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Safety and feasibility of robotic surgery for colon cancer patients with previous abdominal surgery: a propensity score-matching analysis

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Abstract

Robotic surgery is widely used in gastrointestinal surgery. While the application of robotic surgery for colon cancer patients with previous abdominal surgery (PAS) remains controversial for the fear of intra-abdominal adhesions. This study was aimed to evaluate the safety and feasibility of robotic colectomy for patients with PAS. The medical records of colon cancer patients who underwent robotic surgery at our hospital from June 2015 to August 2020 were extracted and analyzed. Propensity score-matching (PSM) analysis was implemented to minimize selection bias. We compared perioperative outcomes and postoperative complications between the patients with PAS or with no PAS (NPAS). A total of 79 patients (PAS group) and 348 patients (NPAS group) were included in our study. After PSM, 79 patients of PAS group and 79 patients of NPAS group were selected for further analysis. We did not find statistical difference in operative time, estimated blood loss, lymph nodes retrieved, length of hospital stay and hospital costs between the two groups. No difference was noted in the incidence of postoperative complications, conversion to open surgery and mortality between the two groups. According to the results of multivariate analysis, PAS was not identified as risk factor for postoperative complications. Left hemicolectomy and perioperative transfusion were associated with postoperative complications. PAS did not negatively affect the outcomes of robotic colectomy. After individually preoperative assessment, robotic surgery could be performed feasibly and safely for colon cancer patients with PAS.

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All data are available from the corresponding author on reasonable request.

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Funding

We did not receive any funding in this study.

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Authors and Affiliations

  1. Department of General Surgery, The First Affiliated Hospital of Nanchang University, No. 17 Yongwaizheng Street, Nanchang, 330006, Jiangxi Province, China

    Yaxiong Liu, Yuli Yuan, Gengmei Gao, Yahang Liang, Tao Li & Taiyuan Li

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  1. Yaxiong Liu
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  2. Yuli Yuan
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  3. Gengmei Gao
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  4. Yahang Liang
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  5. Tao Li
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  6. Taiyuan Li
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Contributions

YX-L: study design, manuscript writing and data analyses; YL-Y, GM-G, YH-L, T-L: data collection and data analyses; TY-L: study design, revising manuscript and supervision. All authors reviewed the results and approved the final manuscript.

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Correspondence to Taiyuan Li.

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This study was granted by the ethics committee of The First Affiliated Hospital of Nanchang University and performed in line with the principles of the Declaration of Helsinki.

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Liu, Y., Yuan, Y., Gao, G. et al. Safety and feasibility of robotic surgery for colon cancer patients with previous abdominal surgery: a propensity score-matching analysis. J Robotic Surg 17, 3025–3033 (2023). https://doi.org/10.1007/s11701-023-01741-5

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