Feasibility and safety of robotic resection of complicated diverticular disease

Fabian Grass, Jacopo Crippa, Kellie L. Mathis, Scott R. Kelley, David Larson

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
JournalSurgical Endoscopy
DOIs
StatePublished - Jan 1 2019

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Robotics
Safety
Length of Stay
Demography
Compliance
Databases

Keywords

  • Complications
  • Diverticular disease
  • Enhanced recovery
  • Robotic

ASJC Scopus subject areas

  • Surgery

Cite this

Feasibility and safety of robotic resection of complicated diverticular disease. / Grass, Fabian; Crippa, Jacopo; Mathis, Kellie L.; Kelley, Scott R.; Larson, David.

In: Surgical Endoscopy, 01.01.2019.

Research output: Contribution to journalArticle

Grass, Fabian ; Crippa, Jacopo ; Mathis, Kellie L. ; Kelley, Scott R. ; Larson, David. / Feasibility and safety of robotic resection of complicated diverticular disease. In: Surgical Endoscopy. 2019.
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