دورية أكاديمية
أعرض في EDS

Perioperative outcomes and adverse events of robotic colorectal resections for inflammatory bowel disease: a systematic literature review.

التفاصيل البيبلوغرافية
العنوان: Perioperative outcomes and adverse events of robotic colorectal resections for inflammatory bowel disease: a systematic literature review.
المؤلفون: Renshaw S; Department of Surgery, Whittington Hospital NHS Trust, London, UK., Silva IL; Department of Surgery, Whittington Hospital NHS Trust, London, UK., Hotouras A; National Centre for Bowel Research and Surgical Innovation, Queen Mary University of London, London, UK. alex007@doctors.org.uk.; Department of Surgery, The Royal London Hospital, London, UK. alex007@doctors.org.uk., Wexner SD; Digestive Disease Center, Cleveland Clinic Florida, Fort Lauderdale, FL, USA., Murphy J; Department of Surgery, Imperial College, London, UK., Bhan C; Department of Surgery, Whittington Hospital NHS Trust, London, UK.
المصدر: Techniques in coloproctology [Tech Coloproctol] 2018 Mar; Vol. 22 (3), pp. 161-177. Date of Electronic Publication: 2018 Mar 15.
نوع المنشور: Journal Article; Review; Systematic Review
اللغة: English
بيانات الدورية: Publisher: Springer-Verlag Italia Country of Publication: Italy NLM ID: 9613614 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1128-045X (Electronic) Linking ISSN: 11236337 NLM ISO Abbreviation: Tech Coloproctol Subsets: MEDLINE
أسماء مطبوعة: Publication: <2001->: Milano, Italy : Springer-Verlag Italia
Original Publication: Rome : UCP Club,
مواضيع طبية MeSH: Colon/*surgery , Inflammatory Bowel Diseases/*surgery , Postoperative Complications/*etiology , Rectum/*surgery , Robotic Surgical Procedures/*adverse effects, Blood Loss, Surgical ; Colon/physiopathology ; Conversion to Open Surgery ; Cost-Benefit Analysis ; Humans ; Laparoscopy/adverse effects ; Laparoscopy/economics ; Laparoscopy/mortality ; Length of Stay ; Operative Time ; Patient Readmission ; Perioperative Period ; Recovery of Function ; Rectum/physiopathology ; Robotic Surgical Procedures/economics ; Robotic Surgical Procedures/mortality ; Treatment Outcome
مستخلص: The purpose of this study was to assess outcome measures and cost-effectiveness of robotic colorectal resections in adult patients with inflammatory bowel disease. The Cochrane Library, PubMed/Medline and Embase databases were reviewed, using the text "robotic(s)" AND ("inflammatory bowel disease" OR "Crohn's" OR "Ulcerative Colitis"). Two investigators screened abstracts for eligibility. All English language full-text articles were reviewed for specified outcomes. Data were presented in a summarised and aggregate form, since the lack of higher-level evidence studies precluded meta-analysis. Primary outcomes included mortality and postoperative complications. Secondary outcomes included readmission rate, length of stay, conversion rate, procedure time, estimated blood loss and functional outcome. The tertiary outcome was cost-effectiveness. Eight studies (3 case-matched observational studies, 4 case series and 1 case report) met the inclusion criteria. There was no reported mortality. Overall, complications occurred in 81 patients (54%) including 30 (20%) Clavien-Dindo III-IV complications. Mean length of stay was 8.6 days. Eleven cases (7.3%) were converted to open. The mean robotic operating time was 99 min out of a mean total operating time of 298.6 min. Thirty-two patients (24.7%) were readmitted. Functional outcomes were comparable among robotic, laparoscopic and open approaches. Case-matched observational studies comparing robotic to laparoscopic surgery revealed a significantly longer procedure time; however, conversion, complication, length of stay and readmission rates were similar. The case-matched observational study comparing robotic to open surgery also revealed a longer procedure time and a higher readmission rate; postoperative complication rates and length of stay were similar. No studies compared cost-effectiveness between robotic and traditional approaches. Although robotic resections for inflammatory bowel disease are technically feasible, outcomes must be interpreted with caution due to low-quality studies.
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فهرسة مساهمة: Keywords: Colorectal resection; Inflammatory bowel disease; Robotic surgical procedures
تواريخ الأحداث: Date Created: 20180317 Date Completed: 20181022 Latest Revision: 20181202
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC5862938
DOI: 10.1007/s10151-018-1766-5
PMID: 29546470
قاعدة البيانات: MEDLINE
الوصف
تدمد:1128-045X
DOI:10.1007/s10151-018-1766-5