Robotic-assisted surgery for complicated and uncomplicated diverticulitis: A single-surgeon case-series comparison.
Int J Med Robot
; 17(4): e2271, 2021 Aug.
Article
em En
| MEDLINE
| ID: mdl-33973722
ABSTRACT
BACKGROUND:
Robotic-assisted techniques in colorectal surgery have dramatically increased. Comparative data on the management of uncomplicated and complicated diverticulitis using robotics is lacking. The purpose of this study is to examine outcomes of patients who underwent robotic-assisted resection in diverticulitis.METHODS:
A prospectively maintained database performed by a single surgeon was retrospectively reviewed to identify patients who underwent robotic-assisted surgery (RAS) for diverticulitis from October 2009 to November 2018. Demographic data, preoperative and intraoperative parameters and postoperative outcomes were assessed using χ2 or Fisher exact test with p values <0.05 considered significant. IRB approval was obtained for this study, #NCR190935.RESULTS:
Comparison revealed significant differences in operative times (222 vs. 291 min, p < 0.00001), mean estimated blood loss (130 vs. 304 cc, p = 0.0003) and mean length of stay (3.9 vs. 5.0 days, p = 0.006). Low rates of postoperative complications were observed, with no significant differences noted for conversion to laparoscopy, surgical site infection, leak, intra-abdominal abscess, 30-day unplanned readmission or recurrence.CONCLUSION:
Patients with complicated diverticulitis required longer operative time, had increased estimated blood loss and more often converted to an open procedure; however, overall rates of post-operative complications were low in both groups. RAS shows promise for use in complicated diverticulitis.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Laparoscopia
/
Diverticulite
/
Procedimentos Cirúrgicos Robóticos
/
Cirurgiões
Tipo de estudo:
Observational_studies
Limite:
Humans
Idioma:
En
Revista:
Int J Med Robot
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Estados Unidos