Improved perioperative and short-term outcomes of robotic versus conventional laparoscopic colorectal operations - 19/06/14
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.
Le texte complet de cet article est disponible en PDF.Keywords : Robotic surgery, Laparoscopic colorectal surgery, Colectomy, 30-day outcomes
Plan
| Dr. Cleary is a consultant to and has received honoraria from Intuitive Surgical, Inc. |
Vol 208 - N° 1
P. 33-40 - juillet 2014 Retour au numéro
Article précédent
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