• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • 2MM Podcast
  • Write for us
  • Contact Us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Surgery

Robotic-assisted colectomy may provide minimal benefit compared to laparoscopic

byAndrew Bishara
December 20, 2013
in Surgery
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

Image: PD

1. Robot-assisted colectomies had equivalent clinical outcomes compared to laparoscopic approach, but had higher overall higher overall hospitalization costs

Evidence Rating Level: 3 (Average)

Study Rundown: The use of robotic surgery may address the technical challenges associated with laparoscopic surgery such as the loss of stereoscopic vision. To date, only single-institution, early outcomes studies have been performed for robotic-assisted colorectal surgeries. A retrospective review of a large, multi-centered US surgical outcomes database was conducted to compare the perioperative outcomes and costs of robotic-assisted (RC), laparoscopic (LC), and open colectomies in a large, multi-centered patient database.

The results of this study demonstrate no significant difference in the primary outcome of in-hospital mortality between RC and LC. Additionally, there was no significant difference in secondary outcomes such as overall complication rate, and routine discharge rate. Cost estimate analysis showed greater overall and per day hospitalization costs associated with RC. The strength of this study includes the use of the US-wide, multi-centered population database. However, the database only included a small sample size of RC may attribute to the lack of statistical significance. The study shows that there is currently no additional benefit of robot-assisted colorectal surgery compared to laparoscopic approach.

Click to read the study in JAMA Surgery

RELATED REPORTS

Total knee arthroplasty with MAKO robot assistance may improve surgical outcomes

Robotic approach to paraesophageal hernia repair associated with positive patient outcomes

#VisualAbstract: Robotic vs. laparoscopic ventral hernia repair

Click to read an accompanying editorial in JAMA Surgery

Relevant Reading: Economic evaluation of da Vinci-assisted robotic surgery: a systematic review

In-Depth [retrospective cohort]: This study reviewed perioperative colectomy outcomes using the US Healthcare Cost and Utilization Project Nationwide Inpatient Sample (NIS) from 2008-2010. During this time period, LC accounted for 47.6% of all colectomies and RC accounted for 0.6%. A propensity score method was used to compare the outcomes from 1500 LCs and 1584 RCs. There was no significant difference in in-hospital mortality (RC:0.0% LC:0.7%, p=0.12), complications (RC:14.7%, LC:18.5%, p=0.26), or  rate of routine discharge (RC: 88.7%, LC:88.5%, p=0.98). Trends that favor RC were observed in median length of hospital stay and rate of conversion to open colectomy. Estimated overall costs were higher in for RC compared to LC (RC: $14,847, LC: $11,966, p<0.001), as well as adjusted for length of stay (RC: $3407, LC: $2617, p<0.001).

By David Wang and Andrew Bishara

More from this author: “Hospital Report Cards” not associated with improved trauma mortality outcomes, Preoperative vitamin D levels may influence post-surgical infection rate, HIV-infected infant potentially cured with antiretroviral therapy, High prevalence of head impact observed in senior falls, Pediatric appendicitis outcomes in Canada not superior to US

©2012-2013 2minutemedicine.com. All rights reserved. No works may be reproduced without expressed written consent from 2minutemedicine.com. Disclaimer: We present factual information directly from peer reviewed medical journals. No post should be construed as medical advice and is not intended as such by the authors, editors, staff or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT.  

Tags: laparoscopyoutcome datarobotic surgery
Previous Post

7% hypertonic saline does not improve clinical outcomes for acute bronchiolitis

Next Post

Surgeons may be unaware of own level of burnout

RelatedReports

General anesthesia exposure in infants not linked to impaired cognitive development
Orthopedic Surgery

Total knee arthroplasty with MAKO robot assistance may improve surgical outcomes

June 20, 2024
Preoperative tumor embolization does not reduce operative blood loss
Gastroenterology

Robotic approach to paraesophageal hernia repair associated with positive patient outcomes

August 14, 2020
#VisualAbstract: Vitamin D Supplements for Prevention of Tuberculosis Infection and Disease
StudyGraphics

#VisualAbstract: Robotic vs. laparoscopic ventral hernia repair

July 30, 2020
Survival greater in cervical cancer patients undergoing abdominal hysterectomy compared to minimally invasive techniques: the LACC trial
Gastroenterology

Robot-assisted hernia repairs produce patient outcomes comparable to laparoscopic repairs

July 26, 2020
Next Post
Wound surgical device found ineffective at infection control: ROSSINI Trial

Surgeons may be unaware of own level of burnout

Duloxetine reduces neuropathic pain in chemotherapy patients

Hyperthermic intraperitoneal chemotherapy may be less risky than expected

Buccal administration of dextrose gel effective for neonatal hypoglycemia

Prenatal inflammatory markers associated with adverse neonatal outcomes

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Structured Exercise after Adjuvant Chemotherapy for Colon Cancer
  • 2 Minute Medicine Rewind June 30, 2025
  • Weighted vests and resistance training confer similar outcomes for bone density in the elderly
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
No Result
View All Result

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.