BACKGROUND: Robotic-assisted laparoscopic surgery has recently gained enthusiasm for application in colorectal surgery. We present the safety and feasibility of using the da Vinci® robotic system for the surgical treatment of sigmoid diverticulitis. METHODS: Between August 2008 and November 2009, robotic-assisted laparoscopic anterior rectosigmoid resection (RALS-AR) for diverticulitis was performed in 24 consecutive patients. Demographic data, intraoperative parameters, and postoperative outcomes were assessed. RESULTS: RALS-AR was performed in 14 male (58.3%) and 10 female (41.7%) patients with a diagnosis of recurrent diverticulitis. The mean patient age and BMI were 49.8 ± 9.3 years (range = 30-62 years) and 29.9 ± 6.3 kg/m(2) (range = 15.9-46.9 kg/m(2)), respectively. Disease stratification identified 15 cases of uncomplicated (62.5%) and 9 cases of complicated (37.5%) disease. The procedures required 14.1 ± 6.7 min (range = 6-30 min) for robotic docking, 100.5 ± 31.0 min (range = 50-180 min) for surgeon console time, and 224.2 ± 47.1 min (range = 150-330 min) for the total operative time. Robotic docking and surgeon console time represented 51.9% of the total operative time. A primary colorectal anastomosis was fashioned with avoidance of colostomy in all patients. There were no significant intraoperative complications, and none of the procedures required conversion to open, hand-assisted, or conventional laparoscopic technique. The length of hospital stay was 3.4 ± 2.6 days (range = 2-14 days), and the postoperative complication rate was 12.5% (n = 3). There were no anastomotic leaks, secondary surgical interventions, or hospital readmissions. CONCLUSIONS: Robotic-assisted laparoscopic technique is a safe and feasible option for the surgical treatment of diverticulitis. The approach may be offered to patients with uncomplicated or complicated disease, and it results in a short hospital stay and low complication rate.
BACKGROUND: Robotic-assisted laparoscopic surgery has recently gained enthusiasm for application in colorectal surgery. We present the safety and feasibility of using the da Vinci® robotic system for the surgical treatment of sigmoid diverticulitis. METHODS: Between August 2008 and November 2009, robotic-assisted laparoscopic anterior rectosigmoid resection (RALS-AR) for diverticulitis was performed in 24 consecutive patients. Demographic data, intraoperative parameters, and postoperative outcomes were assessed. RESULTS: RALS-AR was performed in 14 male (58.3%) and 10 female (41.7%) patients with a diagnosis of recurrent diverticulitis. The mean patient age and BMI were 49.8 ± 9.3 years (range = 30-62 years) and 29.9 ± 6.3 kg/m(2) (range = 15.9-46.9 kg/m(2)), respectively. Disease stratification identified 15 cases of uncomplicated (62.5%) and 9 cases of complicated (37.5%) disease. The procedures required 14.1 ± 6.7 min (range = 6-30 min) for robotic docking, 100.5 ± 31.0 min (range = 50-180 min) for surgeon console time, and 224.2 ± 47.1 min (range = 150-330 min) for the total operative time. Robotic docking and surgeon console time represented 51.9% of the total operative time. A primary colorectal anastomosis was fashioned with avoidance of colostomy in all patients. There were no significant intraoperative complications, and none of the procedures required conversion to open, hand-assisted, or conventional laparoscopic technique. The length of hospital stay was 3.4 ± 2.6 days (range = 2-14 days), and the postoperative complication rate was 12.5% (n = 3). There were no anastomotic leaks, secondary surgical interventions, or hospital readmissions. CONCLUSIONS: Robotic-assisted laparoscopic technique is a safe and feasible option for the surgical treatment of diverticulitis. The approach may be offered to patients with uncomplicated or complicated disease, and it results in a short hospital stay and low complication rate.
Authors: Anthony J Senagore; Hans J Duepree; Conor P Delaney; Sharmilla Dissanaike; Karen M Brady; Victor W Fazio Journal: Dis Colon Rectum Date: 2002-04 Impact factor: 4.585
Authors: P M Falk; R W Beart; S D Wexner; A G Thorson; D G Jagelman; I C Lavery; O B Johansen; R J Fitzgibbons Journal: Dis Colon Rectum Date: 1993-01 Impact factor: 4.585
Authors: Nicolas A Rotholtz; Miguel Montero; Mariano Laporte; Maximiliano Bun; Sandra Lencinas; Norberto Mezzadri Journal: World J Surg Date: 2009-11 Impact factor: 3.352
Authors: Mohammed H Al-Temimi; Bindupriya Chandrasekaran; Johan Agapian; Walter R Peters; Katrina O Wells Journal: Int J Colorectal Dis Date: 2019-06-23 Impact factor: 2.571
Authors: Stavros A Antoniou; George A Antoniou; Oliver O Koch; Rudolf Pointner; Frank A Granderath Journal: Surg Endosc Date: 2011-08-20 Impact factor: 4.584
Authors: Shawn Tsuda; Dmitry Oleynikov; Jon Gould; Dan Azagury; Bryan Sandler; Matthew Hutter; Sharona Ross; Eric Haas; Fred Brody; Richard Satava Journal: Surg Endosc Date: 2015-07-24 Impact factor: 4.584
Authors: Wissam J Halabi; Celeste Y Kang; Mehraneh D Jafari; Vinh Q Nguyen; Joseph C Carmichael; Steven Mills; Michael J Stamos; Alessio Pigazzi Journal: World J Surg Date: 2013-12 Impact factor: 3.352
Authors: Gary B Deutsch; Sandeep Anantha Sathyanarayana; Vikraman Gunabushanam; Nitin Mishra; Eugene Rubach; Harry Zemon; Jonathan D S Klein; George Denoto Journal: Surg Endosc Date: 2011-11-02 Impact factor: 4.584