Robotic Surgery in Crohn's Disease

Overview

Journal Clin Colon Rectal Surg

Date 2021 Sep 13

PMID 34512197

Citations 1

Authors

Drew Gunnells

Jamie Cannon

Affiliations

Soon will be listed here.

Abstract

Surgery for Crohn's disease presents unique challenges secondary to the inflammatory nature of the disease. While a minimally invasive approach to colorectal surgery has consistently been associated with better patient outcomes, adoption of laparoscopy in Crohn's disease has been limited due to these challenges. Robotic assisted surgery has the potential to overcome these challenges and allow more complex patients to undergo a minimally invasive operation. Here we describe our approach to robotic assisted surgery for terminal ileal Crohn's disease.

Citing Articles

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Minimally Invasive Surgery for Inflammatory Bowel Disease: A Systematic Review and Meta-Analysis of Robotic Versus Laparoscopic Surgical Techniques.

Zaman S, Mohamedahmed A, Abdelrahman W, Abdalla H, Wuheb A, Issa M J Crohns Colitis. 2024; 18(8):1342-1355.

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References

Baik S, Kwon H, Kim J, Hur H, Sohn S, Cho C . Robotic versus laparoscopic low anterior resection of rectal cancer: short-term outcome of a prospective comparative study. Ann Surg Oncol. 2009; 16(6):1480-7. DOI: 10.1245/s10434-009-0435-3. View

Tilney H, Constantinides V, Heriot A, Nicolaou M, Athanasiou T, Ziprin P . Comparison of laparoscopic and open ileocecal resection for Crohn's disease: a metaanalysis. Surg Endosc. 2006; 20(7):1036-44. DOI: 10.1007/s00464-005-0500-3. View

Holubar S, Dozois E, Privitera A, Cima R, Pemberton J, Young-Fadok T . Laparoscopic surgery for recurrent ileocolic Crohn's disease. Inflamm Bowel Dis. 2009; 16(8):1382-6. DOI: 10.1002/ibd.21186. View

Cho M, Baek S, Hur H, Min B, Baik S, Lee K . Short and long-term outcomes of robotic versus laparoscopic total mesorectal excision for rectal cancer: a case-matched retrospective study. Medicine (Baltimore). 2015; 94(11):e522. PMC: 4602485. DOI: 10.1097/MD.0000000000000522. View

Miller A, Berian J, Rubin M, Hurst R, Fichera A, Umanskiy K . Robotic-assisted proctectomy for inflammatory bowel disease: a case-matched comparison of laparoscopic and robotic technique. J Gastrointest Surg. 2011; 16(3):587-94. DOI: 10.1007/s11605-011-1692-6. View

Bernell O, Lapidus A, Hellers G . Risk factors for surgery and recurrence in 907 patients with primary ileocaecal Crohn's disease. Br J Surg. 2000; 87(12):1697-701. DOI: 10.1046/j.1365-2168.2000.01589.x. View

Moorthy K, Shaul T, Foley R . Factors that predict conversion in patients undergoing laparoscopic surgery for Crohn's disease. Am J Surg. 2004; 187(1):47-51. DOI: 10.1016/j.amjsurg.2002.12.007. View

Maartense S, Dunker M, Slors J, Cuesta M, Pierik E, Gouma D . Laparoscopic-assisted versus open ileocolic resection for Crohn's disease: a randomized trial. Ann Surg. 2006; 243(2):143-9. PMC: 1448907. DOI: 10.1097/01.sla.0000197318.37459.ec. View

Jacobson I, Schapiro R, Warshaw A . Gastric and duodenal fistulas in Crohn's disease. Gastroenterology. 1985; 89(6):1347-52. DOI: 10.1016/0016-5085(85)90654-7. View

10.

Bhama A, Obias V, Welch K, Vandewarker J, Cleary R . A comparison of laparoscopic and robotic colorectal surgery outcomes using the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database. Surg Endosc. 2015; 30(4):1576-84. DOI: 10.1007/s00464-015-4381-9. View

11.

Pedraza R, Patel C, Ramos-Valadez D, Haas E . Robotic-assisted laparoscopic surgery for restorative proctocolectomy with ileal J pouch-anal anastomosis. Minim Invasive Ther Allied Technol. 2011; 20(4):234-9. DOI: 10.3109/13645706.2010.536355. View

12.

Tam M, Kaoutzanis C, Mullard A, Regenbogen S, Franz M, Hendren S . A population-based study comparing laparoscopic and robotic outcomes in colorectal surgery. Surg Endosc. 2015; 30(2):455-463. DOI: 10.1007/s00464-015-4218-6. View

13.

Tan J, Tjandra J . Laparoscopic surgery for Crohn's disease: a meta-analysis. Dis Colon Rectum. 2007; 50(5):576-85. DOI: 10.1007/s10350-006-0855-0. View

14.

Lesperance K, Martin M, Lehmann R, Brounts L, Steele S . National trends and outcomes for the surgical therapy of ileocolonic Crohn's disease: a population-based analysis of laparoscopic vs. open approaches. J Gastrointest Surg. 2009; 13(7):1251-9. DOI: 10.1007/s11605-009-0853-3. View

15.

Lacy A, Garcia-Valdecasas J, Delgado S, Castells A, Taura P, Pique J . Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomised trial. Lancet. 2002; 359(9325):2224-9. DOI: 10.1016/S0140-6736(02)09290-5. View

16.

Trastulli S, Coratti A, Guarino S, Piagnerelli R, Annecchiarico M, Coratti F . Robotic right colectomy with intracorporeal anastomosis compared with laparoscopic right colectomy with extracorporeal and intracorporeal anastomosis: a retrospective multicentre study. Surg Endosc. 2014; 29(6):1512-21. DOI: 10.1007/s00464-014-3835-9. View

17.

Moghadamyeghaneh Z, Phelan M, Smith B, Stamos M . Outcomes of Open, Laparoscopic, and Robotic Abdominoperineal Resections in Patients With Rectal Cancer. Dis Colon Rectum. 2015; 58(12):1123-9. DOI: 10.1097/DCR.0000000000000475. View

18.

Goyer P, Alves A, Bretagnol F, Bouhnik Y, Valleur P, Panis Y . Impact of complex Crohn's disease on the outcome of laparoscopic ileocecal resection: a comparative clinical study in 124 patients. Dis Colon Rectum. 2009; 52(2):205-10. DOI: 10.1007/DCR.0b013e31819c9c08. View

19.

Mark-Christensen A, Ronne Pachler F, Norager C, Jepsen P, Laurberg S, Tottrup A . Short-term Outcome of Robot-assisted and Open IPAA: An Observational Single-center Study. Dis Colon Rectum. 2016; 59(3):201-7. DOI: 10.1097/DCR.0000000000000540. View

20.

Dasari B, McKay D, Gardiner K . Laparoscopic versus Open surgery for small bowel Crohn's disease. Cochrane Database Syst Rev. 2011; (1):CD006956. DOI: 10.1002/14651858.CD006956.pub2. View