Surgical and medical outcomes in robotic compared to laparoscopic colectomy global prospective cohort from the American college of surgeons national surgical quality improvement program.
Surg Endosc
; 38(5): 2571-2576, 2024 May.
Article
in En
| MEDLINE
| ID: mdl-38498211
ABSTRACT
BACKGROUND:
Evidence regarding the outcomes benefits of robotic approach, when compared to a laparoscopic approach, in colectomy remain limited.OBJECTIVE:
This study aimed to analyze the value of robotic approach compared to laparoscopic approach in minimally invasive colectomy.DESIGN:
Cohort study of the National Surgical Quality Improvement Program (NSQIP).SETTING:
This study included data from the NSQIP from 1/2016 to 12/2021. PATIENT Adult patients undergoing minimally invasive (laparoscopic or robotic) colorectal surgery. INTERVENTION Robotic versus laparoscopic colectomy. OUTCOMEMEASURES:
Risk ratios for the incidence of medical and surgical morbidity and overall mortality.RESULTS:
Compared to laparoscopic, robotic colectomy was associated with a significant decrease in postoperative morbidity [RR 0.84 (95%CI 0.72-0.96), P < 0.001], a significant reduction in postoperative mortality [RR 0.83 (95%CI 0.79-0.90), P 0.010)], and in post operative ileus [RR 0.80 (95%CI 0.75-0.84), P < 0.001]. Yet, robotic approach was associated with a significant increase in total operative time despite a significant decrease in total length of stay. No benefit was observed regarding anastomotic leak.LIMITATIONS:
Observational nature of the study cannot exclude residual bias.CONCLUSIONS:
In this prospective cohort from the NSQIP, robotic colectomy was associated with a significant reduction in postoperative ileus, unplanned conversion to open surgery, morbidity, and overall mortality when compared to laparoscopic colectomy.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Postoperative Complications
/
Laparoscopy
/
Colectomy
/
Quality Improvement
/
Robotic Surgical Procedures
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
America do norte
Language:
En
Journal:
Surg Endosc
Journal subject:
DIAGNOSTICO POR IMAGEM
/
GASTROENTEROLOGIA
Year:
2024
Type:
Article
Affiliation country:
United States