Department of General Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.
Cerrahpasa Medical Faculty, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Int J Med Robot. 2020 Feb;16(1):e2068. doi: 10.1002/rcs.2068. Epub 2020 Jan 7.
Introduction of the da Vinci Xi system has facilitated the use of robotics in colorectal surgery. Nevertheless, data on the outcomes of robotic surgery for the treatment of colonic diverticulitis have remained scarce.
Patient demographics, clinical characteristics, and perioperative outcomes of the patients undergoing totally robotic with the da Vinci Xi system or laparoscopic surgery for left-sided colonic diverticulitis (LCD) were compared.
Laparoscopic and robotic groups included 22 and 20 patients, respectively. There were no significant differences between the two groups in terms of patient demographics, clinical characteristics, operative time, and postoperative complications. There were three conversions in the laparoscopy group and no conversion in the robotic group (P = 0.23). Conversion to open surgery was associated with postoperative morbidity (P = 0.02).
Robotic surgery is an applicable alternative for the treatment of LCD. Robotic approach may potentially lower the risk of operative morbidity by reducing the requirement of conversion.
达芬奇 Xi 系统的引入促进了机器人技术在结直肠手术中的应用。然而，关于机器人手术治疗结肠憩室炎的结果的数据仍然很少。
比较了接受达芬奇 Xi 系统全机器人手术和腹腔镜手术治疗左侧结肠憩室炎（LCD）的患者的人口统计学、临床特征和围手术期结果。
腹腔镜组和机器人组分别包括 22 例和 20 例患者。两组患者的人口统计学、临床特征、手术时间和术后并发症无显著差异。腹腔镜组有 3 例中转开腹，机器人组无中转开腹（P=0.23）。中转开腹与术后发病率相关（P=0.02）。
机器人手术是治疗 LCD 的一种可行选择。机器人方法通过减少中转开腹的需求，可能降低手术发病率的风险。
