A Three-Arm (Laparoscopic, Hand-Assisted, and Robotic) Matched-Case Analysis of Intraoperative and Postoperative Outcomes in Minimally Invasive Colorectal Surgery

• DOI: 10.1007/dcr.0b013e3181fec377
• Publication Date: 2011-04-07T19:36:29Z
• Authors: Chirag B. Patel; Madhu Ragupathi; Diego I. Ramos-Va...; Eric M. Haas
• Keywords: Colorectal Surgery

PURPOSE: Robotic-assisted laparoscopic surgery is an emerging modality in the field of minimally invasive colorectal surgery. However, there a dearth data comparing outcomes with other techniques. We present 3-arm (conventional, hand-assisted, and robotic) matched-case analysis intraoperative short-term patients undergoing procedures. METHODS: Between August 2008 October 2009, 70 robotic cases rectum rectosigmoid were performed. Thirty these organized into triplets conventional hand-assisted based on following 6 matching criteria: 1) surgeon; 2) sex; 3) body mass index; 4) operative procedure; 5) pathology; 6) history neoadjuvant therapy malignant cases. Demographics, parameters, postoperative assessed. Pathological analyzed Data stratified by diagnosis procedure. RESULTS: There was no significant difference complications, estimated blood loss (126.1 ± 98.5 mL overall), or morbidity mortality among groups. Robotic technique required longer time compared (P < .01) .001) techniques; however, this not maintained low pelvic anastomoses. The overall mean length stay 3.3 1.8 days between revealed median lymph node extraction 17 3 modalities. CONCLUSION: In case-matched series, approach results comparable to approaches for benign diseases rectosigmoid. With 3-dimensional visualization, additional freedom motion, improved ergonomics, enabling technology may play important role when performing procedures involving anatomy.