Russell W Farmer, MD, Karen Parks, MD, Peter Deveaux, Susan Galandiuk, Jeffrey Jorden, MD. University of Louisville
Background: Recent developments in robotic surgery now enable single-dock robotic total proctocolectomy for complex colorectal disease both facilitating dissection and decreasing operative time. This study represents initial surgical experience with single-dock robotic total proctocolectomy.
Methods: We performed a retrospective review of all patients undergoing robotic total proctocolectomy at an academic, tertiary referral center. Operative data and outcomes were collected and descriptive statistics obtained. All patients were required to have minimum 3 months follow-up.
Results: In total, 9 patients underwent single-dock, robotic total proctocolectomy within 20 months. Seven patients had ulcerative colitis; two had familial polyposis. Seven patients received concurrent steroid therapy at the time of operation, with a differnt group of 7 receiving anti-TNF blockade. Mean BMI was 26.1 with a median age of 36. Mean blood loss between cases was 200cc, with mean operative time of approximately 320 minutes to include diverting ostomy creation. Median Length of Stay was 5 days, with median return of GI function on post-operative day 2. One patient had a high grade / Clavien-Dindo scale III complication requiring percutaneous drainage.
Conclusion: Robotic total proctocolectomy with a single-dock is a safe and feasible choice for patients with advanced colorectal disease. A greater cohort is needed for definitive comparison to traditional operative techniques.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80692
Program Number: P216
Presentation Session: Poster (Non CME)
Presentation Type: Poster