Laparoscopic robotic-assisted restorative proctocolectomy and ileal J-pouch-anorectal anastomosis in children View Full Text


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Article Info

DATE

2021-09-29

AUTHORS

C. Romeo, D. Di Fabrizio, P. Impellizzeri, S. Arena, V. Dipasquale, F. Palo, S. Costa, S. Pellegrino, P. Antonuccio, C. Romano, G. Mattioli

ABSTRACT

PurposeTotal proctocolectomy with ileal J-pouch-anorectal anastomosis (IPAA) remains the preferred surgical treatment for ulcerative colitis (UC) in children. Considering the well-known advantages of minimally invasive approach, and its main application for the deep pelvis, robotic surgery may be used in UC reconstructive procedures. The aim of the study is to report our experience with Robotic IPAA in children.MethodsSingle surgeon experience on Robotic IPAA were prospectively included. Data on patient demographics, surgical details, complications, and length of stay (LOS), were collected.ResultsFifteen patients were included. Median age was 13.2 years, median body weight 45 kg. Median operative time was 240 min. Median LOS was 7 days and mean follow-up time 1 year. No intraoperative complication occurred. Five postoperative complications happened: 3 minors treated conservatively (CD I–II), 2 majors needing reintervention under anesthesia (CD IIIb). No mortality was observed.ConclusionOur preliminary experience reveals that Robotic IPAA is a safe and feasible option for the surgical treatment of UC in children. A bigger patient sample and a long-term follow-up are needed to confirm our findings. More... »

PAGES

1-10

References to SciGraph publications

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  • <error retrieving object. in <ERROR RETRIEVING OBJECT
  • 2008-10-15. Laparoscopic ileal pouch–anal anastomosis reduces abdominal and pelvic adhesions in SURGICAL ENDOSCOPY
  • 2016-02-01. Totally robotic rectal resection: an experience of the first 100 consecutive cases in INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
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  • 2011-10-01. Robotic-Assisted Proctectomy for Inflammatory Bowel Disease: A Case-Matched Comparison of Laparoscopic and Robotic Technique in JOURNAL OF GASTROINTESTINAL SURGERY
  • 2017-05-18. Robotic Assisted Proctectomy and Ileal J-Pouch Anorectal Anastomosis in PEDIATRIC ROBOTIC SURGERY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00383-021-05017-7

    DOI

    http://dx.doi.org/10.1007/s00383-021-05017-7

    DIMENSIONS

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    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/34586484


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