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


Hamzaoglu İ. H. , Baca B. , Esen E., Aytac E. , Ozben V. , Aghayeva A., et al.

Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, cilt.30, ss.40-44, 2020 (SCI Expanded İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 30
  • Basım Tarihi: 2020
  • Doi Numarası: 10.1097/sle.0000000000000645
  • Dergi Adı: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
  • Sayfa Sayısı: ss.40-44

Özet

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.