Daisy Dan1, Ian Reight, MD2. 1Colby College, 2Maine General Medical Center
Introduction: Robotic-assisted minimally invasive colon surgery has been increasingly used for the treatment of various benign and neoplastic diseases in the past few years. Recent research has provided evidence that robotic assistance in surgeries offers more degrees of freedom, three-dimensional visualization, and possible better surgical outcome. However, there is limited data and research on colon surgeries to verify whether robotic-assisted colon surgeries would be a safe and alternative option. This study is designed to compare robotic-assisted and conventional laparoscopic colon surgeries through a retrospective chart review.
Methods and Procedures: The surgical techniques, the conversion rate from laparoscopic or robotic-assisted surgery to open, length of hospital stay, operative time and patient charges from patients that underwent colon surgeries with the Da Vinci Si robot (Intuitive Surgical) at Maine General Medical Center, Augusta, ME during 2015-2017 were collected analyzed (n=338).
Results: There were significant differences in patient charges, length of stay, the operative time between either minimally invasive laparoscopic or robotic-assisted and open colon surgeries. Both patient charges and length of stay are comparable between laparoscopic and robotic-assisted colon surgeries. Robotic-assisted colon surgeries were found to have longer operative time in comparison to both laparoscopic and open colon surgeries. Decreasing trends in the conversion rate and length of stay when patients underwent robotic-assisted colon surgeries were observed.
Conclusions: From the decreasing trend in clinical outcomes found in this study supported that robotic-assisted colon surgery can be a safe and feasible alternative to the conventional laparoscopic approach. Increased operative time is one of the disadvantages of robotic-assisted colon surgeries and can be attributed to mainly robot docking.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95836
Program Number: P340
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster