A modified Delphi consensus on fusion (laparoscopic and robotic) approaches to colorectal surgery in Asia–Pacific - Summary - MDSpire

A modified Delphi consensus on fusion (laparoscopic and robotic) approaches to colorectal surgery in Asia–Pacific

  • By

  • Jun Watanabe

  • Yoshinori Kagawa

  • Takashi Nonaka

  • Hyejin Kim

  • Siripong Cheewatanakornkul

  • Peter Chien-Chih Chen

  • William Tzu-Liang Chen

  • Ashwin deSouza

  • Atsushi Hamabe

  • Hiroyasu Kagawa

  • Yoon Suk Lee

  • Simon Siu-Man Ng

  • Andrew R. L. Stevenson

  • Nan Zun Teo

  • Mamoru Uemura

  • Kar Yong Wong

  • James Chi-Yong Ngu

  • May 16, 2026

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Objective:

To generate consensus among colorectal surgeons in the Asia-Pacific region to standardize the definition of 'fusion surgery' (a combined approach of laparoscopic and robotic techniques) and raise awareness of combined surgical approaches.

Key Findings:
  • Laparoscopic surgery shows superior safety and comparable outcomes to open surgery for colorectal cancer.
  • Robotic surgery has mixed results compared to laparoscopic surgery, with some studies showing advantages (e.g., lower conversion rates) and others showing no significant differences.
  • Fusion surgery, combining laparoscopic and robotic techniques, is emerging but lacks a standardized definition.
Interpretation:

The consensus aims to promote fusion surgery as a viable option to enhance surgical outcomes in colorectal procedures, leveraging the strengths of both laparoscopic and robotic techniques, which could lead to improved patient care.

Limitations:
  • No patient-level data were collected, and the study relied solely on expert opinions, which may limit the applicability of the findings.
  • The consensus may not be generalizable beyond the Asia-Pacific region due to regional variations in surgical practices.
Conclusion:

Establishing a consensus on fusion surgery can improve awareness and standardization of surgical practices in colorectal surgery.

Original Source(s)

A modified Delphi consensus on fusion (laparoscopic and robotic) approaches to colorectal surgery in Asia–Pacific

  • by Jun Watanabe, Yoshinori Kagawa, Takashi Nonaka, Hyejin Kim, Siripong Cheewatanakornkul, Peter Chien-Chih Chen, William Tzu-Liang Chen, Ashwin deSouza, Atsushi Hamabe, Hiroyasu Kagawa, Yoon Suk Lee, Simon Siu-Man Ng, Andrew R. L. Stevenson, Nan Zun Teo, Mamoru Uemura, Kar Yong Wong, James Chi-Yong Ngu

  • May 16, 2026

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