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Observational Study
, 208 (1), 33-40

Improved Perioperative and Short-Term Outcomes of Robotic Versus Conventional Laparoscopic Colorectal Operations

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Observational Study

Improved Perioperative and Short-Term Outcomes of Robotic Versus Conventional Laparoscopic Colorectal Operations

Mark A Casillas Jr et al. Am J Surg.

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: 30-day outcomes; Colectomy; Laparoscopic colorectal surgery; Robotic surgery.

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