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- Title
Short-Term Outcomes with Robotic Right Colectomy.
- Authors
KELLEY, SCOTT R.; DUCHALAIS, EMILIE; LARSON, DAVID W.
- Abstract
Few series have reported on the impact of robotic right colectomy compared with conventional laparoscopy. Even fewer have reported on the outcomes of intracorporeal anastomoses. The aim of our study was to determine the impact of robotic surgery on short-term operative outcomes in patients undergoing right colectomy with intracorporeal anastomosis. One hundred and fourteen consecutive patients who underwent a right colectomy by two colorectal surgeons between 2012 and 2017 were included. Patients were separated into two groups: laparoscopic technique with extracorporeal anastomosis (n = 87) and robotic technique with intracorporeal anastomosis (n = 27). Univariate analysis was performed to determine differences in outcomes. Differences between cohorts were only identified with regard to gender (62 vs 37%, P = 0.022) and year of surgery. In comparison with laparoscopy, robotic colectomy resulted in a shorter time of GI recovery (1.3 ± 0.6 vs 3 ± 1.1, P < 0.0001), lower rates of postoperative ileus (4 vs 28%, P = 0.007), lower overall morbidity (26 vs 52%, P = 0.019), less blood loss (P = 0.001), 50 per cent lower narcotic use, and longer operative time (255 ± 66 vs 139 ± 49, P < 0.001). Despite longer operative time, robotic surgery improved GI recovery, significantly lowered oral morphine equivalent usage, and decreased short-term complications.
- Subjects
COLECTOMY; LAPAROSCOPY; SURGICAL robots; MEDICAL quality control; UNIVARIATE analysis; ANALYSIS of variance; COLON tumors; COMPARATIVE studies; LENGTH of stay in hospitals; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; NONPARAMETRIC statistics; PATIENT safety; POSTOPERATIVE pain; PROGNOSIS; RESEARCH; RISK assessment; SURGICAL complications; SURVIVAL; EVALUATION research; TREATMENT effectiveness; RETROSPECTIVE studies; SURGICAL anastomosis
- Publication
American Surgeon, 2018, Vol 84, Issue 11, p1768
- ISSN
0003-1348
- Publication type
journal article
- DOI
10.1177/000313481808401133