An early experience in robotic ileoanal pouch surgery with robotic intracorporeal single-stapled anastomosis (RiSSA) at a tertiary referral centre.
Humans
Adolescent
Young Adult
Adult
Middle Aged
Robotic Surgical Procedures
/ methods
Colitis, Ulcerative
/ surgery
Retrospective Studies
Tertiary Care Centers
Treatment Outcome
Anastomosis, Surgical
/ methods
Proctocolectomy, Restorative
/ methods
Postoperative Complications
/ etiology
Adenomatous Polyposis Coli
/ surgery
Intestinal Obstruction
/ etiology
Colonic Pouches
IBD
familial adenomatous polyposis
ileal pouch-anal anastomosis
restorative proctocolectomy
robotic surgery
ulcerative colitis
Journal
Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
ISSN: 1463-1318
Titre abrégé: Colorectal Dis
Pays: England
ID NLM: 100883611
Informations de publication
Date de publication:
06 2023
06 2023
Historique:
revised:
30
01
2023
received:
24
11
2022
accepted:
31
01
2023
medline:
28
6
2023
pubmed:
23
2
2023
entrez:
22
2
2023
Statut:
ppublish
Résumé
A robotic approach to ileal pouch-anal anastomosis (IPAA) surgery offers advantages over other approaches in terms of precision, improved access to the pelvis and less muscular fatigue for the surgeon. The integrity of the anastomosis is also fundamental to successful IPAA surgery. The robotic platform can permit intracorporeal suturing deep within the pelvis to create a single-stapled, double purse-string anastomosis, which may reduce the risk of anastomotic complications. This study describes the safety and early outcomes of robotic intracorporeal single-stapled anastomosis (RiSSA) amongst patients operated consecutively at a tertiary centre immediately before and following the pandemic. A retrospective study of prospectively collected data analysing the outcome of patients undergoing robotic IPAA between 2019 and 2022 was conducted. All procedures were performed with the da Vinci Xi Surgical System (with a hand-assisted suprapubic incision to fashion the pouch). All pouch-anal anastomoses were performed using a double purse-string, single-stapled (RiSSA) method. Demographic, clinical and outcome data were collected. Twenty consecutive patients (nine with ulcerative colitis and 11 with familial adenomatous polyposis) were included with a median age of 25 years (range 16-52); 18 had American Society of Anesthesiologists classification II, and mean body mass index was 24 kg/m RiSSA offers a safe and feasible alternative technique to other minimally invasive approaches with low rates of anastomosis-related complications.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1169-1175Informations de copyright
© 2023 The Authors. Colorectal Disease published by John Wiley & Sons Ltd on behalf of Association of Coloproctology of Great Britain and Ireland.
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