Robotic Complete Mesocolic Excision: A Systematic Review of the Literature

Ilektra Kyrochristou1,2*, Eleftherios Spartalis2,3, Georgios Anagnostopoulos1 , Georgios Lampropoulos1 , Gerasimos Tsourouflis2,3, Dimitrios Dimitroulis2,3 and Nikolaos I Nikiteas2,3

2nd Department of Surgery and Vascular Surgery Unit, General Hospital of Nikaia and Piraeus ?Agios Panteleimon?, Athens, Greece 2 Hellenic Minimally Invasive Surgery Study Group (MIRS), Greece 3 2nd Department of Propedeutic Surgery, National and Kapodistrian University of Athens, Medical School, Athens, Greece

^*Correspondance to: Ilektra Kyrochristou 

 PDF  Full Text DOI: 10.25107/2474-1647.2925

Abstract

Aim: Complete Mesocolic Excision (CME) consists of the complete removal of tumor-bearing soft tissues enveloped by the mesocolic fascia and radical lymphadenectomy at the origin of feeding vessels. We conducted a systematic review, evaluating the efficacy of the Robotic CME (RCME) in patients with right-sided colon cancer and we attempted a comparison it to the gold standard procedure, the open RC with CME. Method: MEDLINE-PubMed, Cochrane Library, UpToDate, and Trip databases were searched for published and unpublished material. Results: Twenty articles were found to refer in CME, 9 of which met the selection criteria following the PRISMA Guidelines. All researchers presented short-term outcomes and agreed on the oncologic safety of CME. Conclusion: Since current studies on the RCME do not provide long-term oncologic results, more data are needed to establish it as a standard of care in the surgical treatment of right sided colon cancer.

Keywords

Complete mesocolic excision; Robotic right colectomy; Colon cancer

Cite the article

Kyrochristou I, Spartalis E, Anagnostopoulos G, Lampropoulos G, Tsourouflis G, Dimitroulis D, et al. Robotic Complete Mesocolic Excision: A Systematic Review of the Literature. Clin Surg. 2020; 5: 2925.