1289 A Superior Approach? the Role of Robotic Surgery in Inflammatory Bowel Disease
C Grewal, R Karri, N Yassin- Surgery
Abstract
Background
This study compared the short-term outcomes of robotic and laparoscopic surgery for IBD patients to assess the efficacy of using robotics in minimally invasive surgery. The goal was to explore whether robotics is a superior surgical technique with better outcomes.
Method
A retrospective review of of all patients who underwent robotic and laparoscopic surgery for IBD was conducted from 2018-2022 . Demographics, peri, intra and post-operative data were analysed.
Results
This study included 42 surgeries for IBD patients, of which 24 were robotic and 18 were laparoscopic. Right hemicolectomies accounted for 63% of robotic surgery, with stomas formed in 38% of procedures. Amongst laparoscopic procedures, 44% underwent total colectomies and 39% had right hemicolectomies, with 78% requiring stomas. The median operative time for robotics was 30 minutes shorter than laparoscopic procedures. On average, hospital stays were 3 days less for robotic patients. There were 3 cases (17%) of patients returning to the ward within 30 days after laparoscopic surgery, compared to 1 case (4%) after robotic surgery. However, there were 2 cases (8%) of Grade 3 complications after robotic surgery and 1 case (6%) after laparoscopic surgery. One patient in each group required surgery within 30 days, but no cases necessitated conversion to open surgery and there were no deaths.
Conclusions
This study suggest that robotic surgery can be a safe and effective option for IBD patients, with shorter operating times and hospital stays compared to laparoscopic surgery. Overall, these findings suggest that robotic surgery may be a superior approach to minimally invasive surgery for IBD patients.