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Safety and Feasibility of Robotic Simultaneous Resection of Synchronous Colorectal Cancer and Liver Metastases: A Systematic Review and Meta-Analysis

Pablo Suarez Benitez, Anastasia Efstathiou, Muhammed Safiru Orcid Logo, Shahin Hajibandeh Orcid Logo, SHAHAB HAJIBANDEH, Thomas Satyadas

The American Surgeon™

Swansea University Author: SHAHAB HAJIBANDEH

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DOI (Published version): 10.1177/00031348251397526

Abstract

Aim: To ascertain the safety and feasibility of robotic simultaneous resection of synchronous colorectal cancer and liver metastases. Methods: A PRISMA-compliant systematic review with proportion meta-analysis was conducted. All retrospective or prospective observational studies including patients a...

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Published in: The American Surgeon™
ISSN: 0003-1348 1555-9823
Published: SAGE Publications 2025
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URI: https://cronfa.swan.ac.uk/Record/cronfa70836
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spelling 2025-12-12T12:00:23.9916409 v2 70836 2025-11-05 Safety and Feasibility of Robotic Simultaneous Resection of Synchronous Colorectal Cancer and Liver Metastases: A Systematic Review and Meta-Analysis b95fa4fe8ce5515ba689c728410200bd SHAHAB HAJIBANDEH SHAHAB HAJIBANDEH true false 2025-11-05 Aim: To ascertain the safety and feasibility of robotic simultaneous resection of synchronous colorectal cancer and liver metastases. Methods: A PRISMA-compliant systematic review with proportion meta-analysis was conducted. All retrospective or prospective observational studies including patients aged ≥ 18 with synchronous colorectal cancer and liver metastases undergoing robotic simultaneous resection were eligible. The outcomes included conversion to open, operative time, intraoperative blood loss, Clavien-Dindo ≥ III complications, 30-day mortality, anastomotic leak, R0 resection, and length of hospital stay. Results: Seven eligible studies including 165 patients were identified. The mean age was 62.8 years (95% CI: 60.5-65.2), mean body mass index was 26.5 (95% CI: 24.6-28.4), and 52.0% (95% CI: 37.9-66.1) were male. The mean operative time was 406.5 min (95% CI: 358.2-454.7) and mean intraoperative blood loss was 150.0 mL (95% CI: 124.5-175.6). Conversion to open occurred in 3.9% (95% CI: 1.0-6.8), Clavien-Dindo ≥ III complications in 9.3% (95% CI: 4.7-13.8), 30-day mortality in 0.9% (95% CI: 0.0-2.4), and anastomotic leak in 4.3% (95% CI: 0.9-7.6). R0 resection was achieved in 99.0% (95% CI: 97.5-100), and the mean length of hospital stay was 6.7 days (95% CI: 5.5-7.9). Conclusions: Single-arm meta-analysis suggests that robotic simultaneous resection of synchronous colorectal cancer and liver metastases may not only be feasible and safe but also may be advantageous in terms of conversion avoidance, complexity handling, and perioperative recovery. More studies with larger sample size are required to inform long-term oncological outcomes and selection criteria and to provide comparative evidence. Journal Article The American Surgeon™ 0 SAGE Publications 0003-1348 1555-9823 metastatic colorectal cancer, robotic surgery, colorectal surgery, liver surgery 11 11 2025 2025-11-11 10.1177/00031348251397526 Review COLLEGE NANME COLLEGE CODE Swansea University SU Library paid the OA fee (TA Institutional Deal) Swansea University 2025-12-12T12:00:23.9916409 2025-11-05T09:37:01.3153827 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Biomedical Science Pablo Suarez Benitez 1 Anastasia Efstathiou 2 Muhammed Safiru 0009-0001-5532-0648 3 Shahin Hajibandeh 0000-0001-6159-1068 4 SHAHAB HAJIBANDEH 5 Thomas Satyadas 6 70836__35807__5dbee8b587934b3bbd0792f07a43012c.pdf 70836.VOR.pdf 2025-12-12T11:58:14.2379367 Output 1816135 application/pdf Version of Record true © The Author(s) 2025. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License. true eng https://creativecommons.org/licenses/by-nc/4.0/
