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Comparison of robot-assisted and conventional laparoscopy for colorectal surgery for endometriosis: A prospective
Clément Ferrier1,2, Marjolaine Le Gac1,2, Kamila Kolanska1,2
1Department of Gynecology-Obstetrics and Medicine of Reproduction, Hôpital Tenon, Sorbonne University, Assistance Publique des Hôpitaux de Paris, Paris, France.
Background:
Our objective was to evaluate surgical outcomes of robotic compared to conventional laparoscopy for colorectal surgery for endometriosis.
Methods:
We conducted a prospective cohort study comparing robotic to conventional laparoscopy for colorectal endometriosis during an 18-month period. We included 61 patients in the robotic group and 61 patients in the conventional laparoscopy group.
Results:
Regardless of the colorectal procedure, no differences were found between the groups for complications, blood loss, re-hospitalisation, surgical revision. Robotic surgery was associated with a higher operating time (208 ± 90 min vs. 169 ± 81 min, p = 0.01) and a higher rate of healthy margins (91% vs. 76%; p = 0.01). For the patients undergoing discoid or segmental resections, robotic surgery was associated with a lower intraoperative complication rate (2% vs. 14%; p = 0.04) without difference in operating time or in postoperative complication rates, including voiding dysfunction.
Conclusion:
Our results suggest that the robotic route confer advantages for discoid and segmental resections.
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