Feasibility and safety of robotic resection of complicated diverticular disease.

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Version: Final published version
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Serval ID
serval:BIB_AAFADBD788AB
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Feasibility and safety of robotic resection of complicated diverticular disease.
Journal
Surgical endoscopy
Author(s)
Grass F., Crippa J., Mathis K.L., Kelley S.R., Larson D.W.
ISSN
1432-2218 (Electronic)
ISSN-L
0930-2794
Publication state
Published
Issued date
12/2019
Peer-reviewed
Oui
Volume
33
Number
12
Pages
4171-4176
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
This study aimed to assess intra- and postoperative outcomes of robotic resection of left-sided complicated diverticular disease. Retrospective analysis of a prospectively maintained institutional database on consecutive patients undergoing elective robotic resection for diverticular disease (2014-2018). All procedures were performed within an enhanced recovery pathway (ERP). Demographic, surgical and ERP-related items were compared between patients with simple and complicated diverticular disease according to intra-operative presentation. Postoperative complications and length of stay were compared between the two groups. Out of 150 patients, 78 (52%) presented with complicated and the remaining 72 (48%) with uncomplicated disease. Both groups were comparable regarding demographic baseline characteristics and overall ERP compliance. Surgery for complicated disease was longer (288 ± 96 vs. 258 ± 72 min, p = 0.04) and more contaminated (≥ class 3: 57.7 vs. 23.6%, p < 0.001) with a trend to higher conversion rates (10.3 vs. 2.8%, p = 0.1). While postoperative overall complications tended to occur more often after resections for complicated disease (28.2 vs. 15.3%, p = 0.075), major, surgical and medical complications did not differ between the two groups, and median length of stay was 3 days in both settings (p = 0.19). Robotic resection of diverticular disease was feasible and safe regardless of disease presentation by the time of surgery.
Keywords
Diverticular Diseases/surgery, Feasibility Studies, Female, Humans, Length of Stay, Male, Middle Aged, Postoperative Complications/surgery, Retrospective Studies, Robotic Surgical Procedures/methods, Treatment Outcome, Complications, Diverticular disease, Enhanced recovery, Robotic
Pubmed
Web of science
Create date
29/11/2021 14:18
Last modification date
30/11/2021 7:12
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