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Robotic‐assisted surgery for complicated and uncomplicated diverticulitis: A single‐surgeon case‐series comparison
Author(s) -
Lai Debra,
Horsey Michael L.,
Habboosh Noor,
Pudalov Natalie,
Parascandola Salvatore A.,
Hota Salini,
Slami Abdullah al,
Obias Vincent
Publication year - 2021
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.2271
Subject(s) - medicine , diverticulitis , blood loss , surgery , laparoscopy , robotic surgery , abscess , colorectal surgery , laparoscopic surgery , general surgery , abdominal surgery
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 χ 2 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.