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.
Keywords
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Article info
Publication history
Published online: November 18, 2013
Received in revised form:
July 20,
2013
Received:
February 24,
2013
Footnotes
Dr. Cleary is a consultant to and has received honoraria from Intuitive Surgical, Inc.
Identification
Copyright
© 2014 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
