Laparoscopic versus robotic surgery in the setting of combined resection of colorectal cancer and liver metastases: an experience from the I Go MILS registry - PubMed
4 hours ago
- #Colorectal Cancer
- #Liver Metastases
- #Minimally Invasive Surgery
- About 25% of colorectal cancer (CRC) patients have distant metastases, most commonly in the liver, and combining resections may increase complications.
- Minimally invasive surgical (MIS) techniques, like laparoscopic (LS) and robotic surgery (RS), can reduce morbidity in simultaneous resections for CRC and liver metastases.
- A multicenter Italian study from the I Go MILS registry (2015-2025) compared RS and LS in 505 patients (415 LS, 90 RS) after matching for bias.
- Operative time, conversion rates (LS 11.71% vs RS 6.67%), and length of stay were similar between LS and RS groups.
- RS enabled more complex resections and, after matching for complexity, had significantly lower major complications (8.89% vs 21.62% for LS).
- The robotic approach offers superior feasibility for challenging cases while maintaining comparable short-term outcomes, making it a viable alternative to open surgery.