Improved perioperative and short-term outcomes of robotic versus conventional laparoscopic colorectal operations.

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.

journal_name

Am J Surg

authors

Casillas MA Jr,Leichtle SW,Wahl WL,Lampman RM,Welch KB,Wellock T,Madden EB,Cleary RK

doi

10.1016/j.amjsurg.2013.08.028

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

33-40

issue

1

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(13)00608-9

journal_volume

208

pub_type

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