Laparoscopic and robotic intracorporeal resection and end-to-end anastomosis in left colectomy: a prospective cohort study - stage 2a IDEAL framework for evaluating surgical innovation

PurposeTo analyze the safety and feasibility of intracorporeal resection and anastomosis in upper rectum, sigmoid, and left colon surgery, via both laparoscopic and robotic approaches. The secondary aim was to assess possible short-term differences between laparoscopic versus robotic surgery.Methods...

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Autores: Serra-Aracil, X, Mora-Lopez, L, Gomez-Torres, I, Pallisera-Lloveras, A, Serracant, A, Garcia-Nalda, A, Pino-Perez, O, Torrecilla, A, Navarro-Soto, S
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2023
País:España
Recursos:Institut d'Investigació i Innovació Parc Taulí (I3PT)
Repositório:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
OAI Identifier:oai:i3pt.fundanetsuite.com:p2494
Acesso em linha:https://i3pt.portalinvestigacion.com/publicaciones/2494
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85151372072&doi=10.1007%2fs00423-023-02844-1&partnerID=40&md5=e1b586465e1f494373b3a980fbeed5f5
Access Level:Acceso aberto
Palavra-chave:Intracorporeal anastomosis
Left intracorporeal anastomosis
Minimally invasive left colon surgery
"Don't touch the bowel" technique
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spelling Laparoscopic and robotic intracorporeal resection and end-to-end anastomosis in left colectomy: a prospective cohort study - stage 2a IDEAL framework for evaluating surgical innovationSerra-Aracil, XMora-Lopez, LGomez-Torres, IPallisera-Lloveras, ASerracant, AGarcia-Nalda, APino-Perez, OTorrecilla, ANavarro-Soto, SIntracorporeal anastomosisLeft intracorporeal anastomosisMinimally invasive left colon surgery"Don't touch the bowel" techniquePurposeTo analyze the safety and feasibility of intracorporeal resection and anastomosis in upper rectum, sigmoid, and left colon surgery, via both laparoscopic and robotic approaches. The secondary aim was to assess possible short-term differences between laparoscopic versus robotic surgery.MethodsA prospective observational cohort study according to IDEAL framework exploration and assessment stage (Development, stage 2a), evaluating and comparing the laparoscopic approach and the robotic approach in left colon, sigmoid, and upper rectum surgery with intracorporeal resection and end-to-end anastomosis. Demographic, preoperative, surgical, and postoperative variables of patients undergoing laparoscopic and robotic surgery are described and compared according to the surgical technique used.ResultsBetween May 2020 and March 2022, seventy-nine patients were consecutively included in the study, 41 operated via laparoscopy (laparoscopic left colectomy: LLC) and 38 by robotic surgery (robotic left colectomy: RLC). There were no statistically significant differences between the two groups in terms of demographic variables. In surgical variables, the median surgical times differed significantly: 198 min (SD 48 min) for LLC vs. 246 min (SD 72 min) for RLC (p = 0.01, 95% CI: - 75.2 to - 20.5)). The only significant difference regarding postoperative complications was a higher degree of relevant morbidity in the LLC (Clavien-Dindo > II (14.6% vs. 0%, p = 0.03) and Comprehensive Complication Index (IQR 22 vs. IQR 0, p = 0.03). The pathological results were similar in both approaches.ConclusionLaparoscopic and robotic intracorporeal resection and anastomosis are feasible and safe, and obtain similar surgical, postoperative, and pathological results than described in literature. However, morbidity seems to be higher in LLC group with fewer relevant postoperative complications. The results of this study enable us to proceed to stage 2b of the IDEAL framework.SPRINGER2023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://i3pt.portalinvestigacion.com/publicaciones/2494https://www.scopus.com/inward/record.uri?eid=2-s2.0-85151372072&doi=10.1007%2fs00423-023-02844-1&partnerID=40&md5=e1b586465e1f494373b3a980fbeed5f5LANGENBECKS ARCHIVES OF SURGERYISSN: 14352443ISSNe: 14352451reponame:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulíinstname:Institut d'Investigació i Innovació Parc Taulí (I3PT)Inglésinfo:eu-repo/semantics/openAccessoai:i3pt.fundanetsuite.com:p24942026-06-21T15:30:37Z
dc.title.none.fl_str_mv Laparoscopic and robotic intracorporeal resection and end-to-end anastomosis in left colectomy: a prospective cohort study - stage 2a IDEAL framework for evaluating surgical innovation
title Laparoscopic and robotic intracorporeal resection and end-to-end anastomosis in left colectomy: a prospective cohort study - stage 2a IDEAL framework for evaluating surgical innovation
spellingShingle Laparoscopic and robotic intracorporeal resection and end-to-end anastomosis in left colectomy: a prospective cohort study - stage 2a IDEAL framework for evaluating surgical innovation
