PDF herunterladen
Open Access
CC BY 4.0 · Journal of Coloproctology 2025; 45(03): s00451811260
DOI: 10.1055/s-0045-1811260
Original Article

Laparoscopic vs Robotic Complete Mesocolic Excision (CME) and Central Vascular Ligation (CVL) in Colonic Carcinomas: A Retrospectively Collected Prospective Study

Autoren

  • Kunda Hrudaya Charan

    1   Department of Coloproctology, Derriford Hospital, University Hospitals Plymouth NHS Trust, Plymouth, United Kingdom

  • Vinamara Mittal

    1   Department of Coloproctology, Derriford Hospital, University Hospitals Plymouth NHS Trust, Plymouth, United Kingdom
    2   Department of General Surgery, Graphic Era Institute of Medical Sciences (GEIMS), Dehradun, Uttarakhand, India

  • Rajesh Thengungal Kochupapy 

    1   Department of Coloproctology, Derriford Hospital, University Hospitals Plymouth NHS Trust, Plymouth, United Kingdom

  • Yadav Rajat

    1   Department of Coloproctology, Derriford Hospital, University Hospitals Plymouth NHS Trust, Plymouth, United Kingdom

Funding The author(s) received no financial support for the research.
Weitere Informationen
Auch verfügbar auf
  Lizenzen und Reprints

Abstract

Introduction

Complete Mesocolic Excision (CME) with Central Vascular Ligation (CVL) has emerged as an advanced oncological technique for colon cancer surgery. The adoption of minimally invasive approaches—laparoscopic and robotic—has further refined these procedures. However, comparative data on their clinical efficacy remains limited.

Methods

A total of 41 patients underwent CME + CVL, with 30 undergoing laparoscopic surgery and 11 receiving robotic-assisted procedures. Key variables assessed included operative time, lymph node yield, postoperative complications, hospital stay, and survival outcomes.

Results

The mean patient age was 70.76 years. Malignant neoplasms of the ascending and transverse colon were the most common diagnoses. While both surgical approaches demonstrated comparable oncological outcomes, robotic surgery was associated with faster recovery and reduced postoperative pain, albeit at a higher cost and longer operative time. The survival rate was 93.1%, with a mortality rate of 6.9%. Common postoperative complications included ileus, pneumonia, and anastomotic leaks.

Conclusion

Both laparoscopic and robotic CME + CVL are effective for colon cancer treatment. Laparoscopic surgery remains cost-effective and widely accessible, while robotic surgery provides enhanced precision and recovery benefits in select cases. Future research should focus on cost-effectiveness and long-term oncological outcomes.

Keywords

colorectal cancer - complete mesocolic excision (CME) - central vascular ligation (CVL) - robotic surgery - oncological outcomes

Ethical Approval

Approved by the Ethical Committee of our institution.


Consent

Written Informed consent was obtained from the patient for publication of this project.




Publikationsverlauf

Eingereicht: 08. März 2025

Angenommen: 22. Mai 2025

Artikel online veröffentlicht:
25. September 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

Thieme Revinter Publicações Ltda.
Rua Rego Freitas, 175, loja 1, República, São Paulo, SP, CEP 01220-010, Brazil

Bibliographical Record
Kunda Hrudaya Charan, Vinamara Mittal, Rajesh Thengungal Kochupapy, Yadav Rajat. Laparoscopic vs Robotic Complete Mesocolic Excision (CME) and Central Vascular Ligation (CVL) in Colonic Carcinomas: A Retrospectively Collected Prospective Study. Journal of Coloproctology 2025; 45: s00451811260.
DOI: 10.1055/s-0045-1811260