Robotic intracorporeal continuous double hand-sewn versus laparoscopic assisted extracorporeal anastomosis for left-colectomy: A single-center retrospective cohort

IF 2.1 4区医学 Q3 ONCOLOGY

Surgical Oncology-Oxford Pub Date : 2026-04-01 Epub Date: 2026-02-05 DOI:10.1016/j.suronc.2026.102363

Jianing Yan , Shiyu Hu , Zhichao Ye , Xiaofeng Wang , Jiang Chen , Wanbo Huang , Yongfang Yin , Jianming Xie , Zhilong Yan

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引用次数: 0

Abstract

Background

Colorectal cancer patients who underwent intracorporeal colectomy can complete anastomosis by hand-sewn or apparatus. Here we introduce a novel continuous double suture technique for robotic intracorporeal hand-sewn anastomosis in left-colectomy.

Methods

Patients were divided into robotic intracorporeal continuous double hand-sewn anastomosis (RICD) and the laparoscopic assisted extracorporeal anastomosis (LAEA) group. Intraoperative, postoperative and pathological outcomes were analyzed.

Results

Baseline characteristics had no differences. The overall operative and anastomotic time of RICD were significantly longer, and the incision length was notably shorter. Intraoperative blood loss in RICD was also significantly less. Postoperative complications had no differences. RICD exhibited shorter durations for the enhanced recovery after surgery. The maximum diameter of tumor had no differences, and the number of harvested lymph nodes in RICD was significantly higher.

Conclusions

RICD has a great potential for technical feasibility, reduced invasiveness and short-term accelerated recovery for left-colectomy requiring further large-scale studies.

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机器人体内连续双手工缝合与腹腔镜辅助体外吻合左结肠切除术：单中心回顾性队列。

背景：结肠直肠癌患者行体外结肠切除术后，可通过手工缝合或器械完成吻合。本文介绍一种新的连续双缝技术，用于左结肠切除术中机器人体内手工缝合吻合术。方法：将患者分为机器人体内连续双手缝吻合（RICD）组和腹腔镜辅助体外吻合（LAEA）组。分析术中、术后及病理结果。结果：基线特征无差异。RICD的总手术时间和吻合时间明显延长，切口长度明显缩短。RICD组术中出血量也明显减少。术后并发症无差异。RICD在术后恢复中表现出较短的持续时间。RICD组肿瘤最大直径差异无统计学意义，淋巴结清扫数显著高于RICD组。结论：RICD在左结肠切除术中具有技术可行性、减少侵入性和短期加速恢复的巨大潜力，需要进一步的大规模研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical Oncology-Oxford 医学-外科

CiteScore

4.50

自引率

0.00%

发文量

169

审稿时长

38 days

期刊介绍： Surgical Oncology is a peer reviewed journal publishing review articles that contribute to the advancement of knowledge in surgical oncology and related fields of interest. Articles represent a spectrum of current technology in oncology research as well as those concerning clinical trials, surgical technique, methods of investigation and patient evaluation. Surgical Oncology publishes comprehensive Reviews that examine individual topics in considerable detail, in addition to editorials and commentaries which focus on selected papers. The journal also publishes special issues which explore topics of interest to surgical oncologists in great detail - outlining recent advancements and providing readers with the most up to date information.