Robotic-assisted right colectomy. Official expert recommendations delivered under the aegis of the French Association of Surgery (AFC)

N. de’Angelis; R. Micelli Lupinacci; S. Abdalla; P. Genova; A. Beliard; E. Cotte; Q. Denost; N. Goasguen; Z. Lakkis; B. Lelong; G. Manceau; G. Meurette; C. Perrenot; D. Pezet; P. Rouanet; A. Valverde; P. Pessaux; S. Azagra; D. Mege; S. Di Saverio; C. de Chaisemartin; E. Espin-Basany; S. Gaujoux; M. Gómez-Ruiz; C. Gronnier; M. Karoui; G. Spinoglio; Collaborators–Relecteurs

doi:10.1016/j.jviscsurg.2022.04.001

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Robotic-assisted right colectomy. Official expert recommendations delivered under the aegis of the French Association of Surgery (AFC)

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Robotic-assisted right colectomy. Official expert recommendations delivered under the aegis of the French Association of Surgery (AFC)

N. de’Angelis, R. Micelli Lupinacci, S. Abdalla, P. Genova, A. Beliard, E. Cotte, Q. Denost, N. Goasguen, Z. Lakkis, B. Lelong, …

Journal of visceral surgery, Vol.159(3), pp.212-221

06/2022

DOI: https://doi.org/10.1016/j.jviscsurg.2022.04.001

PMID: 35599158

Résumé

Minimally invasive surgery

Oncological colonic resection

Recommendations

Right colectomy

Surgery by robotic approach

Twenty-seven experts under the aegis of the French Association of Surgery (AFC) offer this reference system with formalized recommendations concerning the performance of right colectomy by robotic approach (RRC). For RRC, experts suggest patient installation in the so-called “classic” or “suprapubic” setup. For patients undergoing right colectomy for a benign pathology or cancer, RRC provides no significant benefit in terms of intra-operative blood loss, intra-operative complications or conversion rate to laparotomy compared to laparoscopy. At the same time, RRC is associated with significantly longer operating times. Data from the literature are insufficient to define whether the robot facilitates the performance of an intra-abdominal anastomosis, but the robotic approach is more frequently associated with an intra-abdominal anastomosis than the laparoscopic approach. Experts also suggest that RRC offers a benefit in terms of post-operative morbidity compared to right colectomy by laparotomy. No benefit is retained in terms of mortality, duration of hospital stay, histological results, overall survival or disease-free survival in RRC performed for cancer. In addition, RRC should not be performed based on the cost/benefit ratio, since RRC is associated with significantly higher costs than laparoscopy and laparotomy. Future research in the field of RRC should consider the evaluation of patient-targeted parameters such as pain or quality of life and the technical advantages of the robot for complex procedural steps, as well as surgical and oncological results.

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Détails

Titre: Robotic-assisted right colectomy. Official expert recommendations delivered under the aegis of the French Association of Surgery (AFC)
Créateurs - sans rôle: N. de’Angelis - Unit of digestive, hepatobiliary and pancreatic surgery, CARE department, Henri Mondor university hospital (AP–HP), and faculty of medicine, university of Paris Est, UPEC, Creteil, France
R. Micelli Lupinacci - Department of digestive and oncologic surgery, Ambroise Paré hospital, AP–HP, UFR Simone Veil Santé, université de Versailles Saint-Quentin-en-Yvellines/Paris Saclay university, Boulogne-Billancourt, France
S. Abdalla - Department of oncologic and digestive surgery of hôpital Bicêtre, université Paris Sud, 63, rue Gabriel-Péri, 94270 Le Kremlin-Bicêtre, France
P. Genova - Department of digestive and oncologic surgery, Ambroise Paré hospital, AP–HP, UFR Simone Veil Santé, université de Versailles Saint-Quentin-en-Yvellines/Paris Saclay university, Boulogne-Billancourt, France
A. Beliard - Visceral surgery, Clinique La Croix du Sud, Quint-Fonsegrives, France
E. Cotte - Department of digestive and oncologic surgery, CHU Lyon-Sud, 165, chemin du Grand-Revoyet, Pierre-Bénite, France
Q. Denost - Department of surgery, CHU Saint-André, 1, rue Jean-Burguet, Bordeaux, France
N. Goasguen - Department of digestive surgery, Croix Saint-Simon hospital, Paris, France
Z. Lakkis - Department of digestive surgical oncology, liver transplantation unit, university hospital of Besançon, 2, boulevard Alexander-Fleming, 25000 Besançon, France
B. Lelong - Département de chirurgie oncologique, institut Paoli Calmettes, Marseille, France
G. Manceau - Department of digestive surgery, Paris university, Georges-Pompidou university hospital, Assistance publique–Hôpitaux de Paris, Paris, France
G. Meurette - Hôtel-Dieu de Paris
C. Perrenot - Service de chirugie générale digestive et endocrienne, URCA université de Reims Champagne Ardennes, CHU de Reims, avenue de General-Koenig, 51100 Reims, France
D. Pezet - General and digestive surgery department, Hôtel-Dieu, Clermont-Ferrand, France
P. Rouanet - Department of surgical oncology, ICM Val d’Aurelle, Montpellier, France
A. Valverde - Department of digestive surgery, Croix Saint-Simon hospital, Paris, France
P. Pessaux - HPB unit, digestive surgery department, Nouvel Hopital Civil, university of Strasbourg, 1, place de l’Hôpital, 67091 Strasbourg, France
S. Azagra - Division of general and mini-invasive surgery, CHL-Luxembourg, Luxembourg HPB Unit, Digestive Surgery Department, Nouvel Hopital Civil, university of Strasbourg, 1, place de l’Hôpital, 67091 Strasbourg, France
D. Mege - Department of digestive surgery, Timone university hospital, Aix-Marseille university, AP–HM, Marseille, France
S. Di Saverio - Department of general surgery, university hospital of Varese, Varese, Italy
C. de Chaisemartin - Institut Paoli-Calmettes
E. Espin-Basany - Department of general surgery, hospital Valle de Hebron, Universitat Autonoma de Barcelona, Barcelona, Spain
S. Gaujoux - Pitié-Salpêtrière Hospital
M. Gómez-Ruiz - General surgery department, Marqués de Valdecilla university hospital, and Valdecilla Biomedical Research Institute (IDIVAL), Santander, Spain
C. Gronnier - Digestive and endocrine surgery department, CHU Bordeaux, Bordeaux, France
M. Karoui - Department of digestive surgery, Paris university, Georges-Pompidou university hospital, Assistance publique–Hôpitaux de Paris, Paris, France
G. Spinoglio - IRCAD faculty member robotic and colorectal surgery-IRCAD, Strasbourg, France
Collaborators–Relecteurs
Détails de publication: Journal of visceral surgery, Vol.159(3), pp.212-221
Éditeur: Elsevier Masson SAS
Nombre de pages: 10
Identifiants: 99148864809311
Unité académique: Recherche hors université
Langue: English
Type de ressource: Journal article