title Safety and Feasibility of Robotic Simultaneous Resection of Synchronous Colorectal Cancer and Liver Metastases: A Systematic Review and Meta-Analysis
spellingShingle Safety and Feasibility of Robotic Simultaneous Resection of Synchronous Colorectal Cancer and Liver Metastases: A Systematic Review and Meta-Analysis
SHAHAB HAJIBANDEH
title_short Safety and Feasibility of Robotic Simultaneous Resection of Synchronous Colorectal Cancer and Liver Metastases: A Systematic Review and Meta-Analysis
title_full Safety and Feasibility of Robotic Simultaneous Resection of Synchronous Colorectal Cancer and Liver Metastases: A Systematic Review and Meta-Analysis
title_fullStr Safety and Feasibility of Robotic Simultaneous Resection of Synchronous Colorectal Cancer and Liver Metastases: A Systematic Review and Meta-Analysis
title_full_unstemmed Safety and Feasibility of Robotic Simultaneous Resection of Synchronous Colorectal Cancer and Liver Metastases: A Systematic Review and Meta-Analysis
title_sort Safety and Feasibility of Robotic Simultaneous Resection of Synchronous Colorectal Cancer and Liver Metastases: A Systematic Review and Meta-Analysis
author_id_str_mv b95fa4fe8ce5515ba689c728410200bd
author_id_fullname_str_mv b95fa4fe8ce5515ba689c728410200bd_***_SHAHAB HAJIBANDEH
author SHAHAB HAJIBANDEH
author2 Pablo Suarez Benitez
Anastasia Efstathiou
Muhammed Safiru
Shahin Hajibandeh
SHAHAB HAJIBANDEH
Thomas Satyadas
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container_title The American Surgeon™
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publishDate 2025
institution Swansea University
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doi_str_mv 10.1177/00031348251397526
publisher SAGE Publications
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Biomedical Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Biomedical Science
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description Aim: To ascertain the safety and feasibility of robotic simultaneous resection of synchronous colorectal cancer and liver metastases. Methods: A PRISMA-compliant systematic review with proportion meta-analysis was conducted. All retrospective or prospective observational studies including patients aged ≥ 18 with synchronous colorectal cancer and liver metastases undergoing robotic simultaneous resection were eligible. The outcomes included conversion to open, operative time, intraoperative blood loss, Clavien-Dindo ≥ III complications, 30-day mortality, anastomotic leak, R0 resection, and length of hospital stay. Results: Seven eligible studies including 165 patients were identified. The mean age was 62.8 years (95% CI: 60.5-65.2), mean body mass index was 26.5 (95% CI: 24.6-28.4), and 52.0% (95% CI: 37.9-66.1) were male. The mean operative time was 406.5 min (95% CI: 358.2-454.7) and mean intraoperative blood loss was 150.0 mL (95% CI: 124.5-175.6). Conversion to open occurred in 3.9% (95% CI: 1.0-6.8), Clavien-Dindo ≥ III complications in 9.3% (95% CI: 4.7-13.8), 30-day mortality in 0.9% (95% CI: 0.0-2.4), and anastomotic leak in 4.3% (95% CI: 0.9-7.6). R0 resection was achieved in 99.0% (95% CI: 97.5-100), and the mean length of hospital stay was 6.7 days (95% CI: 5.5-7.9). Conclusions: Single-arm meta-analysis suggests that robotic simultaneous resection of synchronous colorectal cancer and liver metastases may not only be feasible and safe but also may be advantageous in terms of conversion avoidance, complexity handling, and perioperative recovery. More studies with larger sample size are required to inform long-term oncological outcomes and selection criteria and to provide comparative evidence.
published_date 2025-11-11T05:33:53Z
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