Comparison of postoperative and oncological outcomes in robotic and open right colectomy for colon cancer

Objective: This study aims to compare the short-term outcomes of robotic right hemicolectomy for right-sided colon cancer to those of conventional open right hemicolectomy.Material and Method: Patients who underwent surgical treat-ment for right-sided colorectal cancer between 2020 and 2022 were included in the study. Patients had been divided into two groups: Group 1, who underwent conventional surgery, and Group 2, who underwent robotic surgery. Clinical data and preop-erative findings of patients were compared between the groups.Result: A total of 51 patients participated in our study. Group 1 consisted of 39 patients and Group 2 consisted of 12 patients. The mean age was 60.7 vs. 62.3 (p=0.773). No conversions or in-traoperative complications occurred. Extended right hemicolec-tomy was performed in 23.1% vs. 8.36% (p=0.083). The operation time was longer in Group 2 (2.84 vs. 3.04, p=0.023). One patient in Group 1 underwent reoperation for ileus during the postoperative period. T3-stage tumors (48.7% vs. 50%, p=0.794) and N0 lymph node metastasis (38.5% vs. 41 .7%, p=0.827) were detected most frequently. The total number of lymph nodes dissected was 37.2 vs. 41.9 (p=0.179). The number of malignant lymph nodes was 2.54 vs. 6.42 (p=0.881). The most common Clavien-Dindo score was 1 in both groups (79.5% vs. 83.3%, p=0.339). The length of stay was similar between the groups (6.38 vs. 5.92 , p=0.156). Re-admission occurred in 6 patients in Group 1, with reasons being anastomotic leakage, ileus, and general condition disorder.Conclusion: Our experience shows the feasibility and safety of robotic surgery for the treatment of right-sided colon cancer. This method has provided satisfactory short-term outcomes. creatitis in these individuals.