: a systematic review

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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One independent researcher searched the MEDLINE-PubMed database for published and unpublished material.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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Authors and Affiliations

  1. 2nd Department of Surgery and Vascular Surgery Unit, General Hospital of Nikaia and Piraeus “Agios Panteleimon”, Athens, Greece

    Ilektra Kyrochristou, Georgios Anagnostopoulos, Ilias Giannakodimos & Georgios Lampropoulos

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  1. Ilektra Kyrochristou
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  2. Georgios Anagnostopoulos
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  3. Ilias Giannakodimos
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  4. Georgios Lampropoulos
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Contributions

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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Correspondence to Ilektra Kyrochristou.

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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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