title: Robotic-assisted proctectomy for inflammatory bowel disease: a case-matched comparison of laparoscopic and robotic technique.
abstract: BACKGROUND
  The objective of this study was to compare short-term outcomes of robotic and laparoscopic proctectomy in patients with inflammatory bowel disease (IBD).
  
  
  METHODS
  This is an IRB-approved case-matched review. Seventeen robotic proctectomies (RP), 10 with ileal pouch anal anastomosis (IPAA) and 7 completion (CP), were matched to laparoscopic proctectomies (LP). Short-term and functional outcomes were compared between LP and RP.
  
  
  RESULTS
  In CP cohort, operative times were longer in the RP group (351 RP vs 238 LP min, p = 0.03), mean robotic time 90 min. Estimated blood loss (EBL) was similar between RP-CP and LP-CP groups (p = 0.18). Return of bowel function (RBF) was slower in RP-CP group (3.0 vs 1.7 days, p = 0.04), and length of stay (LOS) was longer (6.4 vs 4.1 days, p = 0.02). In the IPAA group, there were no differences between operative times (p = 0.14), robotic time 86 min; EBL (p = 0.15), and postoperative complications. Return of bowel function (3.6 vs 2.6 days, p = 0.3) and LOS (8.5 vs 6.1 days, p = 0.17) were similar between RP and LP. Bowel and sexual function were equivalent between LP and RP-IPAA groups.
  
  
  CONCLUSIONS
  Robotic proctectomy is a safe and effective technique for patients with IBD. It is comparable to LP with regard to perioperative outcomes, complications, and short-term functional results.
authors.affiliation: Department of Surgery, University of Chicago Medical Center and The University of Chicago Inflammatory Bowel Disease Center, 5841 S. Maryland Ave, MC 5095, Chicago, IL 60637, USA.
authors.forename: Aaron T
authors.initials: AT
authors.lastname: Miller
authors.forename: Julia R
authors.initials: JR
authors.lastname: Berian
authors.forename: Michele
authors.initials: M
authors.lastname: Rubin
authors.forename: Roger D
authors.initials: RD
authors.lastname: Hurst
authors.forename: Alessandro
authors.initials: A
authors.lastname: Fichera
authors.forename: Konstantin
authors.initials: K
authors.lastname: Umanskiy
mesh_terms: D000328:Adult; D001003:Anal Canal / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000379:methods; D039021:Colonic Pouches; D005260:Female; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000601:surgery*; D007422:Intestines / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay / Q000639:trends; D008297:Male; D011183:Postoperative Complications; D016737:Proctocolectomy, Restorative / Q000379:methods*; D012189:Retrospective Studies; D012371:Robotics; D016896:Treatment Outcome