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., ...Daha Fazla

Surgical laparoscopy, endoscopy & percutaneous techniques, cilt.30, ss.40-44, 2020 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 30
  • Basım Tarihi: 2020
  • Doi Numarası: 10.1097/sle.0000000000000645
  • Dergi Adı: Surgical laparoscopy, endoscopy & percutaneous techniques
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.40-44
  • Anahtar Kelimeler: robotic, ileal pouch anal anastomosis, restorative proctocolectomy, ulcerative colitis, SURGERY, PROCTECTOMY, COMPLICATIONS, EXPERIENCE
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Evet

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.