Comparative Study between Classical Techniques vs Robotic Surgery in Colorectal Cancer
DOI:
https://doi.org/10.59471/ijhsc202551Keywords:
laparoscopic, open robotic, colorrectal, colorectal surgery , rectalAbstract
Background: Robotic surgery, initially used in cardiology and urology procedures, has expanded to areas like colorectal cancer. Since surgery is the main curative treatment for colorectal cancer, optimizing this intervention is crucial. Robotic surgery offers greater precision and fewer postoperative complications, improving patient recovery. With the increasing incidence of this cancer, this systematic review will evaluate the impact of robotic surgery compared to traditional techniques, analyzing its effect on clinical, economic outcomes, and quality of life.
Materials and Methods: The study is based on a review of 10 research papers found in PubMed, Scielo, and Google Scholar published between 2014 and 2023, covering a total population of approximately 7,200 patients. Some studies did not specify the exact number of patients, leading to an estimated global sample size.
Results: In randomized prospective trials, the advantages of robotic surgery were demonstrated in centers with significant robotic experience, showing less bleeding, fewer complications, reduced surgical trauma, and better postoperative recovery compared to laparoscopic or open surgery.
Conclusion: Robotic surgery was associated with superiority over laparoscopic surgery in increasing surgical safety, accelerating postoperative recovery, and reducing complications, suggesting that robotic surgery could be a safe and effective method for treating colorectal cancer.
References
Ngu JC, Kim SH. Robotic surgery in colorectal cancer: the way forward or a passing fad. J Gastrointest Oncol. 2019;10(6):1222–8. doi:10.21037/jgo.2019.04.01
Mak TW, Lee JF, Futaba K, Hon SS, Ngo DK, Ng SS. Robotic surgery for rectal cancer: a systematic review of current practice. World J Gastrointest Oncol. 2014;6(6):184–93. doi:10.4251/wjgo.v6.i6.184
Zhu XL, Yan PJ, Yao L, et al. Comparison of short-term outcomes between robotic-assisted and laparoscopic surgery in colorectal cancer. Surg Innov. 2019;26(1):57–65. doi:10.1177/1553350618797822
Chiu CC, Lin WL, Shi HY, Huang CC, Chen JJ, Su SB, et al. Comparison of oncologic outcomes in laparoscopic versus open surgery for non-metastatic colorectal cancer: personal experience in a single institution. J Clin Med. 2019;8(6):875. doi:10.3390/jcm8060875
Yao Q, Li Y, Zhao B, et al. Comparison of robotic-assisted versus conventional laparoscopic surgery for mid-low rectal cancer: a systematic review and meta-analysis. J Cancer Res Clin Oncol. 2023;149(16):15207–17. doi:10.1007/s00432-023-05228-6
Chok AY, Tan DJ, Wong AC, et al. Clinical outcomes and cost comparison of laparoscopic versus open surgery in elderly colorectal cancer patients over 80 years. Int J Colorectal Dis. 2023;38(1):160. doi:10.1007/s00384-023-04459-w
Sheng S, Liang Y, Wang X, et al. Comparison of robot-assisted surgery, laparoscopic-assisted surgery, and open surgery for the treatment of colorectal cancer: a network meta-analysis. Medicine (Baltimore). 2018;97(34):e11817. doi:10.1097/MD.0000000000011817
Baek SJ, Kim CH, Cho MS, et al. Optimizing outcomes of colorectal cancer surgery with robotic platforms. Surg Oncol. 2021;37:101559. doi:10.1016/j.suronc.2021.101559
Papanikolaou IG. Robotic surgery for colorectal cancer: systematic review of the literature. Surg Laparosc Endosc Percutan Tech. 2014;24(6):478–83. doi:10.1097/SLE.0000000000000076
Grosek J, Ales Kosir J, Sever P, Erculj V, Tomazic A. Robotic versus laparoscopic surgery for colorectal cancer: a case-control study. Radiol Oncol. 2021;55(4):433–8. doi:10.2478/raon-2021-0026
Sociedad Argentina de Coloproctología. Enfermedades del Colon, Recto y Ano [Internet]. Disponible en: https://www.sacp.org.ar/libro-enfermedades-colon-recto-ano
RGT Consultores. Da Vinci: De los primeros robots a la cirugía robótica [Internet]. Disponible en: https://rgtconsultores.mx/blog/da-vinci-de-los-primeros-robots-a-la-cirugia-robotica
Moghadamyeghaneh Z, Hanna MH, Carmichael JC, Pigazzi A, Stamos MJ, Mills S. Comparison of open, laparoscopic, and robotic approaches for total abdominal colectomy. Surg Endosc. 2016;30(7):2792–8. doi:10.1007/s00464-015-4552-8
World Health Organization. Colorectal Cancer [Internet]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/colorectal-cancer
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Copyright (c) 2025 Felipe Gonsalez da Cunha , Fabian Azar (Author)

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