Robotic Colorectal Surgery: Our Initial Experience
Autores
Maria João Alves, Pedro Brandão, Ricardo Pinto, Marisa D. Santos.
Resumo Introdução
Minimally invasive surgery has brought about a significant change in the treatment of colorectal diseases. Recently, the Hugo? Robotic-Assisted Surgery system has been introduced as a potential competitor to the da Vinci platform. Its use in general surgery, specifically in complex colorectal surgeries, is still in its early stages
Resumo Métodos
A retrospective cohort study was conducted using the institutional database, reviewing all patients who underwent robotic colorectal surgery between April 2023 - April 2024. Clinical and surgical variables were evaluated to identify factors associated with postoperative morbidity
Resumo Resultados
Over the study period, 68 patients with a mean age of 70 years underwent robotic colorectal surgery. Surgical indications were malignancy in approximately 90% of cases. The most frequently performed procedure was a right hemicolectomy (43%), followed by low anterior resection (29%), sigmoidectomy (10%), left hemicolectomy (6%), abdominoperineal resection (3%), rectopexy (3%), total colectomy (1%) and total proctectomy with ileo-anal pouch (1%). The mean operative duration was 185 minutes, and the patients had a median hospital stay of 6 days. Postoperative morbidity was observed in 32.4% of patients.
Resumo Discussão
Our initial experience with the Hugo? RAS system suggests that it is both safe and feasible for a broad range of colorectal surgeries. The outcomes observed are comparable to those achieved with laparoscopic surgery.