Robotic versus laparoscopic resection for sigmoid diverticulitis with fistula

Peter A. Elliott, Elisabeth C. McLemore, Mohammad A. Abbass, Maher A. Abbas*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Robotic abdominal surgery is growing despite a paucity of clinical reports to evaluate its impact on patient outcomes. In this retrospective case series, we aim to analyze our early experience with robotic resection in 11 consecutive patients with chronic colonic diverticulitis complicated by fistula to bladder, vagina, or skin and to compare the results of the robotic approach to 20 patients undergoing laparoscopic resection for the same indication. Our main outcome measures include operative time, blood loss, conversion rate, transfusion rate, hospital length of stay, complications, readmission, and fistula healing rate. In our study, we found robotic resection for colonic diverticulitis with fistula was technically feasible and yielded 100 % fistula healing rate. The operative time, complication and readmission rates were similar to laparoscopy. A higher conversion rate, diverting stoma need, and longer hospital length of stay were noted in the robotic group; however, these findings could have been attributed to a higher number of cases involving rectal excision in the robotic group. Larger studies are needed to further examine the impact of robotic surgery on the outcome of patients with complicated chronic sigmoid diverticulitis.

Original languageEnglish (US)
Pages (from-to)137-142
Number of pages6
JournalJournal of Robotic Surgery
Volume9
Issue number2
DOIs
StatePublished - Jun 27 2015
Externally publishedYes

Keywords

  • Colocutaneous fistula
  • Colovaginal fistula
  • Colovesical fistula
  • Diverticulitis
  • Laparoscopic surgery
  • Robotic surgery

ASJC Scopus subject areas

  • Surgery
  • Health Informatics

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