Özet:

Objective: Despite all oncological and pharmacological developments, the basis of treatment in the cancer of the gastrointestinal system is the surgeon. Complete mesocolic expression (CME) is recommended in terms of the importance of the sample margin negative shown after mesoresection for the gastrointestinal organs. The aim of this study is to present the first experience of our minimal invasive CME in the right colon cancer and to compare the short-term results of patients undergoing laparoscopic and robotic surgery. Method: This work is planned retrospectively. In our clinic from March 2019 to December 2020, patients with laparoscopic and robotic right hemicolectomy with CME due to colon cancer were included in the study. Results: A total of 18 patients with 8 robotic and 10 laparoscopic right hemicolectomy with CME were included in the study. Compared to the robotic and laparoscopic CME groups, there was no statistically meaningful difference between the distribution of demographic data of patients (age, gender, HIV, ASA, tumor localization). When operational and postoperative data were compared between the two groups, there was no statistically meaningful difference in terms of per-operative bleeding, oral start time, first flatus time, metastatic lymph nodes number, extracted lymph nodes number and tumor grade, the operating time of the robotic surgery group was observed longer than the laparoscopic group and this difference was statistically meaningful (p = 0,04). Result: We believe that the concept of CME for right colon tumors, based on our short-term tracking, can be safely applied robotically or laparoscopically without any disadvantages.

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