Copyright
©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jun 27, 2020; 12(6): 287-297
Published online Jun 27, 2020. doi: 10.4240/wjgs.v12.i6.287
Published online Jun 27, 2020. doi: 10.4240/wjgs.v12.i6.287
Robotic vs laparoscopic right colectomy – the burden of age and comorbidity in perioperative outcomes: An observational study
Fulvio Tagliabue, Morena Burati, Marco Chiarelli, Luca Fumagalli, Elisa Arborio, Department of Robotic and Emergency Surgery, Ospedale A. Manzoni, ASST Lecco, Lecco 23900, Italy
Angelo Guttadauro, Department of Surgery, University of Milan-Bicocca, Istituti Clinici Zucchi, Monza 20900, Italy
Matilde De Simone, Ugo Cioffi, Department of Surgery, University of Milan, Milano 20122, Italy
Author contributions: Tagliabue F designed the overall concept of the study; Tagliabue F, Chiarelli M and Fumagalli L revised the manuscript; Burati M, Guttadauro A and Arborio E contributed to data acquisition; Burati M drafted the manuscript; Chiarelli M designed the study; Fumagalli L and Chiarelli M analyzed the data; Guttadauro A reviewed the manuscript; Arborio E reviewed the literature; De Simone M contributed to the interpretation of the data and revised the discussion; Cioffi U contributed to the design the study, interpreted the results and reviewed the discussion and conclusions; all Authors approved the final version of the manuscript to be published.
Institutional review board statement: This study was reviewed and approved by the Ethical Committee of Lecco Hospital (protocol number ID RP02-0008564/17U).
Informed consent statement: The patients of this study signed an inform consent.
Conflict-of-interest statement: All Authors declare that they have no conflicts of interest.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE statement and the manuscript was prepared and revised according to the STROBE statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Ugo Cioffi, MD, PhD, Full Professor, Surgeon, Department of Surgery, University of Milan, Via F Sforza 35, Milano 20122, Italy. ugocioffi5@gmail.com
Received: January 27, 2020
Peer-review started: January 27, 2020
First decision: April 3, 2020
Revised: May 13, 2020
Accepted: May 16, 2020
Article in press: May 16, 2020
Published online: June 27, 2020
Peer-review started: January 27, 2020
First decision: April 3, 2020
Revised: May 13, 2020
Accepted: May 16, 2020
Article in press: May 16, 2020
Published online: June 27, 2020
Core Tip
Core tip: Older age and severe comorbidities affect recovery after minimally invasive surgery for right colon cancer. Robotic right hemicolectomy is related to better recovery outcomes compared to the laparoscopic approach but is associated with higher costs. Therefore, the robotic approach in older patients with severe comorbidities should be evaluated in terms of higher cost.