Advantages of Robotic Right Colectomy With Intracorporeal Anastomosis.
Through retrospective review of consecutive charts, we compare the short-term and long-term clinical outcomes after robotic-assisted right colectomy with intracorporeal anastomosis (RIA) (n=89) and laparoscopic right colectomy with extracorporeal anastomosis (LEA) (n=135). Cohorts were similar in demographic characteristics, comorbidities, pathology, and perioperative outcomes (conversion, days to flatus and bowel movement, and length of hospitalization). The RIA cohort experienced statistically significant: less blood loss, shorter incision lengths, and longer specimen lengths than the LEA cohort. Operative times were significantly longer for the RIA group. No incisional hernias occurred in the RIA group, whereas the LEA group had 5 incisional hernias; mean follow-up was 33 and 30 months, respectively. RIA is effective and safe and provides some clinical advantages. Future studies may show that, in obese and other technically challenging patients, RIA facilitates resection of a longer, consistent specimen with less mesentery trauma that can be extracted through smaller incisions.
Jackson South Community Hospital.
Henry J
HJ
Lujan
Baptist Hospital of Miami.
Gustavo
G
Plasencia
Jackson Medical Group Specialty Physicians.
Brian X
BX
Rivera
University of Puerto Rico Surgery Residency, San Juan, PR.
Andres
A
Molano
Florida International University, Herbert Wertheim College of Medicine, Miami.
Alex
A
Fagenson
American University of the Caribbean School of Medicine, Coral Gables, FL.
Louis A
LA
Jane
Alliance Medical Group, Waterbury Hospital, Middlebury, CT.
Diego
D
Holguin
D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000379:methods; D015331:Cohort Studies; D003082:Colectomy / Q000009:adverse effects / Q000379:methods*; D044682:Colon, Ascending / Q000473:pathology / Q000601:surgery; D003110:Colonic Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness / Q000473:pathology; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000503:physiopathology / Q000601:surgery; D011379:Prognosis; D012189:Retrospective Studies; D018570:Risk Assessment; D065287:Robotic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D015996:Survival Rate; D016896:Treatment Outcome