ArticleJournal of clinical medicine2022
Robotic-Assisted versus Laparoscopic Proctectomy with Ileal Pouch-Anal Anastomosis for Ulcerative Colitis: An Analysis of Clinical and Financial Outcomes from a Tertiary Referral Center.
Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 5 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 5 syntheses or guidelines pooled it, 19 citations in OpenAlex.
- Comparison of laparoscopic and robotic surgery for inflammatory bowel disease: a systematic review and meta-analysis.Surgical endoscopy · 2026Pooled it
- Short-term surgical outcomes of robotic-assisted versus laparoscopic ileal pouch-anal anastomosis (IPAA): a systematic review and meta-analysis.Surgical endoscopy · 2026Pooled it
- Standardisation in robotic surgery for inflammatory bowel disease: a systematic review.Journal of robotic surgery · 2026Pooled it
- Comparing surgical outcomes of robotic and laparoscopic or open ileal pouch-anal anastomosis: a systematic review and meta-analysis.Journal of robotic surgery · 2025Pooled it
- Minimally Invasive Surgery for Inflammatory Bowel Disease: A Systematic Review and Meta-Analysis of Robotic Versus Laparoscopic Surgical Techniques.Journal of Crohn's & colitis · 2024Pooled it
- Robotic versus laparoscopic ileal pouch-anal anastomosis for ulcerative colitis: an analysis of the Nationwide readmission database, 2016-2020.Techniques in coloproctology · 2026Article
- IDEAL-compliant implementation of the DexterInnovative surgical sciences · 2025Article
- Evolution of practice of robotic ileoanal pouches: a single-center case series in East London.Journal of minimally invasive surgery · 2025Article
- Robotic proctocolectomy with ileal pouch-anal anastomosis: a hybrid approach.International journal of colorectal disease · 2025Article
- Robotic-assisted total proctocolectomy with ileal pouch-anal anastomosis in familial adenomatous polyposis: a step-by-step approach for surgeons advancing to expertise.Techniques in coloproctology · 2025Article
- Review
- Current Management of Acute Severe Ulcerative Colitis: New Insights on the Surgical Approaches.Journal of personalized medicine · 2024Review
- Robotic-Assisted versus Laparoscopic Surgery for Rectal Cancer: An Analysis of Clinical and Financial Outcomes from a Tertiary Referral Center.Journal of clinical medicine · 2024Article
- Implementation of a robotic surgical practice in inflammatory bowel disease.Journal of robotic surgery · 2024Article
- Cost-comparison of robotic versus laparoscopic colorectal resections: a mapped systematic review and meta-analysis of published studies.Translational gastroenterology and hepatology · 2024Article
- The Comprehensive Complication Index in Ulcerative Colitis: A Comparison with the Clavien-Dindo Classification.Inflammatory intestinal diseasesArticle
Corrections and comments
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Authors and funding
11 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Robotic-assisted colorectal surgery is gaining popularity, but limited data are available on the safety, efficacy, and cost of robotic-assisted restorative proctectomy with the construction of an ileal pouch and ileal pouch-anal anastomosis (IPAA) for ulcerative colitis (UC). Methods: A retrospective study was conducted comparing consecutively performed robotic-assisted and laparoscopic proctectomy with IPAA between 1 January 2016 and 31 September 2021. In total, 67 adult patients with medically refractory UC without proven dysplasia or carcinoma underwent surgery: 29 operated robotically and 38 laparoscopically. Results: There were no differences between both groups regarding postoperative complications within 30 days according to Clavien-Dindo classification’ grades 1−5 (51.7% vs. 42.1%, p = 0.468) and severe grades 3b−5 (17.2% vs. 10.5%, p = 0.485). Robotic-assisted surgery was associated with an increased urinary tract infection rate (n = 7, 24.1% vs. n = 1, 2.6%; p = 0.010) and longer operative time (346 ± 65 min vs. 281 ± 66 min; p < 0.0001). Surgery costs were higher when operated robotically (median EUR 10.377 [IQR EUR 4.727] vs. median EUR 6.689 [IQR EUR 3.170]; p < 0.0001), resulting in reduced total inpatient profits (median EUR 110 [IQR EUR 4.971] vs. median EUR 2.853 [IQR EUR 5.386]; p = 0.001). Conclusion: Robotic-assisted proctectomy with IPAA can be performed with comparable short-term clinical outcomes to laparoscopy but is associated with a longer duration of surgery and higher surgery costs. As experience increases, some advantages may become evident regarding operative time, postoperative recovery, and length of stay. The robotic procedure might then become cost-efficient.
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Registered trials
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