Introduction
Colorectal cancer is the third most common malignancy (6.1%) worldwide among men and women, and the second reason for death. The current treatment is based on locoregional therapy: surgery, radiotherapy, and systematic treatment like chemotherapy. Now it is well known that laparoscopic/robotic surgery is equal, or even superior, to the open one in colorectal procedures.
Aim
The aim of this study was to analyze and share our initial results in robotic colorectal surgery and compare them with literature data
Materials and Methods: A retrospective study was conducted in order to review our first 183 patients with colorectal cancers operated by a robot-assisted and totally robotic techniques. Gender, age, diagnosis and surgical indications, type of surgery, surgical time, conversion, bleeding, post-operative complications, and hospital stay were analyzed and described.
Results: The mean age of the patients was 67.87 ± 14.10 years, 101 (58.38%) of them were male and 72 (41.62%) female. The most common localization for the tumor was the rectum—62 (35.83%), followed by the sigmoid—26 (15.02%), left colon—23 (13.29%), cecum—19 (10.98%), rectosigmoid—12 (6.93%), ascending colon—12 (6.93%), right flexure—10 (5.78%), left flexure—4 (2.33%), transverse colon—4 (2.33). The mean blood loss was 165.45 ± 82.85 mL and the mean operative time was 195.20 ± 82.40 min. The average length of hospital stay was 7.22 ± 4.08 days.
Conclusion: Our research shows that robotic colorectal surgery can be performed successfully with good short-term outcomes due to the advantages of the DaVinci system and personal laparoscopic experience. One of the disadvantages of robotic surgery is prolonged operative time, which we think could be improved with the accumulation of experience.
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