A propensity score-matched comparison of intracorporeal and extracorporeal techniques for robotic-assisted right colectomy in an Enhanced Recovery Pathway
There may be short-term outcomes advantages for the intracorporeal approach to minimally invasive right colectomy. This is a retrospective propensity score-matched comparison of intracorporeal and extracorporeal techniques for robotic-assisted right colectomy in an Enhanced Recovery colorectal surge...
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| Veröffentlicht in: | The American journal of surgery 2018-12, Vol.216 (6), p.1095-1100 |
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| container_title | The American journal of surgery |
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| creator | Akram, Warqaa M. Al-Natour, Riad H. Albright, Jeremy Wu, Juan Ferraro, Jane Shanker, Beth-Ann McClure, Amanda M. Cleary, Robert K. |
| description | There may be short-term outcomes advantages for the intracorporeal approach to minimally invasive right colectomy.
This is a retrospective propensity score-matched comparison of intracorporeal and extracorporeal techniques for robotic-assisted right colectomy in an Enhanced Recovery colorectal surgery service.
55 intracorporeal and 55 extracorporeal cases were compared. Operative time was significantly longer (p |
| doi_str_mv | 10.1016/j.amjsurg.2018.06.010 |
| format | Article |
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This is a retrospective propensity score-matched comparison of intracorporeal and extracorporeal techniques for robotic-assisted right colectomy in an Enhanced Recovery colorectal surgery service.
55 intracorporeal and 55 extracorporeal cases were compared. Operative time was significantly longer (p < 0.001) and incision length shorter in the intracorporeal group (p = 0.007). Outcomes significantly favorable for the intracorporeal group included conversion-to-open (p = 0.013), time to first flatus (p < 0.001), time to first bowel movement (p = 0.006), and dehydration (p = 0.03). There were more extraction site hernias in the midline compared to off-midline locations, though this difference did not reach statistical significance (p = 0.06).
There are outcomes advantages for the intracorporeal technique for robotic-assisted right colectomy when compared to the extracorporeal approach for patients in an Enhanced Recovery Pathway. Training efforts should continue to advocate the intracorporeal option.
•Intracorporeal techniques for right colectomy are associated with better outcomes.•Intracorporeal conversion is less frequent than extracorporeal conversion-to-open.•Robotic training should include intracorporeal techniques.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2018.06.010</identifier><identifier>PMID: 29937323</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Colorectal ; Intracorporeal anastomosis ; Minimally invasive surgery ; Right colectomy ; Robotic</subject><ispartof>The American journal of surgery, 2018-12, Vol.216 (6), p.1095-1100</ispartof><rights>2018 Elsevier Inc.</rights><rights>Copyright © 2018 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-bd44119ac366b953f30bec36c2e1dcd8e369f1e8678805df4bb0349dfc06c45f3</citedby><cites>FETCH-LOGICAL-c365t-bd44119ac366b953f30bec36c2e1dcd8e369f1e8678805df4bb0349dfc06c45f3</cites><orcidid>0000-0001-5608-4838</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002961018303350$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29937323$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Akram, Warqaa M.</creatorcontrib><creatorcontrib>Al-Natour, Riad H.</creatorcontrib><creatorcontrib>Albright, Jeremy</creatorcontrib><creatorcontrib>Wu, Juan</creatorcontrib><creatorcontrib>Ferraro, Jane</creatorcontrib><creatorcontrib>Shanker, Beth-Ann</creatorcontrib><creatorcontrib>McClure, Amanda M.</creatorcontrib><creatorcontrib>Cleary, Robert K.</creatorcontrib><title>A propensity score-matched comparison of intracorporeal and extracorporeal techniques for robotic-assisted right colectomy in an Enhanced Recovery Pathway</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>There may be short-term outcomes advantages for the intracorporeal approach to minimally invasive right colectomy.
This is a retrospective propensity score-matched comparison of intracorporeal and extracorporeal techniques for robotic-assisted right colectomy in an Enhanced Recovery colorectal surgery service.
55 intracorporeal and 55 extracorporeal cases were compared. Operative time was significantly longer (p < 0.001) and incision length shorter in the intracorporeal group (p = 0.007). Outcomes significantly favorable for the intracorporeal group included conversion-to-open (p = 0.013), time to first flatus (p < 0.001), time to first bowel movement (p = 0.006), and dehydration (p = 0.03). There were more extraction site hernias in the midline compared to off-midline locations, though this difference did not reach statistical significance (p = 0.06).
There are outcomes advantages for the intracorporeal technique for robotic-assisted right colectomy when compared to the extracorporeal approach for patients in an Enhanced Recovery Pathway. Training efforts should continue to advocate the intracorporeal option.
