Improved perioperative and short-term outcomes of robotic versus conventional laparoscopic colorectal operations.
Am J Surg
; 208(1): 33-40, 2014 Jul.
Article
em En
| MEDLINE
| ID: mdl-24239530
ABSTRACT
BACKGROUND:
Robotic assistance may offer unique advantages over conventional laparoscopy in colorectal operations.METHODS:
This prospective observational study compared operative measures and postoperative outcomes between laparoscopic and robotic abdominal and pelvic resections for benign and malignant disease.RESULTS:
From 2005 through 2012, 200 (58%) laparoscopic and 144 (42%) robotic operations were performed by a single surgeon. After adjustment for differences in demographics and disease processes using propensity score matching, all laparoscopic operations had a significantly shorter operative time (P < .01), laparoscopic left colectomies had a longer length of hospital stay (2009 and 2010 6.5 vs 3.6 days, P = .01); and laparoscopic right colectomies had a higher risk for overall complications (P = .03) and postoperative ileus (P = .04). There were no significant differences in the outcomes of pelvic operations (P = .15).CONCLUSIONS:
Compared with conventional laparoscopy, some types of robotic-assisted colorectal operations may offer advantages regarding postoperative length of stay and perioperative complications.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Doenças Retais
/
Reto
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Robótica
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Laparoscopia
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Colectomia
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Doenças do Colo
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article