• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Robotic Subtotal Colectomy for Severe Acute Ulcerative Colitis is as Safe as Laparoscopic Approach

Robotic Subtotal Colectomy for Severe Acute Ulcerative Colitis is as Safe as Laparoscopic Approach

Patricio Lynn, David Schwartzberg, MD, H. Hande Aydinli, MD, Mitchell Bernstein, MD, FACS, FASCRS, Alexis Grucela, MD, FACS, FASCRS. New York University Langone Medical Center

Introduction: Laparoscopic subtotal colectomy (LSTC) was initially controversial in patients with severe acute Ulcerative Colitis (UC) given patients’ severity of illness, toxicity, and technical factors such as colonic dilatation. Since then, it has been shown to be feasible and safe in experienced hands. The development and adoption of the Intuitive da Vinci® Xi Robot has allowed ease of use for multiquadrant surgery with minimal docking time. Our goal is to compare the intraoperative and postoperative outcomes of our early experience with Robotic Subtotal Colectomy(RSTC) vs. LSTC.

Methods: We queried our prospectively maintained database of patients who underwent RSTC from 2015-2017. We identified patients who underwent RSTC for severe acute UC and compared them to a matched cohort of patients who underwent LSTC for the same diagnosis. Statistical significance was set at 0.05. The Intuitive da Vinci Xi was used for all Robotic approaches. Port placement and specimen extraction(via the ileostomy site) were uniform within both groups.

Results: We identified 6 patients who underwent RSTC(4 females, median age: 41.5 years) and 13 patients who underwent LSTC (6 females, median age: 29 years). They were well matched for gender and demographic variables. The RSTC group had more patients with significant comorbidities (5/6 = 83%) than the LSTC group (3/13 = 23%) (p=0.01). There were no differences in operative time (mean RSTC 314.0 vs. LSTC 294 minutes, p=0.5) or estimated blood loss (RSTC 79 ml vs. LSTC 75 ml, p=0.9). Mean length of stay was shorter (1.2 days) for RTSC (3.4 vs. 4.6 days, p=0.2) and return of bowel function was earlier (0.7 days) in the RSTC group (1.3 vs. 2 days, p=0.1), however, these were not statistically different. There were no intraoperative complications in either group. Postoperative major complication rates were similar (RSTC, 1/6 =16% vs.3/13= 23% for LSTC; p=0.9). Readmission rate was less for the RSTC group (16%) than LSTC group (38.4%) (p=0.3). No patient required reoperation in the RSTC group (0%) vs. 2 patients (15.3%) in the LSTC (p=0.2).

Conclusions: RSTC for severe acute UC is at least as safe as the laparoscopic approach. Although the robotic cohort had more comorbidities, major postoperative complications, readmissions, and reoperation rates were less when compared to LSTC. RSTC was also associated with an earlier return of bowel function and shorter length of stay. A prospective study with larger numbers is needed to see if the superiority of robotic versus laparoscopic approaches is reproducible.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 85069

Program Number: P238

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

74

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals