AB071. SOH26AB_0145. Perioperative outcomes associated with intracorporeal vs. extracorporeal anastomosis in robotic and laparoscopic right hemicolectomies: a systematic review and meta-analysis
Robotic Session

AB071. SOH26AB_0145. Perioperative outcomes associated with intracorporeal vs. extracorporeal anastomosis in robotic and laparoscopic right hemicolectomies: a systematic review and meta-analysis

Monisha Chakravarty, David Egan, Emer O’Connell, Emmet Andrews

Department of General Surgery, Cork University Hospital, Cork, Ireland

Background: Minimally invasive surgery is a widely accepted approach for colonic carcinomas, associated with improved postoperative recovery, reduced postoperative pain, and length of hospital stay. Focusing on right hemicolectomies, there has been increasing interest in comparing robotic right hemicolectomies (RRHs) and laparoscopic right hemicolectomies (LRHs), particularly in terms of analysing outcomes of extracorporeal anastomosis (EA) vs. intracorporeal anastomosis (IA). The aim of this study is to provide an analysis of the literature assessing perioperative outcomes associated with RRH and LRH, with a subgroup analysis of EA vs. IA.

Methods: PubMed, Embase, EBSCO, and Scopus databases were searched for relevant studies. The systematic review complied with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations. Perioperative outcomes assessed include operative time, length of hospital stay, postoperative ileus, postoperative pain, anastomotic leak, conversion to open, and incisional hernia occurrence.

Results: A total of 14 of 377 studies met the inclusion criteria. Comparing RRH with LRH, RRH was associated with increased operative time (9/14) and reduced conversion to open (5/14). With respect to IA and EA, IA was associated with shorter length of hospital stay (7/14), similar anastomotic leak rates to EA (5/14), decreased postoperative ileus (4/14), decreased pain (4/14), and lower incisional hernia rates (2/14) in comparison to EA.

Conclusions: Systematic review of the published literature indicates improved perioperative outcomes may be associated with IA, particularly in RRH. Interrogation of the literature by meta-analysis will next be performed to quantify the association of IA and EA in RRH and LRH with perioperative outcomes.

Keywords: Anastomosis; complications; hemicolectomy; laparoscopic; robotic

Acknowledgments

None.

Footnote

Funding: None.

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-26-ab071
Cite this abstract as: Chakravarty M, Egan D, O’Connell E, Andrews E. AB071. SOH26AB_0145. Perioperative outcomes associated with intracorporeal vs. extracorporeal anastomosis in robotic and laparoscopic right hemicolectomies: a systematic review and meta-analysis. Mesentery Peritoneum 2026;10:AB071.

Article Options

Download Citation

Share