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One Hundred and Two Consecutive Robotic-Assisted Minimally Invasive Colectomies—An Outcome and Technical Update

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Journal of Gastrointestinal Surgery Aims and scope

Abstract

Background

The objective of this study was to review 102 consecutive robotic colectomies at our institution. We evaluated the 8-year experience of one surgeon (DLC) in Peoria, IL using the da Vinci system.

Methods

An IRB-approved retrospective review was performed. Results were compared with the literature. Changes in technique over the years were evaluated.

Results

One hundred and two robotic colectomies, right (59) and sigmoid (43), were performed. Mean age is 63.5 years and mean BMI 27.4 kg/m². Preoperative indications are polyps (53), diverticular disease (27), cancer (19), and carcinoid (3). Mean total case time (TCT) for all cases is 219.6 ± 45.1 (50–380) min, and mean robot operating time (ROT) is 126.6 ± 41.6 (12–306) min. Operative times for Right: Port setup time (PST) 32.4 ± 10.5 (20–64) min, ROT 145.2 ± 39.6 (53–306) min, TCT 212.3 ± 46.4 (50–380) min; times for sigmoid: PST 31.2 ± 9.6 (10–57) min, ROT 101.2 ± 29.2 (12–165) min, TCT 229.7 ± 41.6 (147–323) min. Median length of stay for all patients is 3 (2–27) days. The overall complication rate is 18.6%, the overall conversion rate 8.8%, and the anastomotic leak rate is 0.98%. Residents PGY 1–5 participated in 61 cases (59.8%).

Conclusion

We report our updated procedural sequence and technical alterations. Experience has allowed residents to evolve to be primary surgeons. We add our results to the current robotic literature.

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Disclosure section

Franziska Huettner MD PhD has no conflicts of interest or financial ties to disclose.

Paul E Pacheco MD has no conflicts of interest or financial ties to disclose.

Jamie L Doubet RN BS has no conflicts of interest or financial ties to disclose.

Michael J Ryan MD has no conflicts of interest or financial ties to disclose.

Danuta I Dynda MD has no conflicts of interest or financial ties to disclose.

David L Crawford MD receives honoraria for proctoring and precepting for Intuitive Surgical.

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Authors and Affiliations

  1. Division of Minimally Invasive Surgery, Department of Surgery, University of Illinois College of Medicine at Peoria/OSF St. Frances Hospital, 1001 Main Street, Suite 300, Peoria, IL, 61606, USA

    Franziska Huettner, Paul E. Pacheco, Jamie L. Doubet, Michael J. Ryan, Danuta I. Dynda & David L. Crawford

Authors
  1. Franziska Huettner
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  2. Paul E. Pacheco
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  3. Jamie L. Doubet
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  6. David L. Crawford
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Corresponding author

Correspondence to David L. Crawford.

Additional information

Poster and abstract of distinction presented at WCES/SAGES on April 16th, 2010 in National Harbor, MD

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Huettner, F., Pacheco, P.E., Doubet, J.L. et al. One Hundred and Two Consecutive Robotic-Assisted Minimally Invasive Colectomies—An Outcome and Technical Update. J Gastrointest Surg 15, 1195–1204 (2011). https://doi.org/10.1007/s11605-011-1549-z

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  • DOI: https://doi.org/10.1007/s11605-011-1549-z

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