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. 2021 Dec;73(6):2137-2143.
doi: 10.1007/s13304-021-01061-z. Epub 2021 May 15.

Completely intracorporeal anastomosis in robotic left colonic and rectal surgery: technique and 30-day outcomes

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Completely intracorporeal anastomosis in robotic left colonic and rectal surgery: technique and 30-day outcomes

Pietro Achilli et al. Updates Surg. 2021 Dec.

Abstract

As robotic surgery continues to disseminate into the field of colon and rectal surgery, there is a growing interest in the utilization of intracorporeal anastomosis to potentially improve surgical outcomes. The purpoe of this study was to compare feasibility, safety, and short-term outcomes of robotic sigmoid and low anterior resections performed with completely intracorporeal anastomosis (CICA) technique to the traditional extracorporeal assisted anastomosis (ECAA) technique. Consecutive series of patients who underwent elective robotic sigmoid or low anterior resections for benign or malignant disease utilizes either CICA or ECAA between August 2017 and November 2019. Surgical complications were assessed until 30 postoperative days and compared between the two groups. A total of 160 patients were identified; 73 (45.6%) in the CICA group and 87 (54.4%) in the ECAA group. Most of the procedures were performed for malignancy (76%). Estimated blood loss was lower in the CICA group (80.7 mL vs. 110.2 mL; p = 0.048), while operative times were longer (5.9 ± SD hours vs. 4.9 ± SD hours; p = < 0.001). Overall conversion rate was 1.9%, with no conversions in the CICA group. Overall complications occurred in 54 patients (33.8%) with 13 (8.3%) representing major complications. There were no significant differences in 30 day outcomes between the two groups. This study demonstrates the feasibility and safety of robotic sigmoid and low anterior resections with CICA. Outcomes for robotic sigmoid and low anterior resections are encouraging regardless of anastomotic technique (CICA vs ECAA).

Keywords: Colorectal surgery; Extracorporeal anastomosis; Intracorporeal anastomosis; Robotic surgery; Short-term outcomes.

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References

    1. Nguyen NT, Neuhaus AM, Ho HS et al (2001) A prospective evaluation of intracorporeal laparoscopic small bowel anastomosis during gastric bypass. Obes Surg. https://doi.org/10.1381/096089201321577875 - DOI - PubMed
    1. Hanna MH, Hwang GS, Phelan MJ et al (2016) Laparoscopic right hemicolectomy: short- and long-term outcomes of intracorporeal versus extracorporeal anastomosis. Surg Endosc 30:3933–3942. https://doi.org/10.1007/s00464-015-4704-x - DOI - PubMed
    1. van Oostendorp S, Elfrink A, Borstlap W et al (2017) Intracorporeal versus extracorporeal anastomosis in right hemicolectomy: a systematic review and meta-analysis. Surg Endosc. https://doi.org/10.1007/s00464-016-4982-y - DOI - PubMed
    1. Akamatsu H, Omori T, Oyama T et al (2009) Totally laparoscopic sigmoid colectomy: a simple and safe technique for intracorporeal anastomosis. Surg Endosc 23:2605–2609. https://doi.org/10.1007/s00464-009-0406-6 - DOI - PubMed
    1. Park JS, Choi GS, Kim HJ et al (2011) Natural orifice specimen extraction versus conventional laparoscopically assisted right hemicolectomy. Br J Surg. https://doi.org/10.1002/bjs.7419 - DOI - PubMed

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