Short-term Results After Totally Robotic Restorative Total Proctocolectomy With Ileal Pouch Anal Anastomosis for Ulcerative Colitis. Issue 1 (February 2020)

• Record Type: Journal Article
• Authors: Hamzaoglu, Ismail; Baca, Bilgi; Esen, Eren; Aytac, Erman; Ozben, Volkan; Aghayeva, Afag; Bilgin, Ismail A.; Karahasanoglu, Tayfun
• Is Part Of: Surgical laparoscopy endoscopy & percutaneous techniques. Volume 30:Issue 1(2020)
• Publication Date: 2020-02
• Subjects: robotic -- ileal pouch anal anastomosis -- restorative proctocolectomy -- ulcerative colitis; Endoscopic surgery -- Periodicals; Laparoscopic surgery -- Periodicals; Endoscopy -- Periodicals; Laparoscopy -- Periodicals; 617.550597
• DOI: 10.1097/SLE.0000000000000645
• Languages: English
• ISSNs: 1530-4515

Abstract

Abstract : 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.