[Functional Results after Laparoscopic versus Robot-assisted Sigmoid Resection in Diverticulitis]

Area of Science:

• Colorectal Surgery
• Minimally Invasive Surgery
• Surgical Technology

Background:

• Sigmoid resection is a common colonic operation for diverticulitis.
• Laparoscopic surgery is the standard minimally invasive approach.
• Robotic sigmoid resection is a newer alternative.

Purpose of the Study:

• To compare the functional outcomes of laparoscopic versus robot-assisted sigmoid resection for diverticulitis.
• To evaluate differences in continence, symptoms, and daily life impact between the two surgical methods.

Main Methods:

• Postoperative follow-up of patients undergoing laparoscopic or robotic sigmoid resection for diverticulitis (Nov 2013 - Nov 2018).
• Assessment of continence disorders, symptom development, bowel movement changes, daily life impairment, and pain.
• Statistical analysis using the chi-square test to compare outcomes between groups.

Main Results:

• 106 minimally invasive sigmoid resections were performed (46 laparoscopic, 60 robot-assisted).
• 74 patients (70%) completed the follow-up questionnaire.
• No statistically significant differences were found in functional outcomes between laparoscopic and robot-assisted groups.

Conclusions:

• Laparoscopic and robot-assisted sigmoid resection are equivalent in terms of functional results for diverticulitis.
• Both minimally invasive techniques provide comparable outcomes for patients.