Clinical Outcomes of Robotic and Laparoscopic Ileal Pouch–Anal Anastomosis in Ulcerative Colitis: A Retrospective Cohort from Two Tertiary Referral Centers
Journal of Laparoendoscopic and Advanced Surgical Techniques, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Basım Tarihi: 2026
- Doi Numarası: 10.1177/10926429261490771
- Dergi Adı: Journal of Laparoendoscopic and Advanced Surgical Techniques
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE, Academic Search Ultimate (EBSCO), Biomedical Reference Collection: Corporate Edition (EBSCO)
- Anahtar Kelimeler: ileal pouch-anal anastomosis, laparoscopy, postoperative morbidity, robotic surgery, ulcerative colitis
- Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Evet
Özet
Background: Robotic platforms may facilitate the technically demanding pelvic and multiquadrant components of ileal pouch-anal anastomosis (IPAA), but comparative evidence remains limited. Methods: We retrospectively compared 90-day outcomes after robotic (n = 36) and laparoscopic (n = 24) IPAA for ulcerative colitis performed by one surgical team at two tertiary referral centers between 2014 and 2025. The primary outcome was postoperative morbidity. Logistic regression adjusted for operative staging; an exploratory model additionally adjusted for age, sex, and body mass index. Results: Ninety-day morbidity occurred in 30.6% of robotic and 41.7% of laparoscopic patients (P = .377). Major morbidity, operative time, blood loss, length of stay, readmission, and reoperation did not differ significantly. The robotic approach was not associated with morbidity in the primary model (adjusted OR, 0.60; 95% CI, 0.20–1.80; P = .361). Conclusions: Robotic IPAA showed no evidence of increased short-term morbidity compared with laparoscopy in this single-team cohort.