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18-03-2024 | Colectomy

Surgical and medical outcomes in robotic compared to laparoscopic colectomy global prospective cohort from the American college of surgeons national surgical quality improvement program

Authors: Rodrigo Moisés de Almeida Leite, Sergio Eduardo Alonso Araujo, Alexandre Venancio de Souza, Christy Cauley, Rob Goldstone, Todd Francone, Leandro Cardoso Barchi, Gustavo Yano Callado, Larissa Fagundes, Ulysses Ribeiro Jr., Hannah Bossie, Rocco Ricciardi

Published in: Surgical Endoscopy | Issue 5/2024

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.

Outcome measures

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.

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Title: Surgical and medical outcomes in robotic compared to laparoscopic colectomy global prospective cohort from the American college of surgeons national surgical quality improvement program
Authors: Rodrigo Moisés de Almeida Leite
Sergio Eduardo Alonso Araujo
Alexandre Venancio de Souza
Christy Cauley
Rob Goldstone
Todd Francone
Leandro Cardoso Barchi
Gustavo Yano Callado
Larissa Fagundes
Ulysses Ribeiro Jr.
Hannah Bossie
Rocco Ricciardi
Publication date: 18-03-2024
Publisher: Springer US
Keywords: Colectomy
Colectomy
Ileus
Colon Cancer
Colon Cancer
Published in: Surgical Endoscopy / Issue 5/2024
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-024-10717-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Surgical and medical outcomes in robotic compared to laparoscopic colectomy global prospective cohort from the American college of surgeons national surgical quality improvement program

Abstract

Background

Objective

Design

Setting

Patient

Intervention

Outcome measures

Results

Limitations

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Objective

Design

Setting

Patient

Intervention

Outcome measures

Results

Limitations

Conclusions

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