The da Vinci Xi system for robotic total/subtotal colectomy vs. conventional laparoscopy: short-term outcomes

Background The aim of this study was to evaluate the feasibility of robotic total/subtotal colectomy procedures with the Xi robot and to compare its short-term outcomes with those of conventional laparoscopy. Methods Between October 2010 and September 2018, consecutive patients with colonic neoplasi...

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Bibliographic Details
Published in:Techniques in coloproctology 2019-09, Vol.23 (9), p.861-868
Main Authors: Ozben, V., de Muijnck, C., Karabork, M., Ozoran, E., Zenger, S., Bilgin, I. A., Aytac, E., Baca, B., Balik, E., Hamzaoglu, I., Karahasanoglu, T., Bugra, D.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Colectomy - methods
Colonic Neoplasms - surgery
Colorectal Surgery
Feasibility Studies
Female
Gastroenterology
Humans
Laparoscopy
Laparoscopy - methods
Lymph Node Excision - methods
Lymph Node Excision - statistics & numerical data
Lymphatic system
Male
Medicine
Medicine & Public Health
Middle Aged
Operative Time
Original Article
Proctology
Prospective Studies
Retrospective Studies
Robotic Surgical Procedures - methods
Robotics
Short term
Surgery
Treatment Outcome
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Summary:Background The aim of this study was to evaluate the feasibility of robotic total/subtotal colectomy procedures with the Xi robot and to compare its short-term outcomes with those of conventional laparoscopy. Methods Between October 2010 and September 2018, consecutive patients with colonic neoplasia, inflammatory bowel disease, familial adenomatous polyposis or colonic inertia who underwent elective robotic or laparoscopic total/subtotal abdominal colectomy at two specialized centers in Turkey were included. Data on perioperative characteristics and 30-day outcomes were compared between the two approaches. Results There were a total of 82 patients: 26 and 56 patients in the robotic and laparoscopic group, respectively (54 men and 28 women, mean age 54.7 ± 17.4 years). The groups were comparable regarding preoperative characteristics. All the robotic procedures were completed with a single positioning of the robot. Estimated blood loss (median, 150 vs 200 ml), conversions (0% vs 14.3%), and complications (0% vs 7.1%) were similar but operative time was significantly longer in the robotic group (median, 350 vs 230 min, p  
ISSN:1123-6337
1128-045X
DOI:10.1007/s10151-019-02066-y