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Feasibility and safety of robotic resection of complicated diverticular disease

  • Fabian Grass
  • Jacopo Crippa
  • Kellie L. Mathis
  • Scott R. Kelley
  • David W. LarsonEmail author
Article

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.

Keywords

Robotic Diverticular disease Complications Enhanced recovery 

Notes

Acknowledgements

Fabian Grass was supported by the Société Académique Vaudoise, Lausanne, Switzerland and by the SICPA foundation, Lausanne, Switzerland.

Funding

No funding sources to declare.

Compliance with ethical standards

Disclosures

Drs. Fabian Grass, Jacopo Crippa, Kellie L. Mathis, Scott R. Kelley, David W. Larson have no conflicts of interest or financial ties to disclose.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of Colon and Rectal SurgeryMayo ClinicRochesterUSA

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