•Intracorporeal techniques for right colectomy are associated with better outcomes.•Intracorporeal conversion is less frequent than extracorporeal conversion-to-open.•Robotic training should include intracorporeal techniques.</description><subject>Colorectal</subject><subject>Intracorporeal anastomosis</subject><subject>Minimally invasive surgery</subject><subject>Right colectomy</subject><subject>Robotic</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNqFUcFu1DAQtRAV3RY-AeQjl4RxnHjjE6qqQpEqFVVwthx70niVxMH2FvIr_Vq82gWJE6fRm3nzxn6PkLcMSgZMfNiVetrFfXgsK2BtCaIEBi_IhrVbWbC25S_JBgCqQgoG5-Qixl2GjNX8FTmvpORbXvENeb6iS_ALztGllUbjAxaTTmZAS42fFh1c9DP1PXVzCjrPl0zRI9Wzpfjrn1ZCM8zuxx4j7X2gwXc-OVPoGF1MWS-4xyFl1RFN8tOaFbMKvZkHPZs8fkDjnzCs9KtOw0-9viZnvR4jvjnVS_L9082369vi7v7zl-uru8Jw0aSis3XNmNQZiU42vOfQYQamQmaNbZEL2TNsxbZtobF93XXAa2l7A8LUTc8vyfujbjbi8PikJhcNjqOe0e-jqqCRUENVbTO1OVJN8DEG7NUS3KTDqhioQyxqp06xqEMsCoTKseS9d6cT-25C-3frTw6Z8PFIwPzRJ4dBRePwYIsL2S1lvfvPid_Ip6YR</recordid><startdate>201812</startdate><enddate>201812</enddate><creator>Akram, Warqaa M.</creator><creator>Al-Natour, Riad H.</creator><creator>Albright, Jeremy</creator><creator>Wu, Juan</creator><creator>Ferraro, Jane</creator><creator>Shanker, Beth-Ann</creator><creator>McClure, Amanda M.</creator><creator>Cleary, Robert K.</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5608-4838</orcidid></search><sort><creationdate>201812</creationdate><title>A propensity score-matched comparison of intracorporeal and extracorporeal techniques for robotic-assisted right colectomy in an Enhanced Recovery Pathway</title><author>Akram, Warqaa M. ; Al-Natour, Riad H. ; Albright, Jeremy ; Wu, Juan ; Ferraro, Jane ; Shanker, Beth-Ann ; McClure, Amanda M. ; Cleary, Robert K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-bd44119ac366b953f30bec36c2e1dcd8e369f1e8678805df4bb0349dfc06c45f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Colorectal</topic><topic>Intracorporeal anastomosis</topic><topic>Minimally invasive surgery</topic><topic>Right colectomy</topic><topic>Robotic</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Akram, Warqaa M.</creatorcontrib><creatorcontrib>Al-Natour, Riad H.</creatorcontrib><creatorcontrib>Albright, Jeremy</creatorcontrib><creatorcontrib>Wu, Juan</creatorcontrib><creatorcontrib>Ferraro, Jane</creatorcontrib><creatorcontrib>Shanker, Beth-Ann</creatorcontrib><creatorcontrib>McClure, Amanda M.</creatorcontrib><creatorcontrib>Cleary, Robert K.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akram, Warqaa M.</au><au>Al-Natour, Riad H.</au><au>Albright, Jeremy</au><au>Wu, Juan</au><au>Ferraro, Jane</au><au>Shanker, Beth-Ann</au><au>McClure, Amanda M.</au><au>Cleary, Robert K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A propensity score-matched comparison of intracorporeal and extracorporeal techniques for robotic-assisted right colectomy in an Enhanced Recovery Pathway</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2018-12</date><risdate>2018</risdate><volume>216</volume><issue>6</issue><spage>1095</spage><epage>1100</epage><pages>1095-1100</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>There may be short-term outcomes advantages for the intracorporeal approach to minimally invasive right colectomy.
This is a retrospective propensity score-matched comparison of intracorporeal and extracorporeal techniques for robotic-assisted right colectomy in an Enhanced Recovery colorectal surgery service.
55 intracorporeal and 55 extracorporeal cases were compared. Operative time was significantly longer (p < 0.001) and incision length shorter in the intracorporeal group (p = 0.007). Outcomes significantly favorable for the intracorporeal group included conversion-to-open (p = 0.013), time to first flatus (p < 0.001), time to first bowel movement (p = 0.006), and dehydration (p = 0.03). There were more extraction site hernias in the midline compared to off-midline locations, though this difference did not reach statistical significance (p = 0.06).
There are outcomes advantages for the intracorporeal technique for robotic-assisted right colectomy when compared to the extracorporeal approach for patients in an Enhanced Recovery Pathway. Training efforts should continue to advocate the intracorporeal option.
•Intracorporeal techniques for right colectomy are associated with better outcomes.•Intracorporeal conversion is less frequent than extracorporeal conversion-to-open.•Robotic training should include intracorporeal techniques.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29937323</pmid><doi>10.1016/j.amjsurg.2018.06.010</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-5608-4838</orcidid></addata></record> |
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| ispartof | The American journal of surgery, 2018-12, Vol.216 (6), p.1095-1100 |
| issn | 0002-9610 1879-1883 |
| language | eng |
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| source | Elsevier ScienceDirect Journals |
| subjects | Colorectal Intracorporeal anastomosis Minimally invasive surgery Right colectomy Robotic |
| title | A propensity score-matched comparison of intracorporeal and extracorporeal techniques for robotic-assisted right colectomy in an Enhanced Recovery Pathway |
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