Ileocolic resection for Crohn’s disease: robotic intracorporeal compared to laparoscopic extracorporeal anastomosis

Laparoscopy is the first-line approach in ileocolic resection for Crohn’s disease. Emerging data has shown better short-term outcomes with robotic right colectomy for cancer when compared to laparoscopic approach. However, robotic ileocolic resection for Crohn’s disease has only shown faster return...

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Bibliographic Details
Published in:Journal of robotic surgery 2023-10, Vol.17 (5), p.2157-2166
Main Authors: Calini, Giacomo, Abdalla, Solafah, Abd El Aziz, Mohamed A., Merchea, Amit, Larson, David W., Behm, Kevin T.
Format: Article
Language:English
Subjects:
Abdomen
Abscesses
Age
Antibiotics
Body mass index
Classification
Colon
Crohn's disease
Hemoglobin
Laparoscopy
Length of stay
Malnutrition
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Ostomy
Peritonitis
Postoperative period
Robotics
Small intestine
Surgeons
Surgery
Surgical anastomosis
Urology
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Summary:Laparoscopy is the first-line approach in ileocolic resection for Crohn’s disease. Emerging data has shown better short-term outcomes with robotic right colectomy for cancer when compared to laparoscopic approach. However, robotic ileocolic resection for Crohn’s disease has only shown faster return to bowel function. We aimed to evaluate short-term outcomes of ileocolic resection for Crohn’s disease between robotic intracorporeal anastomosis (RICA) and laparoscopic extracorporeal anastomosis (LECA). Patients undergoing minimally invasive ileocolic resections for Crohn’s disease were retrospectively identified using a prospectively maintained database between 2014 and 2021 in two referral centers. Among the 239 patients, 70 (29%) underwent RICA while 169 (71%) LECA. Both groups were similar according to baseline and preoperative characteristics. RICA was associated with more intraoperative adhesiolysis and longer operative time [RICA: 238 ± 79 min vs. LECA: 143 ± 52 min; p 
ISSN:1863-2491
1863-2483
1863-2491
DOI:10.1007/s11701-023-01635-6