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Robotic elective colectomy for diverticular disease: short-term outcomes of 80 patients
Giampaolo Formisano1, Giuseppe Giuliani1, Adelona Salaj1
1Department of General and Minimally Invasive Surgery, Misericordia Hospital, Grosseto, Italy.
Background:
This study aimed to evaluate the impact of the robotic approach on the minimally invasive elective treatment of diverticular disease.
Methods:
Data from patients who underwent elective robotic colectomy for diverticular disease from January 2015 to February 2020 were prospectively collected and retrospectively analysed. Intraoperative and 30-day postoperative outcomes were the variables assessed.
Results:
A total of 80 patients (71% with prior complicated diverticulitis) met the inclusion criteria. Mean operative time was 241 min, one intraoperative complication (1.2%) was observed, the conversion rate was 2.5%. Mean hospital stay was 6.4 days and overall 30-day complication rate was 22.5%. Fourteen patients (17.5%) had minor complications, while major postoperative complications occurred in four patients (5%). Anastomotic leak rate was 3.9% and the 30-day readmission rate was 3.7%.
Conclusions:
Robotic colectomy for diverticular disease has proven to be feasible and safe, with low intraoperative complications, conversion, and anastomotic leak rates.
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