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Seguridad oncológica de la cirugía robótica para el tratamiento del cáncer colorrectal (CCR).

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Title: Seguridad oncológica de la cirugía robótica para el tratamiento del cáncer colorrectal (CCR).
Alternate Title: Oncologic safety of robotic surgery in the management of colorectal cancer (CRC).
Authors: Jaimes-Fernandez, Joselin1 joselinjaimes@gmail.com, Silva-Camus, Clara1, Gutierrez-Maldonado, Ignacio1, Wainstein-Gewolb, Claudio1, Diaz, Felipe Quezada-1, Kostner, Francisco López-1
Source: Revista de Cirugia. 2026, Vol. 78 Issue 4, p394-402. 9p.
Abstract (English): Robotic surgery in the management of colorectal cancer (CRC) has emerged in recent years as a safe alternative, with oncologic outcomes comparable to laparoscopy, which has traditionally been considered the standard approach. However, local data comparing the outcomes of this technique with laparoscopy in the management of CRC, particularly regarding oncologic results, complications, and postoperative outcomes, remain scarce. Objective: To evaluate the oncologic safety of robotic surgery in patients with CRC by analyzing surgical, oncologic, and postoperative outcomes compared with laparoscopic surgery. Materials and Methods: A retrospective analytical cohort study including patients who underwent robotic or laparoscopic surgery for colorectal cancer between June 2023 and June 2025. Results: 104 patients included, 39 underwent robotic surgery and 66 laparoscopic surgery. Comparative analysis demonstrated statistically significant differences, with robotic surgery associated with longer operative time, shorter hospital stay, and lower conversion rates compared with laparoscopy. Oncologic safety outcomes were similar between both groups. Discussion and Conclusion: Despite longer operative times, robotic surgery showed lower conversion rates and significantly shorter hospital stays, particularly in colon cancer cases. These findings support robotic surgery as a valid alternative in the treatment of colorectal cancer. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: La cirugía robótica en el manejo del CCR se ha ido posicionando en los últimos años como una alternativa segura, con resultados oncológicos comparables a la laparoscopía que clásicamente ha sido el estándar. Sin embargo, escasean las estadísticas locales que comparen los resultados de esta técnica con la laparoscopía en el manejo de CCR en cuanto a resultados oncológicos, complicaciones y postoperatorio. Objetivo: Evaluar la seguridad oncológica de la cirugía robótica en pacientes con CCR, analizando resultados quirúrgicos, oncológicos y postoperatorios en comparación a la cirugía laparoscópica. Material y Métodos: Cohorte retrospectiva, analítica, de pacientes sometidos a cirugía robótica y laparoscópica con el diagnóstico de cáncer colorrectal entre enero 2020 y marzo 2025. Resultados: De los 104 pacientes estudiados, 39 fueron del grupo robótico y 66 del grupo laparoscópico. En el análisis comparativo, se observaron diferencias estadísticamente significativas con un mayor tiempo operatorio, menor estancia hospitalaria y menor tasa de conversión de la cirugía robótica en ambos grupos. Los resultados de seguridad oncológica fueron similares en ambos grupos. Discusión y conclusión: A pesar de un mayor tiempo operatorio, se observó una menor tasa de conversión y una estadía hospitalaria significativamente más corta en los pacientes sometidos a cirugía robótica, especialmente en cáncer de colon. Estos hallazgos respaldan el uso de la cirugía robótica como una alternativa válida en el tratamiento del CCR. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Robotic surgery in the management of colorectal cancer (CRC) has emerged in recent years as a safe alternative, with oncologic outcomes comparable to laparoscopy, which has traditionally been considered the standard approach. However, local data comparing the outcomes of this technique with laparoscopy in the management of CRC, particularly regarding oncologic results, complications, and postoperative outcomes, remain scarce. Objective: To evaluate the oncologic safety of robotic surgery in patients with CRC by analyzing surgical, oncologic, and postoperative outcomes compared with laparoscopic surgery. Materials and Methods: A retrospective analytical cohort study including patients who underwent robotic or laparoscopic surgery for colorectal cancer between June 2023 and June 2025. Results: 104 patients included, 39 underwent robotic surgery and 66 laparoscopic surgery. Comparative analysis demonstrated statistically significant differences, with robotic surgery associated with longer operative time, shorter hospital stay, and lower conversion rates compared with laparoscopy. Oncologic safety outcomes were similar between both groups. Discussion and Conclusion: Despite longer operative times, robotic surgery showed lower conversion rates and significantly shorter hospital stays, particularly in colon cancer cases. These findings support robotic surgery as a valid alternative in the treatment of colorectal cancer. [ABSTRACT FROM AUTHOR]
ISSN:24524557
DOI:10.35687/s2452-454920260043041