Background: While the safety of laparoscopic redo ileocolonic resection for Crohn's disease has been described before, the safety of robotic redo ileocolonic resection is still unelucidated. Objective: This study aimed to share our preliminary experience regarding the safety of robotic redo ileocolonic resection for Crohn's disease. Design: Retrospective analysis. Setting: Tertiary care center. Patients: All consecutive adult patients who underwent robotic ileocolonic resection for Crohn's disease at our institution between 2014 and 2021 were included. Patients were divided into redo ileocolonic resection and primary ileocolonic resection groups. Primary outcome measures: Baseline demographics, preoperative risk factors, and intraoperative details were compared between both groups. The primary outcome was conversion to open, and secondary outcomes were 30-day postoperative complications. Results: A total of 98 patients were included. Of them, 18 (18.4%) had a redo ileocolonic resection. Patients who had a redo ileocolonic resection were more likely to have a longer duration of disease, associated anoperineal disease, a higher number of previous lines of medical treatments, more likely to have received total parental nutrition before the operation for correction of malnutrition, and longer time for adhesiolysis. Patients who had redo ileocolonic resection had a higher risk for conversion to open [3 (16.7%) versus 2 (2.5%); p value 0.04]. There was no statistically significant difference regarding the overall length of stay and the 30-day morbidity between both groups. No 30-day mortality or anastomotic leaks occurred in either group. Limitations: Retrospective nature of the analysis. Conclusions: Robotic redo ileocolonic resection showed similar short-term postoperative outcomes to robotic primary ileocolonic resection for Crohn's Disease. However, conversion rates are higher in robotic redo ileocolonic resection yet appear lower than previously published results in laparoscopic surgery. See Video Abstract at http://links.lww.com/DCR/C77 .
Mohamed A. Abd El Aziz, Solafah Abdalla, Giacomo Calini, Hamadelneel Saeed, Anne-Lise D'Angelo, Kevin T. Behm, et al. (2022). Robotic Redo Ileocolic Resection for Crohn{\textquotesingle}s Disease: A Preliminary Report from a Tertiary Care Center. DISEASES OF THE COLON & RECTUM, Publish Ahead of Print, N/A-N/A [10.1097/dcr.0000000000002380].
Robotic Redo Ileocolic Resection for Crohn{\textquotesingle}s Disease: A Preliminary Report from a Tertiary Care Center
Giacomo Calini;
2022
Abstract
Background: While the safety of laparoscopic redo ileocolonic resection for Crohn's disease has been described before, the safety of robotic redo ileocolonic resection is still unelucidated. Objective: This study aimed to share our preliminary experience regarding the safety of robotic redo ileocolonic resection for Crohn's disease. Design: Retrospective analysis. Setting: Tertiary care center. Patients: All consecutive adult patients who underwent robotic ileocolonic resection for Crohn's disease at our institution between 2014 and 2021 were included. Patients were divided into redo ileocolonic resection and primary ileocolonic resection groups. Primary outcome measures: Baseline demographics, preoperative risk factors, and intraoperative details were compared between both groups. The primary outcome was conversion to open, and secondary outcomes were 30-day postoperative complications. Results: A total of 98 patients were included. Of them, 18 (18.4%) had a redo ileocolonic resection. Patients who had a redo ileocolonic resection were more likely to have a longer duration of disease, associated anoperineal disease, a higher number of previous lines of medical treatments, more likely to have received total parental nutrition before the operation for correction of malnutrition, and longer time for adhesiolysis. Patients who had redo ileocolonic resection had a higher risk for conversion to open [3 (16.7%) versus 2 (2.5%); p value 0.04]. There was no statistically significant difference regarding the overall length of stay and the 30-day morbidity between both groups. No 30-day mortality or anastomotic leaks occurred in either group. Limitations: Retrospective nature of the analysis. Conclusions: Robotic redo ileocolonic resection showed similar short-term postoperative outcomes to robotic primary ileocolonic resection for Crohn's Disease. However, conversion rates are higher in robotic redo ileocolonic resection yet appear lower than previously published results in laparoscopic surgery. See Video Abstract at http://links.lww.com/DCR/C77 .I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
