Robotic single docking total colectomy for ulcerative colitis: First experience with a novel technique

Roviello, Franco; Piagnerelli, Riccardo; Ferrara, Francesco; Scheiterle, M.; Franco, Lorenzo Giacinto De; Marrelli, Daniele

doi:10.1016/j.ijsu.2015.07.642

Cited by 17 publications

(12 citation statements)

References 32 publications

(29 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One of the 8 studies was a case report, 4 were case studies, and 3 were retrospective case-matched reviews comparing robotic to laparoscopic surgery in 2 studies and to open surgery in 1 study [ 16 – 23 ]. Quality assessment is recorded in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

“…The type of procedure performed in each of the studies varied as well as the extent of robotic involvement (Table 1 ). The most extensive involvement of the robotic system was used by Roviello et al [ 23 ] in 4 patients involving a single-docking robotic proctocolectomy with formation of a terminal ileostomy. A conventional laparoscopic port was also used during these procedures, principally to assist with additional traction.…”

Section: Resultsmentioning

confidence: 99%

“…SURGERY CD III/IV = 1/21 = 4.8% 1/21 = Organ space surgical site infection, drainage under anaesthesia ( p = 0.61) LAP. SURGERY 10/21 = 47.6% Roviello et al [ 23 ] NR 2/4 = 50% 1/4 superficial surgical site infection 1/4 acute pulmonary oedema CDIIIb = 1/4 = 25% 1/4 Small bowel obstruction secondary to internal hernia—re-laparoscopy with no bowel resection 3/4 = 75% N/A N/A IR interventional radiology, lap laparoscopic, NR not recorded …”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Perioperative outcomes and adverse events of robotic colorectal resections for inflammatory bowel disease: a systematic literature review

et al. 2018

View full text Add to dashboard Cite

The purpose of this study was to assess outcome measures and cost-effectiveness of robotic colorectal resections in adult patients with inflammatory bowel disease. The Cochrane Library, PubMed/Medline and Embase databases were reviewed, using the text “robotic(s)” AND (“inflammatory bowel disease” OR “Crohn’s” OR “Ulcerative Colitis”). Two investigators screened abstracts for eligibility. All English language full-text articles were reviewed for specified outcomes. Data were presented in a summarised and aggregate form, since the lack of higher-level evidence studies precluded meta-analysis. Primary outcomes included mortality and postoperative complications. Secondary outcomes included readmission rate, length of stay, conversion rate, procedure time, estimated blood loss and functional outcome. The tertiary outcome was cost-effectiveness. Eight studies (3 case-matched observational studies, 4 case series and 1 case report) met the inclusion criteria. There was no reported mortality. Overall, complications occurred in 81 patients (54%) including 30 (20%) Clavien-Dindo III–IV complications. Mean length of stay was 8.6 days. Eleven cases (7.3%) were converted to open. The mean robotic operating time was 99 min out of a mean total operating time of 298.6 min. Thirty-two patients (24.7%) were readmitted. Functional outcomes were comparable among robotic, laparoscopic and open approaches. Case-matched observational studies comparing robotic to laparoscopic surgery revealed a significantly longer procedure time; however, conversion, complication, length of stay and readmission rates were similar. The case-matched observational study comparing robotic to open surgery also revealed a longer procedure time and a higher readmission rate; postoperative complication rates and length of stay were similar. No studies compared cost-effectiveness between robotic and traditional approaches. Although robotic resections for inflammatory bowel disease are technically feasible, outcomes must be interpreted with caution due to low-quality studies.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Perioperative outcomes and adverse events of robotic colorectal resections for inflammatory bowel disease: a systematic literature review

et al. 2018

View full text Add to dashboard Cite

show abstract

“…In recent years, surgical robot has been an ongoing active area of research for assisting the surgeons to perform complex procedures, but most applications are now in the field of laparoscopic or endoscopic surgery [55][56][57]. For example, with the support of several interactive robotic arms (Da Vinci Xi ® , Intuitive Surgical, Inc., Sunnyvale, 94086-5304, USA), the blood loss and complications can be significantly reduced in spleen-preserving laparoscopic distal pancreatectomy [58].…”

Section: Expert Commentarymentioning

confidence: 99%

A review of computer-aided oral and maxillofacial surgery: planning, simulation and navigation

Chen

Sun

et al. 2016

Expert Review of Medical Devices

View full text Add to dashboard Cite

Introduction: Currently, oral and maxillofacial surgery (OMFS) still poses a significant challenge for surgeons due to the anatomic complexity and limited field of view of the oral cavity. With the great development of computer technologies, he computer-aided surgery has been widely used for minimizing the risks and improving the precision of surgery.Areas covered: The major goal of this paper is to provide a comprehensive reference source of current and future development of computer-aided OMFS including surgical planning, simulation and navigation for relevant researchers.Expert commentary: Compared with the traditional OMFS, computer-aided OMFS overcomes the disadvantage that the treatment on the region of anatomically complex maxillofacial depends almost exclusively on the experience of the surgeon.

show abstract

“…One of the main challenges when considering a robotic surgical approach for proctocolectomy is achieving an optimal docking to access a large target organ in all four quadrants and the pelvis. A single docking of the robotic cart between the legs has previously been described [3]. Whilst that method may work well in selected cases, it limits access to the rectum.…”

Section: Introductionmentioning

confidence: 99%

PortSmouth TAble Rotation Robotic technique for pan proctocolecotmy using DaVinci Si robotic system; P-STARR technique

et al. 2018

View full text Add to dashboard Cite

Robotic single docking total colectomy for ulcerative colitis: First experience with a novel technique

Abstract: The robotic single docking approach to perform total proctocolectomy for ulcerative colitis is a time-saving technique respect to the multiple docking approach.

Cited by 17 publications

References 32 publications

Perioperative outcomes and adverse events of robotic colorectal resections for inflammatory bowel disease: a systematic literature review

Perioperative outcomes and adverse events of robotic colorectal resections for inflammatory bowel disease: a systematic literature review

A review of computer-aided oral and maxillofacial surgery: planning, simulation and navigation

PortSmouth TAble Rotation Robotic technique for pan proctocolecotmy using DaVinci Si robotic system; P-STARR technique

Contact Info

Product

Resources

About