Feasibility and safety of robotic resection of complicated diverticular disease.
Details
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State: Public
Version: Final published version
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State: Public
Version: Final published version
License: Not specified
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
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
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 15:18
Last modification date
30/11/2021 8:12