Comparison of surgical outcomes of robotic complete mesocolic excision for right-sided colon cancer in obese versus non-obese patients - Summary - MDSpire

Evaluation of Surgical Outcomes in Robotic Complete Mesocolic Excision for Right-Sided Colon Cancer: A Comparison Between Obese and Non-Obese Patients

  • By

  • Teppei Miyakawa

  • Kentaro Ochiai

  • Montserrat Guraieb-Trueba

  • Jaganmurugan Ramamurthy

  • Ramy Behman

  • Craig A. Messick

  • Sa Nguyen

  • Tsuyoshi Konishi

  • George J. Chang

  • February 25, 2026

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Objective:

To evaluate the perioperative safety and oncological outcomes of robotic complete mesocolic excision (CME) for right-sided colon cancer in obese versus non-obese patients, highlighting the significance of this comparison.

Key Findings:
  • Robotic CME for right-sided colon cancer is feasible in obese patients with acceptable morbidity, with the SMV-first approach facilitating surgical dissection in both patient groups.
Interpretation:

Robotic CME can be safely performed in obese patients, potentially improving surgical outcomes compared to traditional methods, which may influence clinical practice.

Limitations:
  • Single-center study may limit generalizability.
  • Retrospective design may introduce selection bias and confounding factors.
Conclusion:

Robotic CME for right-sided colon cancer is a viable option for both obese and non-obese patients, with similar outcomes, supporting its use in the obese population, especially in light of rising obesity rates.

Original Source(s)

Comparison of surgical outcomes of robotic complete mesocolic excision for right-sided colon cancer in obese versus non-obese patients

  • by Teppei Miyakawa, Kentaro Ochiai, Montserrat Guraieb-Trueba, Jaganmurugan Ramamurthy, Ramy Behman, Craig A. Messick, Sa Nguyen, Tsuyoshi Konishi, George J. Chang

  • February 25, 2026

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