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Outcomes Comparing 19,769 Patients Who Underwent Robotic, Laparoscopic, or Open Colorectal Surgery
Valerie K Vazquez1, Laura Mena Albors1, Huazhi Liu2
1Department of Surgery, University of Central Florida/HCA Consortium-Ocala, Ocala, Florida, USA. (Drs. Vazquez and Albors).
Background:
This study examines the efficacy of robotic colorectal surgery across a large health system, focusing on factors such as hospital stay, operative time, pain management, and postoperative complications. The objective of this study is to compare outcomes of colorectal surgery by robotic, laparoscopic, and open techniques in a multicenter study.
Methods:
A retrospective cohort study analyzed patients undergoing colorectal surgery from 2016 to 2022 using a clinical database from a large United States hospital system. Multivariable regression adjusted outcomes for various patient factors and institutional practices.
Results:
Among 19,769 patients, robotic surgery was associated with shorter hospital stays (5.6 days vs 7.9 for laparoscopic and 11.2 for open, P < .0001), fewer postoperative complications, and lower pain levels. Despite longer operating room (OR) times, robotic surgery showed favorable trends in mortality, hospice discharge, and readmission rates compared to other approaches.
Conclusion:
Robotic-assisted colorectal surgery may lead to decreased hospital stays, readmission rates, and improved patient outcomes across various healthcare settings.
