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Robotic-assisted surgery for complicated and uncomplicated diverticulitis: A single-surgeon case-series comparison.
Lai, Debra; Horsey, Michael L; Habboosh, Noor; Pudalov, Natalie; Parascandola, Salvatore A; Hota, Salini; Slami, Abdullah Al; Obias, Vincent.
Afiliação
  • Lai D; Department of Colorectal Surgery, George Washington University Hospital, Washington, District of Columbia, USA.
  • Horsey ML; Walter Reed National Military Medical Center, Bethesda, Maryland, USA.
  • Habboosh N; George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA.
  • Pudalov N; George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA.
  • Parascandola SA; Walter Reed National Military Medical Center, Bethesda, Maryland, USA.
  • Hota S; Eastern Virginia Medical School, Norfolk, Virginia, USA.
  • Slami AA; George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA.
  • Obias V; Department of Colorectal Surgery, George Washington University Hospital, Washington, District of Columbia, USA.
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.
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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

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