Fabozzi M, Cirillo P, Corcione F. Surgical approach to right colon cancer: From open technique to robot. State of art. World J Gastrointest Surg 2016; 8(8): 564-573 [PMID: 27648160 DOI: 10.4240/wjgs.v8.i8.564]
Corresponding Author of This Article
Massimiliano Fabozzi, MD, PhD, Laparoscopic and Robotic General Surgery, Department “Umberto Parini” Aosta Valley Regional Hospital, Viale Ginevra, 3, 11100 Aosta, Italy. maxfabozzi@yahoo.fr
Research Domain of This Article
Surgery
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Aug 27, 2016; 8(8): 564-573 Published online Aug 27, 2016. doi: 10.4240/wjgs.v8.i8.564
Surgical approach to right colon cancer: From open technique to robot. State of art
Massimiliano Fabozzi, Pia Cirillo, Francesco Corcione
Massimiliano Fabozzi, Laparoscopic and Robotic General Surgery, Department “Umberto Parini” Aosta Valley Regional Hospital, 11100 Aosta, Italy
Pia Cirillo, Department of Laparoscopic and Robotic General Surgery, 11100 Aosta, Italy
Francesco Corcione, Department of Laparoscopic and Robotic General Surgery, Azienda Ospedaliera dei colli “Monaldi Hospital”, 80131 Napoli, Italy
Author contributions: Fabozzi M elaborated the data and wrote the manuscript; Cirillo P collected the data and helped to write the manuscript; Corcione F reviewed the manuscript.
Conflict-of-interest statement: The authors have no conflict of interest to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Massimiliano Fabozzi, MD, PhD, Laparoscopic and Robotic General Surgery, Department “Umberto Parini” Aosta Valley Regional Hospital, Viale Ginevra, 3, 11100 Aosta, Italy. maxfabozzi@yahoo.fr
Telephone: +39-165-543284 Fax: +39-165-543635
Received: March 27, 2016 Peer-review started: March 28, 2016 First decision: April 26, 2016 Revised: May 4, 2016 Accepted: May 17, 2016 Article in press: May 27, 2016 Published online: August 27, 2016
Core Tip
Core tip: We report a topic highlight of the mini-invasive treatment of the right colon pathologies, focusing on the Literature State of Art and comparing the open surgery vs the different laparoscopic and robotic procedures. We try to analyze the different current approaches to right colon cancer treatment focusing in particular light and shadows of totally laparoscopic right colectomy compared to other mini-invasive (single incision laparoscopic colectomy, laparoscopic assisted right colectomy, laparoscopic facilitated right colectomy, hand-assisted right colectomy, robotic right colectomy) and open procedure. The two main characteristics of these techniques are the different type of anastomosis: Intracorporeal or extracorporeal and the different incision (suprapubic vs median vs transverse on right side of abdomen). The different laparoscopic techniques meet the same oncological criteria of radicalism as the open surgery for the right colon. The laparoscopic techniques with intracorporeal anastomosis for the right colon remain a technical challenge but they seem to have some theoretical advantages compared to the other laparoscopic and open procedures described in our study even if further prospective randomized trials are necessary to confirm it.
