Short-term Results After Totally Robotic Restorative Total Proctocolectomy With Ileal Pouch Anal Anastomosis for Ulcerative Colitis

Surg Laparosc Endosc Percutan Tech. 2020 Feb;30(1):40-44. doi: 10.1097/SLE.0000000000000645.

Abstract

In this study, we aimed to present our initial experience on totally robotic total restorative proctocolectomy in ulcerative colitis (UC) patients. Patients undergoing a totally robotic restorative total proctocolectomy with ileal J-pouch anal anastomosis for UC between January 2015 and November 2017 were included. The da Vinci Xi was used for the operations. Patient demographics, perioperative and short-term operative outcomes were evaluated. Ten patients were included. The median operative time was 380 minutes(range, 300 to 480 min). The median blood loss was 65 mL (range, 5 to 400 mL). No conversion to open surgery was needed. The median time to flatus was 1 day (range, 1 to 2) and length of stay was 6 (4 to 12) days. Short-term complications (≤30 d) were superficial wound infection (n=3), anal bleeding (n=1), pouchitis (n=1). No mortality was observed during the study period. Our study, which is the largest series so far, reveals that totally robotic restorative proctocolectomy is a safe and feasible option for the surgical treatment of UC.

MeSH terms

  • Adolescent
  • Adult
  • Anal Canal / surgery*
  • Anastomosis, Surgical / methods
  • Colitis, Ulcerative / surgery*
  • Colonic Pouches*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Operative Time
  • Proctocolectomy, Restorative / methods*
  • Prospective Studies
  • Robotic Surgical Procedures / methods*
  • Time Factors
  • Treatment Outcome
  • Young Adult