Serra-Aracil, X
Intracorporeal anastomosis
Left intracorporeal anastomosis
Minimally invasive left colon surgery
"Don't touch the bowel" technique
title_short Laparoscopic and robotic intracorporeal resection and end-to-end anastomosis in left colectomy: a prospective cohort study - stage 2a IDEAL framework for evaluating surgical innovation
title_full Laparoscopic and robotic intracorporeal resection and end-to-end anastomosis in left colectomy: a prospective cohort study - stage 2a IDEAL framework for evaluating surgical innovation
title_fullStr Laparoscopic and robotic intracorporeal resection and end-to-end anastomosis in left colectomy: a prospective cohort study - stage 2a IDEAL framework for evaluating surgical innovation
title_full_unstemmed Laparoscopic and robotic intracorporeal resection and end-to-end anastomosis in left colectomy: a prospective cohort study - stage 2a IDEAL framework for evaluating surgical innovation
title_sort Laparoscopic and robotic intracorporeal resection and end-to-end anastomosis in left colectomy: a prospective cohort study - stage 2a IDEAL framework for evaluating surgical innovation
dc.creator.none.fl_str_mv Serra-Aracil, X
Mora-Lopez, L
Gomez-Torres, I
Pallisera-Lloveras, A
Serracant, A
Garcia-Nalda, A
Pino-Perez, O
Torrecilla, A
Navarro-Soto, S
author Serra-Aracil, X
author_facet Serra-Aracil, X
Mora-Lopez, L
Gomez-Torres, I
Pallisera-Lloveras, A
Serracant, A
Garcia-Nalda, A
Pino-Perez, O
Torrecilla, A
Navarro-Soto, S
author_role author
author2 Mora-Lopez, L
Gomez-Torres, I
Pallisera-Lloveras, A
Serracant, A
Garcia-Nalda, A
Pino-Perez, O
Torrecilla, A
Navarro-Soto, S
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Intracorporeal anastomosis
Left intracorporeal anastomosis
Minimally invasive left colon surgery
"Don't touch the bowel" technique
topic Intracorporeal anastomosis
Left intracorporeal anastomosis
Minimally invasive left colon surgery
"Don't touch the bowel" technique
description PurposeTo analyze the safety and feasibility of intracorporeal resection and anastomosis in upper rectum, sigmoid, and left colon surgery, via both laparoscopic and robotic approaches. The secondary aim was to assess possible short-term differences between laparoscopic versus robotic surgery.MethodsA prospective observational cohort study according to IDEAL framework exploration and assessment stage (Development, stage 2a), evaluating and comparing the laparoscopic approach and the robotic approach in left colon, sigmoid, and upper rectum surgery with intracorporeal resection and end-to-end anastomosis. Demographic, preoperative, surgical, and postoperative variables of patients undergoing laparoscopic and robotic surgery are described and compared according to the surgical technique used.ResultsBetween May 2020 and March 2022, seventy-nine patients were consecutively included in the study, 41 operated via laparoscopy (laparoscopic left colectomy: LLC) and 38 by robotic surgery (robotic left colectomy: RLC). There were no statistically significant differences between the two groups in terms of demographic variables. In surgical variables, the median surgical times differed significantly: 198 min (SD 48 min) for LLC vs. 246 min (SD 72 min) for RLC (p = 0.01, 95% CI: - 75.2 to - 20.5)). The only significant difference regarding postoperative complications was a higher degree of relevant morbidity in the LLC (Clavien-Dindo > II (14.6% vs. 0%, p = 0.03) and Comprehensive Complication Index (IQR 22 vs. IQR 0, p = 0.03). The pathological results were similar in both approaches.ConclusionLaparoscopic and robotic intracorporeal resection and anastomosis are feasible and safe, and obtain similar surgical, postoperative, and pathological results than described in literature. However, morbidity seems to be higher in LLC group with fewer relevant postoperative complications. The results of this study enable us to proceed to stage 2b of the IDEAL framework.
publishDate 2023
dc.date.none.fl_str_mv 2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://i3pt.portalinvestigacion.com/publicaciones/2494
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85151372072&doi=10.1007%2fs00423-023-02844-1&partnerID=40&md5=e1b586465e1f494373b3a980fbeed5f5
url https://i3pt.portalinvestigacion.com/publicaciones/2494
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85151372072&doi=10.1007%2fs00423-023-02844-1&partnerID=40&md5=e1b586465e1f494373b3a980fbeed5f5
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv SPRINGER
publisher.none.fl_str_mv SPRINGER
dc.source.none.fl_str_mv LANGENBECKS ARCHIVES OF SURGERY
ISSN: 14352443
ISSNe: 14352451
reponame:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
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instname_str Institut d'Investigació i Innovació Parc Taulí (I3PT)
reponame_str r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
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